Complex Maxillary Anterior Rehabilitation

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The following case presentation will illustrate an anterior maxillary reconstruction with the use of dental implants and fixed prosthodontics. Our patient (P.C.) presented to the office with the pre-existing dental treatment done over 10 years ago as illustrated in Figures 1 and 2. Due to a large diastema between 11 and 21, the previous practitioner … Read more

Immediate Implant: A Case Report

Immediate Implant

Introduction Successfully treating patients with missing or non-restorable teeth with a fixed prosthesis can be one of the finest services rendered to dental patients. This art and science of replacing missing teeth or those with hopeless prognosis requires a thoughtful combination of many aspects of dentistry, including patient education, prevention of further dental disease, sound … Read more

Does Selection of Different Restorative Materials Affect the Amount of Tooth Structure Saved for Crown Preparations?

Restorative Materials

Introduction Aesthetic tooth-colored restorations for both anterior and posterior teeth have been in the highest demand in recent years. This increasing demand motivated the dental industries to enhance the aesthetic and mechanical properties of restorative materials. These efforts lead to the introduction of contemporary ceramics such as lithium disilicate glass-ceramic (also known as IPS e.max … Read more

The “Silent” Dental Partner: The Laboratory Technician

Mindfulness

Upon insertion of a newly fabricated dental prosthesis, it drops intraorally and fits perfectly requiring minor adjustments. The patient looked in the mirror following this insertion and was delighted with the final aesthetics results. The patient states, “It looks and feels perfect, just like my natural teeth”. As dentists, we take full credit and thanks … Read more

American Academy of Fixed Prosthodontics Hosts Dental Meeting in Amsterdam

The American Academy of Fixed Prosthodontics (AAFP) and the Dutch Flemish Restorative Society (NVVRT) are pleased to announce their forthcoming, joint meeting in Amsterdam on Friday, May 25 and Saturday, May 26, 2018. The AAFP, formed in 1951, is one of the pre-eminent prosthodontic organizations in North America and the NVVRT is regarded as one of the premier restorative … Read more

A Review of Implant Screw Fractures: Their Causes and Methods of Retrieval

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Figure 1 Figure 2 Dental implants have been the treatment solutions for replacing missing teeth for many years. Their use has been well documented and accepted as a predictable method for teeth replacement.1,2 With the increasing use of dental implants in last few decades, the number of complications resulting from such usage has also increased. … Read more

Minimally Invasive Rehabilitation: A Case Study

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Abstract Traditionally, full-crown coverage is indicated when doing a full-mouth rehabilitation. Clinicians did not have many other ways to tackle cases of advanced eroded and/or worn down dentition until the improvement of adhesive dentistry was able to meet the requirements for such cases.1 The improvement of materials and the advancement of techniques, such as dental … Read more

“The High-Risk Patient”

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It’s Monday morning, time to review your patients for the day with the rest of your team. As you go through your schedule everything seems uneventful until you recognize the name of the 3 p.m. patient. It’s Mr./Mrs. PITA. This patient comes in frequently with an ever-evolving complaint that is difficult to fully satisfy. Even … Read more

Remembering Dr. James Kerr

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November 20th, 1930 – October 2nd, 2017 By far, the most difficult page we have ever assembled for Oral Health. We celebrate our Editorial Board Chairman, Dr. James Kerr. Jim led a full and large life, which cannot be contained in a page of words. But words are all we have and so, we remember … Read more

Clinicians Guide for Post-Extraction Preservation of the Alveolar Socket: A Review

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Introduction Extractions & Ridge Atrophy Alveolar ridge atrophy and morphological changes subsequent to exodontia have been extensively investigated and the pathophysiology is now well understood.1 Loss of bone support in the alveolar ridges posses a great challenge for dental restorative procedures. Treatments such as removable dental prosthesis devices (RDPDs) rely on the ridge as the … Read more

Feldspathic Porcelain Veneers: Teamwork Between Prosthodontist and Orthodontist

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Communication amongst clinicians in interdisciplinary cases is crucial for proper orchestration and execution of procedures. Careful diagnosis and treatment planning is required for successful outcome.The clinician must examine the face and the smile comprehensively to diagnose the problems. There is a plethora of information in the literature about macro and microaesthetics of the smile that … Read more

Today’s Dental Implant Therapy: Digital Technology & Restorative Innovations

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Dental implant therapy has advanced remarkably in the last decade with new innovations on both surgical and prosthetic fronts. New techniques, materials, and modalities have been developed, but the most important development has been the refinement and utilization of digital technology in treatment. Although techniques such as computer guided surgery, immediate implant placement, and immediate … Read more

All-on-“X”: Final Fixed Prosthetic Options for Full Arch Implant Cases

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Introduction When discussing a full arch fixed implant solution with patients, clinicians spend a considerable amount of time and attention on planning the surgical aspects of the case, the transitional prosthesis and the final full arch restoration. Previous articles by the author have outlined in detail the surgical and prosthetic procedures. The final prosthesis that … Read more

Missing Teeth Should Be Treated as Chronic Medical Condition

Tooth loss can lead to poor nutrition and is linked to systemic diseases such as diabetes and coronary heart disease. Missing teeth also affects a person’s psychological well-being and ability to function in the workplace. According to the Centers for Disease Control and Prevention’s National Health and Nutrition Examination Survey, nearly 40 million Americans have … Read more

National Prosthodontics Awareness Week is in April

Prosthodontics is one of only nine dental specialties recognized by the American Dental Association, yet many people don’t know what a prosthodontist does. The American College of Prosthodontists (ACP) is shedding light on these highly skilled dental specialists who help patients achieve their ideal smile and optimal oral health as part of National Prosthodontics Awareness … Read more

Implant Screws: What Every Dentist Should Know

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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

Treatment Planning: The Full Mouth Reconstruction

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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

Predictable Immediate Implant Prosthetics: Part 2

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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

Forward to the Past: Dentistry in the Information Age

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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