Dynamic Surgical Guidance to Facilitate Dental Implant Placement: A Case Report

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Introduction The long-term success of dental implant surgery is dependent, in part, on accurate planning and placement of the implant.1 Currently, there are many digital planning systems available to aid the clinician in pre-operative treatment planning, although the main challenge with these planning systems is to accurately transfer the digital plan to the clinical situation. … Read more

Innovation Comes to Life: Nobel Biocare Global Symposium 2016

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Waldorf Astoria, NYC A continuous increase in demand for dental implant treatments as a result of growing consumer awareness, an ageing population, growing accessibility as well as greater product availability, has accelerated the demand for education in this field. With its global symposium in particular, Nobel Biocare has established itself as a provider of top-level … Read more

Advances in Implant Dentistry

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I am honoured to have been selected as an editor for the implantology issue of Oral Health. My father, Blake Nicolucci, has had an extensive career full of accolades and I can only hope to achieve some of what he has accomplished. He has served both Oral Health and the profession as a whole with … Read more

An Updated Approach to Ridge Preservation

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In a perfect world, after the extraction of a tooth, there would be complete preservation and restoration of the original ridge volume via the natural process of tissue modeling, which is ideal for future implant placement. Commonly, and unfortunately, this is not the case. Regardless of whether tooth removal is atraumatic or not, healing of … Read more

CAD-CAM Surgical Guides for Implantology: The New, The Old and The Essential

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Introduction The use of a surgical guide is nothing new or revolutionary as clinicians have always had a need to more precisely position implants during surgery. Nearly 25 years ago, we at the Institut Canadien d’Implantologie developed a surgical guide. We wanted a better solution for the problems of conventional guides, which were often left … Read more

Predictable Enhanced Esthetics in Implant Restorations

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Much has evolved about the placement protocols and usage of endosseous dental implants. Early on, the osseointegration of dental implants was imagined as a way to restore patients with total or near-total edentulism, through the stabilization of a removable prosthesis. Initial protocols called for several months of healing after tooth removal. It was recognized that … Read more

Keys to Predictable Socket Grafting – Part 1

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To satisfy the ideal goals of implant dentistry in a predictable manner, hard and soft tissues should present in ideal volumes and quality. The alveolar process is affected so often after tooth loss that socket grafting is usually indicated to achieve optimal results. Reasons for socket grafting include an improved esthetic appearance particularly in the anterior alveolar ridge, preservation of remaining … Read more

The Screwmentable

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In an industry that offers so many options and emerging products restoratively, many of us have never heard of one of the new and extremely useful phenomenons: the Screwmentable. What is a Screwmentable? It’s a restoration consisting of an abutment, a crown and a screw. To many, that doesn’t sound any different from a screw-retained … Read more

Oral Inflammatory Load and the Immunostat: A Novel Conceptualization of Periodontal Disease Progression

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Periodontal diseases are amongst the most common inflammatory disease in humans. It has been previously accepted that periodontitis is infectious in origin; newer data suggests that while infection with specific periodontal pathogenic bacteria is necessary for periodontitis to develop, infection alone is insufficient for the development of the disease. Significantly, the role played by the … Read more

Video Dentistry: Observations, Practical Uses and Research

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Introduction The use of video in dentistry is increasing steadily in private and academic education, as well in regular practices. As the technology becomes more affordable and easier to use, video is becoming a common tool for communication, documentation and education. Video provides many advantages including live-stream demonstration, the creation of case studies for students, … Read more

Improving Denture Comfort

FIGURE 10. Clinic case courtesy of Dr. Wolfram Bucking.

The Need It is estimated that 30% or more of the adult population is partially or totally edentulous. For the edentulous patient, dentures offer many advantages when compared to other alternatives. They can be esthetically pleasing, easy to maintain and cost effective; however, these benefits are often hampered by patient discomfort, difficulties in chewing, problems … Read more

Clinical Research Developments in Fluorescence Visualization

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Introduction Fluorescence visualization (FV) as an adjunctive tool for general dental practitioners in routine soft tissue oral examinations was first introduced as the VELscope™ in 2006 by LED Dental. Since that time there has been a significant amount of clinical research evaluating its use in both routine oral examination and surgery. This clinical research has … Read more

Gum Disease Starts Between the Teeth

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ABSTRACT Gum disease starts between the teeth. The interdental space is the most vulnerable yet most neglected area of the mouth because of its anatomy and the fact that most people hate to floss. There are many floss alternatives that are currently available that are much easier to use than floss, which would not only … Read more

Hard Tissue Lasers: Improving Restorative Dental Treatment

FIGURE 2. LiteTouch Er:YAG laser (AMD LASERS).

Patients often avoid dental care due to the fear of pain that they perceive they will feel either related to the local anesthetic injection or during drilling to remove caries. This can be especially traumatic for pediatric patients who can be uncooperative following the sensation of the injection.1 Frequently; the hard tissue laser allows treatment … Read more

Jaw Joint and Muscle Strain/Sprain Treatment Technique

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Introduction One of the most common non-infectious complications resulting from dental care is jaw joint and muscle strain/sprain. Jaw joint and muscle strain/sprain are characterized by acute joint pain, limited range of motion, muscle tenderness, and muscle and joint dysfunction. If left untreated, these can progress into a chronic condition. This article presents a treatment … Read more

Quality Aesthetics in the Digital Age

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Introduction Both chairside and laboratory digital technologies in dentistry are rapidly changing the way crown and bridge restorations are being fabricated for our patients. Traditional indirect techniques have always presented an opportunity to introduce inaccuracies into the fabrication process. Some of these potential errors include: 1) incorrect water-powder ratios of the dental stone, 2) hygroscopic … Read more

Innovation: Turning Problems into Solutions

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Problems are encountered by most people every single day. Their easiest option is to simply back away from the situation, and to focus on more readily manageable issues. This is the most common direction, the path of least resistance and stress. It is often not, however, the most effective decision. Dentists, in particular, are trained … Read more

Needle Fracture During Inferior Alveolar Nerve Block: A Case Report of Management Adjacent the Carotid Sheath

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Abstract Administration of an inferior alveolar nerve block is a routine technique in clinical practice. Despite mid-century advancements in armamentarium alloy properties, responsible for a significant decline in needle fracture incidence, cases of needle fracture upon local anesthesia administration continue to be reported. Techniques of prevention are paramount. Management of retrieval may pose a challenge … Read more

Botox® for Reduction of Post-Bone Graft Resorption with Anterior Mandibular Dental Implant Reconstruction: A Preliminary Study

Introduction Patients who are partially edentulous and have a severely resorbed anterior mandibular ridge, either acquired or developmental, often present with significant and challenging problems. These problems include inadequate bone volume for implant supported anterior mandibular fixed prosthetic reconstruction. These deficiencies in bone create significant reconstruction issues for the both the surgical and restorative implant … Read more

Management Of Drug And Alcohol Dependent Patients In Dental Practice

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Introduction Alcohol and drug dependence is an ongoing worldwide problem. The effects of alcohol kill 3.3 million people every year. This amounts to 5.9% of all deaths.1 Alcoholic liver disease is at an all time high level, and alcohol is now the third leading cause of ill health after tobacco and high blood pressure in … Read more