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
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
Single molar tooth replacement is still the hallmark of dental implantology today, and this may continue for many years to come. As a result, numerous implant designs and various restorative solutions have come and gone through the evolution this type of treatment. Implant therapy in the molar region has benefited from advances in surgical innovation, … Read more
Introduction Aclinical career in dentistry provides a multitude of experiences that consolidate what we learn during our formal training. As clinicians, we have the privilege of taking care of our patient family. This is an honour we don’t take lightly. If we are fortunate enough to practice in the same community for many years, we … Read more
Dental agenesis, the congenital absence of one or more teeth, is the most common developmental anomaly in humans and appears in 2.2-10% of the general population.1 The majority of cases are genetic in origin. In literature, congenital tooth agenesis can be categorized as anodontia, hypodontia, or oligodontia. Anodontia, the complete absence of teeth, is the … Read more
Abstract Incorporation of dental implants to support fixed and removable prostheses is an effective treatment modality for edentulous patients that provides enhanced patient function, comfort and overall quality of life in comparison to a conventional complete removable prosthesis. Both fixed and removable implant-supported prostheses for edentulous patients have specific indications although in many clinical situations … Read more
Aesthetic dentistry is not just about beautiful restorations. Careful diagnosis and interdisciplinary planning are required for predictable treatment outcomes that will satisfy the patient and stand the test of time. Prior to restorative treatment, the temporomandibular joints, face and smile need to be assessed. Once the stability of the joints is determined, an evaluation of … Read more
Evidence Based Dentistry (EBD) may be defined as a process which combines “the best available scientific evidence and the clinical expertise of dentists with the patient needs and preferences in order to serve as the foundation for clinical dental care”. Therefore, combining the innovative findings of medical and dental research with clinician knowledge is highly … Read more
Introduction Modern implant dentistry has been shown to yield excellent well-documented long-term results, with 10-year success and survival rates above 95%.1 Dentists now have the choice of using an array of preoperative planning tools, both conventional and computer-aided, to help them assess potential rehabilitative treatment solutions for their patients. Diagnostic wax-ups have been a critical … Read more
RE: The Severely Worn Dentition by Dr. Oliver Pin-Henry – November 2018 Oral Health My thanks go to Dr. Pin-Henry for the timely article: The Severely Worn Dentition. As practicing dentists, we do see cases of worn-down dentitions very frequently. These are not always easy cases to treat mainly because unless we address the possible … Read more
As a society we are in the midst of a popular growing obsession with mindfulness as the secret to health, happiness and success in any field of human endeavour, including dentistry! What was a fringe movement in our busy society is now becoming an increasingly prominent part of our cultural landscape. Cultivating “mindfulness” into your … Read more
Introduction Looking at online forums that discuss dental implants, one cannot help but notice a heavy emphasis on the surgical aspect of implant prosthodontics with the prosthodontic phase often overlooked or barely discussed. It is our opinion that this line of thinking often results in multiple (sometimes unnecessary) surgical procedures that may yield outcomes that … Read more
Introduction The severely worn dentition often poses a challenge to the restorative clinician. Diagnosis and treatment planning involve multidisciplinary and in-depth evaluation of etiological, esthetic, occlusal, functional and preventive factors. Modern dentistry has made tremendous progress in areas of decay prevention, treatment of periodontitis and preservation of the natural dentition. Patients in general are more … Read more
Introduction With ever-evolving digital technologies in dentistry, the level of sophistication and accuracy that can be accomplished today is unsurpassed. Dental laboratories seem to be leading the charge as they embrace the predictability of CAD/CAM generated fixed restorations. Similarly, many clinicians are replacing traditional impression materials with intraoral scanners. However, the consistent management of the … Read more
Introduction Dental implants are at risk of technical complications such as abutment screw loosening, stripping and fracture. If fractured, the screw must be removed without damage to the internal implant connection to preserve the implant’s prosthetic function and maintain prosthodontic restoration 1. Abutment screw fracture can be the result of unobserved screw loosening due to … Read more
Valued continuing education courses, exciting daily entertainment and endless networking opportunities – it was a packed three days at Dentsply Sirona World 2018 in Orlando. The Ultimate Dental Meeting offered CE courses in 12 specialized tracks, with some of the biggest names in the industry leading the sessions. On the show floor there was no … Read more