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Compendium of Continuing Education in Dentistry

Scott D Ganz
No abstract text is available yet for this article.
July 2018: Compendium of Continuing Education in Dentistry
Barry P Levin
The role of hard- and soft-tissue augmentation as it pertains to dental implant therapy is often underestimated. If this restorative aspect is neglected during the natural healing process and subsequent remodeling following extraction(s), the long-term outcome of treatment can be catastrophic. Three of the most common opportunities for surgeons to enhance outcomes with regenerative therapy are: reconstruction of edentulous segments of the alveolus, management of extraction sockets, and immediate implant placements...
July 2018: Compendium of Continuing Education in Dentistry
David A Gelb
This article focuses on evidence-based documentation of immediate implant surgery with immediate provisional restoration. Since 1988 the author has documented 14,946 implant surgical sites as to protocol, size of implant, regenerative regimen, outcome, and long-term follow-up. There were 8,319 immediate implant sites: 2,493 were immediate implant/immediate provisional restorations (IIIPR), and 5,826 were immediate implant/no restoration (IINR). The cumulative success rate of IIIPR was 95.1%, while IINR was 94...
July 2018: Compendium of Continuing Education in Dentistry
Stephen Parel
As the number of seniors in the United States continues to rise, edentulism remains a serious ailment affecting many elderly patients. Though many seniors are taking fuller dentitions into their later years due to a greater emphasis on oral health maintenance than in the past, this growing population still often requires creative edentulous treatment solutions from skilled clinicians. Fortunately, with the evolution of implant dentistry various possibilities are available to treat edentulous aging patients with removable and/or fixed options...
July 2018: Compendium of Continuing Education in Dentistry
Steve Hurson
Change in crestal bone height and volume around endosseous dental implants is a complex issue involving interactions among many variables such as surgical approach, patient health, volume of hard and soft tissues, and implant configuration. Establishing and maintaining a soft-tissue seal around transmucosal abutments on bone-level implants or on the collar of one-stage tissue-level implants is paramount to maintaining crestal bone height, and failing to do so will result in apical migration of the soft tissue onto the implant...
July 2018: Compendium of Continuing Education in Dentistry
Alex Matosian, Marc Hayashi, Bobby Birdi, Sreenivas Koka
As dental implant therapy has evolved since its early days more than five decades ago, its effects have been mostly extremely positive. However, over the course of time, several undesirable, unanticipated consequences have also materialized, most notably peri-implant disease. In this article, the authors propose that many of the challenges clinicians see today regarding increased peri-implant disease represent negative effects of interventions that, though well-intended, had unforeseen shortcomings. Sufficient time has now passed for these adverse effects to manifest, and clinicians today are better able to understand how their attempts to solve problems in some ways produced new challenges...
July 2018: Compendium of Continuing Education in Dentistry
Neidy S Corredor Gerber, Beatriz S Coelho, Tatiana M Deliberador, Darlan R Junior, Flares Baratto-Filho, Fernando LE Florez, João C Zielak, Denise P Leonardi
Novel endodontic revascularization techniques have been considered as alternative options for treatment of immature teeth affected by apical periodontitis. The continuous development of the root canal has been recognized as a major advantage of these techniques over traditional apexification approaches. This article reports a case in which endodontic revascularization using extracellular matrix proteins (EMPs) as a scaffold was utilized to treat an immature maxillary lateral incisor with history of trauma and chronic apical periodontitis...
July 2018: Compendium of Continuing Education in Dentistry
Udatta Kher, Ali Tunkiwala, Priya Bijlani
The conventional approach for fabrication of a definitive prosthesis for full-arch implant cases requires multiple visits. This article presents a case series highlighting the efficacy of a novel time-saving technique for full-arch implant prosthodontics. The technique is indicated for cases in which an immediate fixed provisional restoration has been delivered on the day of implant placement or within 72 hours of implant placement or for cases where the clinician has made an esthetically and functionally acceptable provisional restoration before starting the prosthetic phase for the definitive restoration...
July 2018: Compendium of Continuing Education in Dentistry
Panos Papaspyridakos, Daniel Ben Yehuda, Neha Rajput, Hans-Peter Weber
The purpose of this article is to report a digital workflow protocol for full-arch implant rehabilitation from guided surgery to final prosthesis in only three visits. This expedited protocol allows for implant placement with a surgical template generated from preoperative virtual planning and production of the CAD/CAM prosthodontic rehabilitation using a digital workflow. At the first visit, a guided implant placement protocol with the All-on-4 concept and immediate loading with the conversion prosthesis technique was done...
July 2018: Compendium of Continuing Education in Dentistry
Sundeep Rawal
With an ever-increasing amount of information available through various media, today's prosthodontic patients appear to be more educated about comprehensive dental solutions than ever before. Patient expectations are generally high, and many patients present seeking to remedy sometimes myriad years of dental neglect with healthy, functional, esthetic results. Often times these patients are middle-aged, hard-working people who wish to achieve their prosthodontic goals with a minimal financial investment. This can be a challenge to clinicians to utilize their academic resources and experience and formulate a creative, cost-effective solution...
June 2018: Compendium of Continuing Education in Dentistry
Robert Levine
No abstract text is available yet for this article.
June 2018: Compendium of Continuing Education in Dentistry
Riccardo I Ambrogio, Marci H Levine
Clinicians often perform dental procedures and dentoalveolar surgery on patients who take prescribed anticoagulant medications. Such medications can present clinical challenges with regard to modifying or temporarily discontinuing a patient's anticoagulant regimen, which may not be medically indicated. In many instances discontinuation or altering of anticoagulation can be avoided through use of local hemostatic factors while patients are therapeutically continued on their prescribed warfarin doses. This article discusses a useful adjunct to dental treatment for the warfarin-anticoagulated patient- tranexamic acid (TA)...
June 2018: Compendium of Continuing Education in Dentistry
Toyoaki Kobayashi, Markus B Blatz
Autotransplantation can be a viable alternative to dental implant placement for partially edentulous patients when case selection and surgical procedures are performed properly. Moreover, in the event of a failed autotransplantation, implant placement may still be possible. Autotransplantation offers several benefits compared with dental implants, however the surgical procedure is technique sensitive. This case report demonstrates the clinical steps and healing process of an autotransplanted third molar tooth with complete root formation with a 4-year follow-up...
June 2018: Compendium of Continuing Education in Dentistry
Hilary Pada
Dental providers are integral to patients preparing for hematopoietic stem cell transplantation (HSCT) and for survivorship care. Following successful treatment, HSCT patients eventually return to the care of a general dentist, who must understand the importance of assessing and managing these individuals in collaboration with medical colleagues. This case report describes the dental therapy of a patient diagnosed with multiple myeloma who was experiencing teeth chipping in the anterior, clenching, and myofascial tension...
June 2018: Compendium of Continuing Education in Dentistry
Susan L Zunt
The patient with xerostomia (sensation of dry mouth) or inadequate saliva (salivary gland hypofunction) may present with a wide range of clinical signs and symptoms affecting the oral cavity and systemic health. Recognition of these clinical presentations allows the dental healthcare professional to perform objective tests to identify the status of salivary gland function. Based on these results, recommendations for treatment using over-the-counter and prescription medications can be made. This article discusses clinical indications related to salivary gland hypofunction, testing methodologies, and treatment approaches...
June 2018: Compendium of Continuing Education in Dentistry
Richard J Miron, Michael A Pikos
Regenerative therapies with platelets have been widely used in medicine over the past two decades as a means to speed revascularization to damaged/defective tissues. Within the oral cavity, the sinus is one of the least vascularized areas with healing times typically increased to augment lost or missing bone. As a result, attempts have been proposed to combine platelet concentrates with various biomaterials to accelerate new blood flow to these tissues and ultimately facilitate new bone regeneration. While platelet-rich plasma (PRP) was introduced as a first-generation platelet concentrate, more recently platelet-rich fibrin (PRF) has been developed with anticoagulant removal from centrifugation protocols...
June 2018: Compendium of Continuing Education in Dentistry
Patrick L Roetzer, Shika Gupta, Karen A Schulze
Various economic, time-efficient options in endodontic therapy are available for treating wide, flared, and/or unusual canals and re-treating flared canals. Conservation of tooth structure, minimal use of cement, and the strengthening of the core and/or remaining tooth structure when possible are critical treatment objectives. This article discusses new, progressive treatment modalities that minimize the amount of cement and composite resin needed, resulting in the conserving of remaining dentin. These modalities include the anatomic post-core, oval fiber post, individually formed fiber "bundle" post, fiber-augmented post, and accessory post techniques...
June 2018: Compendium of Continuing Education in Dentistry
René Daher, Stefano Ardu, Osela Vjero, Ivo Krejci
Extraoral facial scanning using a mobile phone has emerged as a viable, cost-effective option for certain applications not requiring high precision, such as patient education and 3-dimensional (3D) digital smile design. This technological development is particularly promising for general practitioners (GPs) who may not be able to invest in expensive,complex digital impressioning devices. This article describes and illustrates a relatively simple and accessible workflow that avails digital 3D facial scanning benefits to GPs...
June 2018: Compendium of Continuing Education in Dentistry
Panos Papaspyridakos, Dennis P Tarnow, Steven E Eckert, Hans-Peter Weber
Restoring multiple adjacent missing teeth in the anterior maxilla is one of the most challenging situations in clinical implant dentistry, as restorations need to be both functional and highly esthetic. The purpose of this article is to highlight the issues that arise during treatment planning for replacement of six missing maxillary anterior teeth with implant-supported fixed dental prostheses. Representative clinical reports are provided to illustrate the treatment planning and surgical and prosthodontic management...
June 2018: Compendium of Continuing Education in Dentistry
Edward A McLaren, Ronald E Goldstein
Esthetic or cosmetic dentistry has become one of the main areas of dental practice emphasis and growth for the past several decades. Many articles have been written and courses taught over the years on concepts of smile design to develop a treatment plan for an esthetic outcome for the patient. The beauty of digital smile design is that patients can see the potential esthetic outcomes of treatment options in minutes. While other dental processes would still need to be completed (ie, generating casts, testing vertical changes and esthetics with a mock-up, etc), using smile design software to visualize the end result is a way to get acceptance by the patient prior to starting the physical processes...
May 2018: Compendium of Continuing Education in Dentistry
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