Preserve or extract? Ethical choices in tooth conservation versus implant trends

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In recent years, the rise in elective extractions of healthy or restorable teeth for dental implants has drawn professional scrutiny. Media outlets have reported worrying cases of irreversible procedures driven by reasons other than strict clinical necessity. In response, organizations such as the American Association of Endodontists (AAE) have emphasized the ethical imperative to preserve … Read more

The importance of healthy, thick peri-implant soft tissue: Characteristics, management, and prevention of complications

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The quality of peri-implant soft tissue plays a pivotal role in the long-term success of dental implants. Thicker peri-implant mucosa, particularly when accompanied by adequate keratinized mucosa, is associated with enhanced aesthetic outcomes, reduced risk of peri-implant diseases, and improved patient satisfaction. The peri-implant soft tissue complex, encompassing the keratinized mucosa (KM), mucosal thickness (MT), … Read more

Spontaneous resolution of advanced peri-implantitis

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Abstract Background: Peri-implantitis is a serious complication for both patients and clinicians. Affected implants typically show extensive bone loss in radiographs, are difficult to manage and usually lead to implant loss leaving significant alveolar bone defects. Methods: In 2009 the patient reported here received two endosseous implants to replace his mandibular left second bicuspid and first molar … Read more

Artificial intelligence sparks innovation in implantology

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As dental implantology continues to advance, we are witnessing a convergence of two transformative forces: clinical innovation and artificial intelligence (AI). No longer a distant promise, AI is now a tangible reality in everyday practice—empowering clinicians with unprecedented precision, predictability, and personalization. Traditionally, implant success has hinged on a triad of clinical expertise, diagnostic imaging, … Read more

Approaching peri-implant conditions with laser precision

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In recent decades, dental implants have emerged as a valuable tooth replacement option, offering favorable esthetic outcomes and long-term stability. Despite their high success rates, implants are subject to biological complications that compromise peri-implant tissues,1 peri-implant mucositis and peri-implantitis being two of the most common inflammatory conditions.2 Current epidemiological studies highlight the high prevalence of peri-implant mucositis, … Read more

Management of life-threatening hemorrhage following dental implant surgery and third molar removal

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Life-threatening hemorrhage following oral surgical procedures, including the placement of dental implants and tooth extractions has been reported in numerous case reports and literature reviews.1–7 Although infrequent, profuse hemorrhage is a significant complication that clinicians performing oral surgical procedures may encounter and subsequently need to manage.8 The complex and often variable anatomy of the floor of mouth … Read more

First impressions: Patient experiences receiving their first dental implant

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For many patients, the decision to replace a missing tooth with a dental implant is both exciting and intimidating. As clinicians, we often focus on the technical aspects of treatment, but understanding the patient’s experience, especially their first encounter with implant dentistry, is critical to delivering empathetic, personalized care. Patients’ perceptions of implants are shaped … Read more

U.S. scientists grow human-like teeth in pigs, advancing bioengineering

The researchers say their study validates a potentially clinically relevant bioengineered tooth replacement therapy for eventual use in humans. (iStock)

A team at Tufts University in Massachusetts has successfully bioengineered human-like teeth in pigs, marking a significant advancement in dental regenerative medicine. The researchers detailed their findings in a paper published in late December. “I 100 per cent think regenerating human teeth can happen,” said Pamela Yelick, professor and director at Tufts University, during an … Read more

A case report on an immediate anterior implant with immediate provisionalization using the extracted natural tooth

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The integration of immediate dental implants with provisional restorations is a technique that addresses both functional and aesthetic concerns, particularly in the anterior region where appearance is critical. The traditional protocol for dental implant placement involves a healing period between tooth extraction and implant insertion. Advances in implantology have allowed for immediate implant placement and … Read more

Digital workflows for conversions in full arch implant dentistry

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Implant treatment for full arch fixed restorations have been around for decades now.1, 2, 4 The treatment usually involves 4-6 implants placed in either the maxilla or mandible which is then restored with a fixed partial denture.5 One of the benefits of this treatment is the ability to achieve a new fixed temporary set of teeth on … Read more

Innovative lower anterior implant therapy utilizing a minimally invasive implant osteotomy creation process

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Lower anterior dental implant therapy can be a challenging and highly detail-oriented endeavor. These challenges can include aspects such as bone and tissue volume deficiencies, implant positioning, and restorative designs/contours. We as clinicians have the very best chance to complete acceptable surgical-prosthetic esthetic results in this area, through proper treatment planning and implant positioning. Implant … Read more

Simplified immediate implant placement and provisionalization

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Abstract “Immediacy” as a treatment concept has evolved over time. With the introduction of nano-modified implant surfaces, osseointegration has become faster and more predictable. This technology has allowed for the development of protocols that make immediate implant placement and provisionalization a desirable clinical reality. One of the remaining procedural obstacles for many practitioners is the … Read more

Current management strategies for peri-implant diseases

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Dental implants have become a widely accepted solution for restoring both function and esthetics in partially or fully edentulous patients, through the use of either fixed or removable prostheses. Systematic reviews have consistently demonstrated high survival rates for both implants and prosthetic components, with an overall success rate of approximately 94.6%.1,2 However, peri-implant diseases remain … Read more

Utilizing granulomatous tissue as a membrane for primary closure: Introducing Leon’s Everted Gingival Pouch (LEGP) technique

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Abstract Chronic, severely localized periodontal infections at the site(s) of planned tooth extraction commonly give rise to a layer of granulomatous and epithelialized tissue encompassing the apex of the tooth root. Despite its typical disposal, this epithelialized granulomatous tissue can be effectively employed for primary closure, capitalizing on the biological mechanisms of wound healing. Introducing … Read more

Immediate Loading of Extra-short Implants (6.5 mm in length)

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A Retrospective Study with 2 to 6 Years of Follow-up Immediate loading of dental implants is a protocol that has become increasingly widespread since it began to be used in the 1990s1-3 and today has success rates similar to those of implants inserted using the “conventional” loading protocol (98.2% for immediate loading versus 99.6% for conventional … Read more

All on X and the Patient Experience

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Key Words Dental implants, Concept, function, biomechanics, esthetics, mastication, full-arch restoration, financial investment, quality of life, “All-on-4” and patient satisfaction The world is aging – epidemiological studies show that 11% of the world’s population is over 60 years of age, with a projected increase, by 2050 to 22% of the population.1 Metrics from the Center for Disease Control’s … Read more

Reducing Extraction-to-Final Restoration (EFR) Time Utilizing a 5-in-1 Technique

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Abstract Although immediate implant placement and provisionalization are now considered the standard of care and the preferred patient option for transitioning from edentulism or unrestorable teeth to implant rehabilitation, several clinical factors and patient characteristics can contraindicate this approach. As a result, it is still frequently necessary for clinicians to undertake—and for patients to endure—the … Read more

The Best of Both Worlds: A Hybrid Digital-Analog Workflow for a Maxillary Full-Arch Implant-Supported Prosthesis

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Full arch implant-supported fixed protheses have become a highly desired solution for the rehabilitation of patients with terminal dentition or completely edentulous arches. New developments in digital dentistry have enabled practitioners to extract vital information from intraoral scans and cone beam computed tomography (CBCT) to plan and execute fully guided implant placement that is prosthetically … Read more