PATIENT: M, Age: 62, ASA II (pharmacological management of hypertension and high cholesterol). CHIEF COMPLAINT: Patient presented for the fabrication of a mandibular implant supported fixed prosthesis, with implants having been placed 6 months ago. CLINICAL FINDINGS: Maxillary arch had a fixed implant supported prosthesis with implants in the 17, 16, 14, 13, 22, 23, … Read more
Surgical Background and Treatment The patient is a 31 year old healthy gentlemen who presented to the oral surgery office with a 3 month history of a left mandibular swelling. He was evaluated by his dentist and the thought at that time was a dental infection originating from tooth #36. Subsequently, he saw an endodontist … Read more
Introduction Implant therapy has been shown to be predictable, effective and reliable for the replacement of missing teeth in edentulous and partially edentulous patients. Clinical evidence has demonstrated long-term (>10 years) survival rates up to 95% (Moraschini et al., 2015). Despite the high success and survival rates of dental implants, failures can and do occur. … Read more
Maxillary implant prosthetic treatments may be considerably more difficult to accomplish when compared to the similar treatments for patients with edentulous mandibles due to many factors including bone quality, position of implants due to anatomical landmarks, need for grafting, prosthetic space needed, etc. It is very important to assess a patient’s dental and medical history … Read more
Replacing a full set of teeth with dental implants, especially in the mandible, has been well researched and is often a life-changing treatment for many patients. This treatment involves the extraction of failing teeth, immediate implant placement, immediate loading of the implants with a fixed provisional prosthesis, followed by the fabrication of a definitive prosthesis … Read more
Abstract Peri-implantitis can lead to implant failure. Strategies to reduce risks and treat peri-implantitis can manage implant failure and restore function. These strategies can be derived from information on peri-implantitis progression in patients, including prevalence, diagnostic and microbial findings, the impact of systemic diseases, and peri-implantitis therapies. These reports suggested that: 1) peri-implantitis is higher … Read more
INTRODUCTION A sizeable number of the human population have either one or more teeth missing. Many current options are available to restore missing teeth but dental implants have become one of the most popular “go-to” treatment options to replacing missing teeth over the last two decades. There are numerous objective parameters that have been published … Read more
In March 2020, as Corona virus cases grew rapidly, it was advised that routine, non-essential oral health care be delayed until there had been sufficient reduction in COVID-19 transmission rates. What followed was an almost complete global shut down of most sectors of our society. While these measures have been central to mitigating the spread … Read more
INTRODUCTION The goal of modern dentistry is to restore the patient to normal contour, function, comfort, esthetics, speech, and health, whether by removing caries from a tooth or replacing several teeth. What makes implant dentistry unique is the ability to achieve this goal, regardless of the atrophy, disease, or injury of the stomatognathic system. However, … Read more
Dental wear is a general term that can be used to describe the surface loss of dental hard tissues from causes other than dental caries, trauma or as a result of developmental disorders. It is a normal physiological process that is macroscopically irreversible; Lambrechts et al.1 estimated the normal vertical loss of enamel from physiological … Read more
Background: Hypohidrotic ectodermal dysplasia (HED) is a genetic condition characterized by abnormal development of two or more structures of the ectoderm. HED is the most common form of ectodermal dysplasia, and is characterised by the cardinal features of hypohidrosis (due to hypoplasia of sweat glands), hypotrichosis (sparseness of scalp and body hair) and oligodontia. Four … Read more
Introduction Aesthetic dilemmas created by congenitally missing teeth in the maxillary anterior segment pose a challenge for dentists not only in achieving harmony between hard and soft tissues but also in producing a conservative and functional result. Maxillary lateral incisors and first premolars are among the most common congenitally missing teeth.1,2 The first step in … Read more
Convenient Engineering’, a term coined by Michael Cohen ‘Interdisciplinary Treatment Planning, Quint Dec. 2011’, states that “while planning cases on ‘auto-pilot’ may save time and money and may be compatible with both the wishes of the dentist and the patient, it may also be thought of as ‘CONVENIENT ENGINEERING’ and is not necessarily in the … Read more
Abstract Patients present to us dental professionals with complex restorative problems seeking our help. These problems often do not have straight forward solutions. A seemingly innocuous restoration such as a crown is often complicated by problems such as inadequate tooth structure, the pulpal and periodontal status of the tooth, the position of the tooth in … Read more
PATIENT: M, Age: 62, ASA II (pharmacological management of hypertension and high cholesterol). CHIEF COMPLAINT: Patient presented for the fabrication of a mandibular implant supported fixed prosthesis, with implants having been placed 6 months ago. CLINICAL FINDINGS: Maxillary arch contained a fixed implant supported prosthesis with implants in the 17, 16, 14, 13, 22, 23, … Read more
Introduction Provisional restorations, by definition, have a limited lifespan of utilization in fixed prosthodontic treatments. They have alternatively been referred to as “interim” or “transitional” restorations. Some clinicians and patients alike, may be tempted to minimize and devalue their importance specifically due to their transitional nature.1 By extension, it can be inappropriate to refer to … Read more
Of all the ways that COVID-19 is rewriting our expectations for this year, new safety protocols tend to grab the most headlines. There is a story that doesn’t grab the “front page” as often, but is quietly making its way into not only dental journals, but mainstream national media: Tooth grinding. Between COVID, the economy, … Read more
As dentists, we all understand that good teeth and a beautiful smile are more than just symbols of health and success. The direct and indirect relationships between oral health and general health have been extensively investigated. There is now compelling evidence that a full and functional dentition is closely linked to multiple quality of life … Read more
Background Amelogenesis imperfecta (AI) is a rare genetically determined defect in enamel mineralization with a prevalence between 1:14,000 and 1:70.1,2 AI is caused by mutations in the genes AMELX, ENAM, or MMP20. These genes are responsible for making the proteins needed for normal formation of enamel. A mutation in any one of these genes can … Read more
There is no doubt that the advent of dental implants has revolutionized the field of dental medicine. With the ability to esthetically and functionally replace single teeth or act as abutments for dentures, implants show not only versatility in application, but also innovation in the way in which we treat our patients. Implants also demonstrate … Read more