Edentulism in the posterior maxillary region presents a challenging scenario for dental implant rehabilitation due to vertical ridge dimension bone loss and the close proximity to the floor of the maxillary sinus. In addition, alveolar ridge width loss and thinning of mucosa is a common clinical scenario in areas of long term tooth loss. To … Read more
Abstract Malpostioned dental implants are a common challenge in implant dentistry with a potential to compromise function, aesthetics and the overall treatment success. This case report discusses the management of a malpositioned implant in the posterior mandible with a comprehensive approach, including long-term provisionalization for assessment. A 53-year-old female patient presented with compromised chewing function … Read more
Missing maxillary lateral incisors are one of the most common congenitally missing tooth conditions that exists and occurs in approximately 1-3% of the population.1 It is the most common missing tooth after the second premolar when excluding third molar agenesis and has been reported to be more prevalent in females and occurs more bilaterally than … Read more
Surgical protocols for osseointegrated implant placement have evolved significantly over time. It was not so long ago that the standard practice for implant surgeons was to place implants ‘where the bone was’ and let the restoring dentist deal with the myriad prosthetic problems this often created. In the early days of implants, this surgical paradigm … Read more
The loss of anatomy and architecture resulting from caries damage is the main cause of biomechanical transformations of the dental organ, leading to its weakening.1 Restoring the mechanical continuity and coronal-radicular seal of the tooth by restoration with fiber post and composite adhesives without aggravating this embrittlement is a priority objective, requiring the conservation of … Read more
Abstract Replacing a missing tooth in the anterior maxilla with an implant-supported crown (ISC) can be challenging. Reduced mesiodistal space can add further complexity to this treatment. A 61-year-old patient was examined with respect to compromised aesthetics and fit of a recently inserted ISC in site 12. Clinical and radiographic examination revealed that the fit … Read more
Dental Implants have impressive success rates approaching 95-97% and have become a preferred treatment plan for edentulous and partially edentulous dentitions for both patients and clinicians. However, success rates have increasingly been dampened by reports of implant failures with varying degrees of success for clinical rescue. Initial signs and symptoms for implant diseases have now … Read more
It was once said by Albert Einstein, “We cannot solve our problems with the same thinking we used when we created them.” Hence, throughout history, we as human beings all continually strive to research and acquire knowledge. Likewise in dentistry, scientists and researchers at universities will perform bench top experiments, followed by animal studies, which … Read more
Abstract Modern oral implantology requires comprehensive diagnosis, intricate planning, and precise execution to achieve desired prosthetic and functional outcomes to meet patients’ and clinicians’ expectations. In this context, digital dentistry has been adopted as an excellent service, especially for complicated full-mouth rehabilitation cases, to which the implant all-on-6 concept has become an established treatment option. … Read more
Introduction Displaying an optimal amount of gingiva while smiling is one of the critical elements in the ideal conceptual smile.1 In orthodontics and aesthetic dentistry, it is not rare to encounter a patient complaining of a ‘gummy smile’ or excess gingiva on smiling.2 Therefore, it is essential to understand the etiology, biology and management strategies … Read more
Congenital missing teeth (CMT) or dental agenesis is a common dental abnormality, in which some dental buds fail to develop, leaving an empty space in the arch which causes numerous complications.1 In most countries, out of every 10 to 20 individuals, at least one suffers from agenesis of at least one or two permanent teeth.2,3 … Read more
Abstract: Introduction: Implant-supported prostheses predictably lead to successful esthetic and functional rehabilitations of patients with missing teeth. Nonetheless, technical and biological complications may be encountered including those leading to a dislodgement of an implant-supported prosthesis. Case report: An 83-year-old female patient presented to the University of Toronto, Graduate Prosthodontic specialty clinic on an emergency basis … Read more
Background information: The use of dental implants in the rehabilitation of partially edentulous and completely edentulous patients has been available for many years. The benefits of dental implants in improving the quality of life for these patients have been well documented. The replacement of missing teeth can take the form of both the fixed and … Read more
Introduction Today, it is generally accepted amongst clinicians that endosseous dental implants have become the standard of care when listing treatment options for restoring an edentulous space. This was not the case as early as 20 years ago! Over the last 4 decades translational science and clinical research have broadened our knowledge around the processes … Read more
Introduction In patients with inadequate ridge dimensions, the successful placement of dental implants is a challenge with regards to maintaining an ideal 3D positioning of the implant fixtures. Vertical and/or horizontal ridge augmentation procedures may be necessary using a combination of biomaterials to achieve this objective. Effective one-wall reconstruction of the posterior mandible has been … Read more
Introduction: There can be a lot of flexibility when it comes to workflows and treatment plans for patients with a terminal dentition. These cases are life changing and thus should be well planned and executed. Using a digital workflow can enable proper treatment planning right from the start. These workflows allow restoratively driven implant placement … Read more
Introduction The maxillary lateral incisors are the most common congenitally missing teeth after the upper and lower second premolars. Gender differences are negligible, with women slightly more affected than men.1 Agenesis of the maxillary lateral incisors presents a significant challenge to clinicians since it negatively impacts dental and facial esthetics. Furthermore, this condition impacts function … Read more
Knowledge is defined as facts, information and skills acquired through experience or education; the theoretical or practical understanding of a subject. According to Krathwohl (2002), knowledge can be categorized into four subtypes: factual, conceptual, procedural and metacognitive. It’s important to clearly understand the distinctions between the four and strive to implement your strengths and limitations … Read more
Implant dentistry can be profitable and challenging work for dentists. However, this area of dentistry is not without legal risks. Dental regulators across Canada look closely at implant complaints, because they may be concerned that some dentists chose implant dentistry for financial reasons only, without having the necessary skills to practice successfully. Regardless of whether … Read more
I. INTRODUCTION The prevalence of terminal dentitions and edentulism is undeniable. Predicted population studies and data have forecasted present findings.1 Edentulism (Fig. 1) is a recognized physical disability associated with multiple co-morbid health concerns including local, systemic, and psychological factors.2 The basic premise of prosthodontic rehabilitation of the edentulous patients has been and still is … Read more