Implant Aesthetics: Immediate Replacement and Loading In The Aesthetic (Anterior) Zone: A Case Study

FIGURE 7--Ultimate esthetics achieved with immediate implant replacement and all-ceramic restorations within the esthetic zone.

Dental implants have become widely accepted for the replacement of missing teeth due to their high success rates. Conventional multistage approaches to implant reconstruction have contributed to professional’s acceptance of implant dentistry as a treatment option, perhaps the treatment of choice. New innovation procedures often enable clinicians to achieve function and aesthetics in shorter treatment … Read more

Implants and Imaging, The “I’s” of the Future

FIGURE 4

Dentistry has always been at the wavefront of new technology. Advances in dental care have rapidly been assimilated from inception to reality throughout the history of the profession. From air rotors to x-ray’s, the rapidity of these advances has not slowed. Dental implants have been an advantage for the general public and profession alike. Integrating … Read more

Prosthodontic Impressions Simplified: The Rebite Technique

FIGURE 25--Close up of impression detail.

Accurate prosthodontic impressions with minimal soft tissue manipulation are essential for the successful and predictable creation of a prosthesis. A new impression technique has been developed with accurate and detailed results and no soft tissue manipulation. Prosthodontic impressions can prove frustrating for both the clinician and patient. The patient may develop anxiety and fear from … Read more

Maxillary Arch Rehabilitation: A Case Report Utilizing Fixed and Removable Prosthodontics and a Novel Bite Registration Appliance

FIGURE 34--Occlusal view maxillary arch 1:2 post-op.

Full arch reconstruction can be a challenging clinical endeavor. Following an orderly protocol, with the end results in mind, can create predictable functional, durable and esthetic results for our patients. A case is presented demonstrating the clinical steps involved in a full arch rehabilitation, along with the use of a bite registration appliance to assist … Read more

Procera Implant Bar Utilized in a Case of Tilted Implants in the Severely Resorbed Mandible – A Case Report

FIGURE10--Final delivery of the bar.

Patients with a severely resorbed edentulous mandible often suffer from problems with the lower denture. These problems include: insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. Dental … Read more

Solving Dental Fear and Anxiety Without Medication

Dental fear and anxiety is a common problem that many patients and dentists must deal with on a regular basis. Without adequate resources, it can be one that tries the patience of the most professional and compassionate of dentists, often creating an aversion to working with such patients. Considering the high percentage of individuals who … Read more

The Use of Prosthodontic Principles in Managing a Compromised Implant Case

FIGURE 20--Intaglio surface of the prosthesis.

Treatment planning for any complex case requires the clinician to be diligent in carrying out the clinical examination in order to arrive at a proper diagnosis. The blueprint which develops from this exercise must consider factors beyond the oral cavity, factors such as medical problems, time and cost. If these steps are performed haphazardly, the … Read more

Informed Consent

Bruce Glazer is the prosthodontic editor to Oral Health and a continuing associate and lecturer at the Faculty of Dentistry for the last 35 years. He is in private practice limited to prosthodontics and anaesthesia in Toronto.

Here I am standing in line at Gallerie Lafayette, one of the largest department stores in Paris, standing in a line that winds endlessly around the exterior of the Louis Vuitton department. I was honouring a birthday promise to my wife, which, included a trip to her favourite city on earth. And of course to … Read more

Prosthodontics – Bulimia Nervosa: A Multidisciplinary Treatment of Enamel Erosion

FIGURE 30--Final full frontal smile.

Eating disorders such as anorexia nervosa, bulimia nervosa, and binge-eating disorder are a serious concern in women’s oral health and a clinical challenge to dental professionals. Each of these eating disorders presents with unique patterns of psychological, medical, and dental characteristics. Appropriate dental treatment is based on the multidisciplinary facets of these conditions. The dental … Read more

The Pursuit of a Real Margin of Perfection in Prosthodontics

Bruce Glazer is the prosthodontic consultant to the editorial board of Oral Health.

What separates a “margin of error” from a “margin of perfection”? Prosthodontics is the replacement and/or restoration of missing anatomic structures in the oral cavity. It also broadens to include maxillofacial concerns and temporomandibular disorders and is far more complicated than advanced restorative dentistry. The discipline of prosthodontics is a veritable amalgam. The referrals range … Read more

Letters (October 01, 2003)

Re: Editorial, ‘What’s In a Name?’ March 2003 Dr. Goodlin suggests that the public’s best interests are served in recognizing the accreditation in AACD as a specialty degree in “cosmetic dentistry”. The assumption is that cosmetic dentistry exists in a vacuum, that it is a discipline unto itself and that it should be recognized as … Read more

Letters to the Editor (September 01, 2003)

Re: Implant Complications and Maintenance Issues, July, 2003 Drs. Lai and Albert do not make a distinction between research-driven implant system designs and those that were developed for practical clinical applications. That is still common with most implant authors today. Our profession is indebted to the research-driven implant system designs (RDISD) for “The high predictability … Read more

Periodontics: Implant Complications and Maintenance Issues

FIGURE 10--Framework Fracture of Fixed Implant Prosthesis.

By Jim Yuan Lai, DMD, MSc(Perio), FRCD(C) and Francine Albert, DMD, MSc(Prosth), FRCD(C) The high predictability and long-term success of implant therapy has been well documented (Adell 1981, Albrektsson 1986). Complications do arise, as it may be the case after any Prosthodontic or Surgical procedure. In recent years, a number of authors have specifically looked … Read more

Designing Anterior Restoration for Function and Aesthetics

FIGURE 4--Definitive restorations with proper function and aesthetics.

Our patients’ demands for beautiful smiles have created an aesthetic revolution in the dental materials industry today. Never before has the dental profession experienced such rapid development in dental materials; all related to the demand for aesthetic dentistry. New composites and porcelains have been developed which are virtually undetectable from the natural dentition. However, these … Read more