The management of patients with a collapsed bite presents both diagnostic and therapeutic challenges, particularly when vertical dimension of occlusion (VDO) must be reestablished.
Abstract Monitoring peri-implant soft tissue stability has long been hindered by the subjectivity and limitations of traditional methods such as probing, photography, and radiography. Layered intraoral scanning offers a reproducible digital method to detect subtle changes in soft-tissue morphology over time. By superimposing baseline and recall scans, clinicians can identify early shifts in papilla height, … Read more
Implant-assisted removable prostheses (IARPDs) with an equipoise system may offer a balance between function, biomechanics, and patient acceptability.
Dental implants are the preferred treatment for edentulous and partially edentulous patients. Over the past decade there has been an increasing number of dental implants placed in patients each year.1 The longevity of dental implant integration is challenged with the increase in life expectancy. This increase in life expectancy is most often associated with an increase … Read more
Full-arch, implant-supported fixed dental prostheses (IS-FDP) are a well-established restorative option for the replacement of missing and terminal dentition. There are multiple suprastructure configurations and materials from which clinicians can consider, including acrylic resin to metal, metal-ceramic, monolithic zirconia, and porcelain fused to zirconia prostheses. Frameworks are composed of either titanium alloy, chromium cobalt, or … Read more
Abstract There is a growing demand for fixed full arch implant supported restorations.1 The procedures associated with this type of treatment can be daunting due to the complexity of all aspects of this treatment modality, from the initial data gathering and diagnosis to the surgical and prosthetic treatment implementation.2 Recent technology with its associated workflows can streamline … Read more
A 75-year-old male patient developed a problem with a tooth supported bridge for the upper right central and left central and lateral incisor teeth that had been in situ for more than twenty years. One of the supporting teeth had become loose and the referring dentist noticed the upper left abutment tooth was grossly carious … Read more
Over the past few decades, patient demand and inquiries regarding dental implants have increased significantly. Today, more than 100 commercial implant brands exist, with an estimated 12–15 million implants placed annually worldwide.1 As a result, by 2023, over 200 million patients globally were living with dental implants. According to Grandview Research, North America accounted for 38.4% … Read more
Abstract Tooth wear has become an increasingly prevalent condition across age groups. With this article, we want to explore the etiology, classification, diagnosis, and management of tooth wear, focusing on the interplay of mechanical, chemical, and biomechanical factors such as abrasion, attrition, erosion, and abfraction. Dietary habits, parafunctional activities, systemic diseases, and oral hygiene practices … Read more
As a practicing prosthodontist in Toronto, I’m experiencing a disturbing trend in clinical practice which is causing expensive biological and financial consequences for our patients. On average, a few patients per month are being referred to my specialty practice after some full-mouth reconstruction, cosmetic, and/or implant dentistry was initiated in another country. Patients return to … Read more
Abstract Tooth wear due to aging is a natural physiological process that generally does not negatively impact individuals unless exacerbated by parafunctional habits such as bruxism or congenital anomalies. This paper explores the implications of the loss of vertical dimension of occlusion (VDO) and its effects on the stomatognathic system. Symptoms of temporomandibular joint (TMJ) … Read more
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
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
Abstract: Objective: To address the challenges and solutions involved in restoring a dental implant palatally placed in the esthetic zone. Background: Proper implant placement in the esthetic zone is essential for achieving optimal functional and esthetic results, however, ideal placement is not always possible. Implants positioned too palatal can lead to esthetic concerns such as … Read more
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
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
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
As dental healthcare professionals, we dedicate our career and lives to care for our patients, often becoming so engrossed in our clinical responsibilities that we take for granted their individual experiences as patients. Recently, I found myself on the other side of the medical equation as a patient undergoing an elective medical surgical procedure. This … Read more
Dentists are constantly challenged in clinical practice to make decisions about whether to save or extract compromised teeth. Crown lengthening and orthodontic extrusion are techniques that have been used to provide restorations with improved longevity.1 Crown lengthening establishes a healthy relationship of the restoration to the periodontium by maintaining the biologic width. However, the procedure … Read more
In 2023 I celebrate my 30th year in dentistry. After graduating from dental school in 1993, I pursued a year of general practice residency, followed by 12 years as a general dentist. Subsequently, I spent three years in post-graduate studies, specializing in prosthodontics, which I have been practising for the last 14 years. Throughout my … Read more