It is important for the clinician who is restoring an implant, whether it be with a single crown, a fixed or removable prosthesis, to understand the mechanics of a threaded fastener or a screw and why screws may become loose. The prevalence of screw loosening has been reported to be between 5 and 8.8% after … Read more
Every patient with extreme tooth wear has unique treatment needs, and all of these needs may not be addressed specifically in this article. The general guidelines for treatment of these patients include the following: 1. A comprehensive examination, including a thorough medical and dental history, orofacial and dental clinical examination, dental radiographs, TMD screening history … Read more
Introduction This article discusses a novel protocol to deliver a full-arch immediate fixed provisional prosthesis, which is clinically accurate and predictable. Detailed steps are outlined and documented that enables conversion of the provisional into a fixed screw-retained final prosthesis after healing and the osseointegration of the dental implants. Case Presentation A 58-year-old female patient was … Read more
A Crisis of Trust In a Gallup poll taken in November 2012, Americans were asked to rate service providers, including dentists, on ethical standards and honesty. Among health professionals, nurses came out on top with 85 percent of respondents rating them “high” or “very high”, followed by pharmacists at 75 percent, medical doctors at 70 … Read more
I remember my first days as a new dentist and my introduction to the great debate over amalgam restorations vs. composite restorations. Today, we no longer place an amalgam or resin restoration without having a discussion with our patients over the advantages and disadvantages, strengths and weaknesses of amalgam vs. resin. This also applies to … Read more
The following article will illustrate a comprehensive full mouth reconstruction therapy with treatment objectives for Aesthetics and Biomechanics. Our patient (N.B.) presented to the office with the pre-existing dental treatment done from another country as illustrated in photos 1 and 2. After the initial consultation, our patient wished for fixed implants and prosthodontics to restore … Read more
Abstract This case report demonstrates the importance of careful diagnosis and treatment planning to effectively treat a worn dentition in a conservative manner while maximizing the long-term prognosis. The patient presented having completed orthodontic treatment with a significantly worn dentition seeking an aesthetic improvement. A comprehensive evaluation of the patient occurs to determine the etiology … Read more
Lifelike aesthetics in prosthodontics has been a moving target since the dawn of modern dentistry. The definition of what meets the contemporary understanding of a clinically acceptable prosthesis has always been dependent upon what is considered possible and practical at the time. To date, the aesthetic restoration of a patient’s missing or damaged dentition has competed with … Read more
As a long time devout Christian, I have listened to many inspiring sermons by numerous Pastors over the years. One particular Pastor’s sermon style stands out in my mind with a transferrable concept that is very practical and relative to the practice of clinical dentistry. He titled his Sunday morning presentations as The 3 Point … Read more