Silver diamine fluoride (SDF) has been used in caries prevention since the 1800s and has gained relevance in private practice since its FDA approval in the United States in 2015.1 While it is FDA approved for dentinal hypersensitivity, clinicians have been using SDF off-label for caries prevention and treatment, as it has been shown to stabilize … 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
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
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
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