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Compendium of Continuing Education in Dentistry

Lola Giusti, Jamie Jenkins, Mitchell A Goodis, Carsen Bentley, Christine E Miller, Alexander Faigen
The use of methamphetamines is a significant public health concern not only in America but worldwide. The consequences of this drug's use are widespread, having major physiologic and psychological effects that are damaging to users' bodies and well-being. Meth use wreaks havoc on one's oral health, with the effects including demineralization of tooth surfaces, carious lesions, inflammation of the periodontium, and more. In addition to examining the neurotoxic effects that methamphetamines have on the brain, this article will discuss how dental professionals can approach treatment of individuals who are affected by this debilitating drug, utilizing a strategy that combines caries arrest with oral hygiene improvement and disease prevention...
February 2018: Compendium of Continuing Education in Dentistry
David Dano, Lila Khalid, Eihab Mously, Russell Giordano
To achieve a predictable esthetic outcome when using an implant-supported crown for rehabilitation of an edentulous space, computer-aided design/computer-aided manufacturing (CAD/CAM) technology can be utilized in the second stage of implant surgery to scan, mill, and restore the implant site all in one office visit. In this case report, an implant for a first molar was restored with a CAM-fabricated hybrid ceramic crown, designed using CEREC® 4.4 software. A 3-dimensional scan was taken chairside at the time of uncovering the implant using powder-free intraoral scanning...
February 2018: Compendium of Continuing Education in Dentistry
Neel B Bhatavadekar, Amit S Gharpure
Subepithelial connective tissue grafts (SCTGs) have been extensively used to augment soft-tissue volume on dental implants and natural teeth. The authors present a technique called the controlled palatal harvest (CPH) to obtain SCTGs. CPH provides an alternative to the trap-door and single-incision techniques currently utilized. The objective of this article is to describe this harvesting technique for SCTGs. A case report is presented in which the CPH technique was successfully used to obtain a SCTG. Contrary to current techniques where the SCTG is usually taken from the palatal (bone) side, this technique involves the dissection of a thick split-thickness flap in which the graft is harvested from the raised flap...
February 2018: Compendium of Continuing Education in Dentistry
Paul S Petrungaro, Santiago Gonzalez, Carlos Villegas
As dental implants become more popular for the treatment of partial and total edentulism and treatment of "terminal dentitions," techniques for the management of the atrophic posterior maxillae continue to evolve. Although dental implants carry a high success rate long term, attention must be given to the growing numbers of revisions or retreatment of cases that have had previous dental implant treatment and/or advanced bone replacement procedures that, due to either poor patient compliance, iatrogenic error, or poor quality of the pre-existing alveolar and/or soft tissues, have led to large osseous defects, possibly with deficient soft-tissue volume...
February 2018: Compendium of Continuing Education in Dentistry
Mark Bishara, Gregori M Kurtzman, Waji Khan, Joseph Choukroun, Richard J Miron
Immediate implant placement often presents challenges in terms of predictably obtaining soft-tissue coverage over the implant site. While delayed implant placement offers the ability for soft tissues to grow and invade the extraction socket making their attachment around implants more predictable, immediate implant placement poses a significant risk of bacterial invasion towards the implant surface as a result of insignificant soft-tissue volume. Soft-tissue grafting techniques have often been proposed for use during immediate implant placement to augment soft-tissue deficiencies, including the use of either palatal connective tissue grafts (CTGs) or collagen-derived scaffolds...
February 2018: Compendium of Continuing Education in Dentistry
Howard E Strassler, Nisha F Ganesh
No abstract text is available yet for this article.
February 2018: Compendium of Continuing Education in Dentistry
Chandur P K Wadhwani, Todd Schoenbaum, Kirk E King, Kwok-Hung Chung
Due to their exceptional biological and mechanical properties, titanium and its alloys are commonly used in both dental implants and implant abutments, upon which prostheses can be attached. The gray color of titanium metal, however, can elicit esthetic problems, as it has the potential to show through a translucent ceramic restorative material. Various solutions have been proposed and used to attempt to overcome esthetic issues associated with titanium. This article describes a simple, economical technique to color titanium abutments and components utilizing anodization, resulting in light reflection and color enhancement through a natural physics phenomenon known as light interference patterns...
February 2018: Compendium of Continuing Education in Dentistry
Jeff H Bynum
Achieving successful long-term esthetic outcomes in implant dentistry requires that the height and width of the facial or buccal alveolar bone wall and, subsequently, the peri-implant tissues be maintained. Partial extraction therapy (PET) can be used to reduce the risk of facio-lingual collapse after tooth loss and improve the preservation of alveolar bone height and blood supply. This article demonstrates the use of PET for treatment of a hopeless tooth in the esthetic zone. After removal of the fractured maxillary central incisor, an implant was placed and restored with excellent esthetic, functional, and periodontal results...
February 2018: Compendium of Continuing Education in Dentistry
Nicola Alberto Valente, Sebastiano Andreana
Peri-implantitis is a long-term complication that frequently occurs after implant surgery. Several treatment methods have been proposed that are aimed at arresting the disease and potentially regenerating bone defects related to it. The use of a combination of proposed decontaminative treatments could possibly improve outcomes. In this case report the authors describe a combined mixed protocol, in which chemical decontamination and a laser-assisted decontamination technique are used in a surgical regenerative approach to successfully manage and treat a case of peri-implantitis...
February 2018: Compendium of Continuing Education in Dentistry
Irina F Dragan, Valery Veglia, Maria L Geisinger, David C Alexander
Oral health is essential for general health and well-being, and this is especially so during pregnancy. Pregnancy may present challenges to the oral health of the mother, mainly because of adaptations in basic physiology. However, many mothers-to-be and their health professionals, both prenatal and dental, are unsure as to the safety of providing dental care during pregnancy. National guidelines, together with recommendations from numerous state-level and professional organizations, consistently indicate that provision of dental care is both safe and essential during pregnancy...
February 2018: Compendium of Continuing Education in Dentistry
Jan K Mitchell, Martha G Brackett, Van B Haywood
Traditionally, testing for whether pit-and-fissure caries should be restored involved probing with a sharp explorer and evaluating resistance to withdrawal (ie, "stick"). Alternative visual methods of evaluation and classification have been proposed, validated, and accepted formally in the core curriculum on caries management in both Europe and North America. This article examines the resistance to occlusal breakdown of fluoridehardened enamel despite progression of underlying dentin caries with accompanying difficulty in diagnosis...
February 2018: Compendium of Continuing Education in Dentistry
Ghada Hassa Babiker, Nadia Khalifa, Mohammed Nasser Alhajj
This study investigated the effect of 1% and 5.25% of sodium hypochlorite (NaOCl) as spray and immersion solutions on the dimensional accuracy of an irreversible hydrocolloid impression material. Impressions of master models were taken using irreversible hydrocolloid impression material, which was then treated with NaOCl 1% or 5.25% solution, either by spaying or immersion, for 5 minutes, or not treated to act as control. The impressions were then poured with stone, and the dimensional accuracy was determined from the mean of six measurements taken between fixed points using a digital caliper...
January 2018: Compendium of Continuing Education in Dentistry
Thomas Y H Yoon, Sable A Muntean, Richard A Michaud, Thanhphuong N Dinh
A historical area of referral involves the placement of dental implants. Because there is a high demand for dental implant therapy and relatively few general dentists participating in the surgical aspect, it is important to investigate referral characteristics to specialists. The authors conducted a study in which 6,769 general dentists and specialists were emailed an anonymous online survey. Study participants were given a series of eight questions and asked to rank the importance levels of each when dealing with dental implant referrals...
January 2018: Compendium of Continuing Education in Dentistry
Carla Kozmacs, Vanessa Baumann, Oskar Bunz, Andree Piwowarczyk
The high demands on the clinical performance of a single-tooth provisional restoration necessitate that said performance be examined. The authors evaluated 24 teeth evaluated. Two test groups received bis-acrylic composite for provisional crowns (n = 12) and a single-unit, self-supporting, malleable, light-curing composite crown (n = 12). Final crowns (n = 24) served as paired controls. Evaluation of clinical success was measured using previously selected subcategories of FDI criteria. Statistical analysis was performed using McNemar's Test (α = 0...
January 2018: Compendium of Continuing Education in Dentistry
Vasundhara Rikame, Yogesh Doshi, Robert A Horowitz, Vidhi Kevadia-Shah, Mona Shah
Sodium bicarbonate (ie, baking soda) can be used as an adjunct to surgical periodontal therapy to reduce dentin hypersensitivity (DH). Sodium bicarbonate mouthwash has numerous appealing attributes, including high availability, low cost, low abrasivity, water solubility, buffering capability, and, in high concentrations, antimicrobial properties. It is also safe to use. The primary underlying cause of DH is open dentinal tubules from loss of either cementum or enamel. The aim of this in vitro study was to evaluate, through scanning electron microscopic examination, the effect of sodium bicarbonate on dentinal tubule occlusion and compare it with that of fluoridated mouthwash...
January 2018: Compendium of Continuing Education in Dentistry
Yiannis Brokos, Minos Stavridakis, Ivo Krejci
OBJECTIVES: A fully integrated esthetic restoration should emit levels of fluorescence similar to that of natural dentition. Also, dental practitioners should be able to monitor this property in their routine clinical setting. The aim of this study was to investigate the efficacy of a removable filter for a macro flash illumination set-up required for the digital photographic recording of the fluorescence emission of human teeth and dental restorations. METHODS: The traditional fluorescence capturing method in clinical dentistry, using continuous lighting, was compared with the proposed flash lighting method...
January 2018: Compendium of Continuing Education in Dentistry
B Gail Demko
No abstract text is available yet for this article.
January 2018: Compendium of Continuing Education in Dentistry
Foroud Hakim, Jessie Vallée
Composite resin is considered the material of choice for direct restoration of teeth when esthetic outcome is a high priority. While material science improvements have mitigated many of the traditional liabilities related to composite resin restorations, shrinkage and related shrinkage stress still play a role in outcomes, placement techniques, and overall success. This case report demonstrates two restorative scenarios using an ORMOCER® composite material. The first features a female patient who, upon completion of preliminary orthodontic treatment, determined in consultation with the orthodontist that her central incisors would present more idealistic display and esthetics if they were lengthened by approximately 1...
January 2018: Compendium of Continuing Education in Dentistry
Barry P Levin, Yuval Zubery
Resorbable barrier membranes are advantageous for use in guided bone regeneration for treatment of peri-implant defects, eliminating the need for surgical re-entry. Ribose, a natural sugar-based material that has been used to cross-link collagen, is able to be utilized in high concentrations to extend barrier function for long periods without eliciting inflammation or foreign body reactions in situ. A unique finding with a ribose cross-linked collagen membrane is the in situ ossification of the material upon re-entry...
January 2018: Compendium of Continuing Education in Dentistry
Kirk Pasquinelli
Gingival recession involves apical displacement of the soft-tissue margin and root exposure that can negatively affect smile esthetics, increase susceptibility to root caries, and lead to dentin hypersensitivity. Regardless of the predisposing conditions leading to its inflammatory etiology, gingival recession can be treated with tissue grafting (eg, free gingival grafts or connective tissue grafts) or acellular dermal matrix. Because each therapy is characterized by the type of grafting material used, the manner in which the grafting material is harvested, and the respective technique for placing the grafting material, understanding their differences will benefit dentists when determining the most appropriate treatment for patients who present with gingival recession and areas of deficient attached gingiva...
January 2018: Compendium of Continuing Education in Dentistry
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