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Compendium of Continuing Education in Dentistry

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https://www.readbyqxmd.com/read/28368134/oral-hygiene-past-present-and-future
#1
Michael P Rethman
No abstract text is available yet for this article.
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368133/10-keys-for-successful-esthetic-zone-single-immediate-implants
#2
Robert A Levine, Jeffrey Ganeles, Luiz Gonzaga, Joseph K Kan, Harry Randel, Chris D Evans, Stephen T Chen
The 10 keys for successful esthetic-zone single immediate implants encapsulate in an evidencebased manner the treatment planning and replacement of single hopeless teeth in the maxillary anterior sextant. These include 2 treatment-planning, 5 surgical, and 3 prosthetic keys, which, collectively, aim to minimize soft- and hard-tissue complications for an optimal esthetic implant restoration. The straightforward, advanced, and complex (SAC) classification was designed to aid clinicians in the treatment planning of dental implant cases...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368132/minimally-invasive-single-implant-treatment-in-the-esthetic-zone
#3
David E Azar
Clinicians face significant challenges when placing single-tooth, implant-supported restorations in the esthetic zone. Understanding myriad factors, such as smile design, patient expectations, and hard- and soft-tissue responses, plays a vital role in achieving a predicable outcome. This article presents a case report demonstrating a minimally invasive approach, which combined immediate implant placement, hard- and softtissue augmentation, and immediate provisionalization in 1 visit.
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368131/narrow-diameter-implants-dual-function-as-a-tent-pole-for-vertical-ridge-augmentation-and-a-guide-for-definitive-implant-position
#4
Takanori Suzuki, Ismael Khouly, Sang-Choon Cho, Stuart Froum
Vertical bone defects present a challenge for the placement of implants in sufficient bone with proper position for a successful treatment outcome. This case report describes the use of a narrowdiameter (2.2 mm) implant as a tent pole for guided bone regeneration and documents the vertical bone augmentation achieved. In addition, following removal, the narrow-diameter implant served as a guide for the proper positioning and angulation of the final implant and its supporting restoration. The protocol and step-by-step procedure are described...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368130/a-novel-technique-in-root-coverage-procedures-the-fibrin-assisted-soft-tissue-promotion-concept
#5
Alexandre-Amir Aalam, Alina Krivitky Aalam, Joseph Choukroun
The goal of periodontal plastic surgery is to correct the soft-tissue deformities associated with the loss of attached and keratinized tissue. A variety of flap manipulations related to the use of subepithelial connective tissue grafts are described with great success in the literature but are linked with morbidity and harvesting-quality issues, inclining clinicians and researchers to find alternatives to such techniques. Advanced platelet-rich fibrin, which is widely used in medicine and oral therapy, represents a newer generation of blood-derived growth factors...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368129/what-is-in-your-zirconia
#6
Gregg A Helvey
The immense popularity of zirconia as an indirect restorative material in dentistry has led to seemingly countless numbers of companies selling zirconia discs and blocks. The reliability of zirconia, however, is subject to specific manufacturing and processing protocols. Thus, it is of paramount importance for any dental professional utilizing zirconia to be aware of the source of the material and the various factors that can affect the success or failure of a final restoration. This article discusses the journey of zirconia, from being found among the elements of the earth to being placed in the patient's mouth...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368128/minimally-invasive-surgery-in-periodontal-regeneration-a-review-of-the-literature
#7
John C Tunnell, Stephen K Harrel
New techniques have emerged to achieve periodontal regeneration without the drawbacks associated with conventional flap surgery. Minimally invasive surgery (MIS) is a method of surgical access that minimizes flap reflection and tissue trauma, resulting in maintenance of critical blood supply, stability of the blood clot within the wound site, and less postoperative recession over time. As advancements in materials and techniques are made, MIS in periodontal regeneration continues to evolve. The emergence of a videoscope for use during MIS (VMIS) has improved visual access to surgical sites, facilitating improved defect debridement and root planing...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368127/is-centric-relation-always-the-position-of-choice-for-tmds-case-report-of-how-tmd-and-airway-dimension-may-be-associated
#8
William E Harrell, Tim Tatum, Mike Koslin
Centric occlusion (CO) and centric relation (CR) have been controversial topics in dentistry for almost 100 years. The concept of CR emerged due to the search for a reproducible mandibular position that would enable the prosthodontic rehabilitation of patients needing denture treatment. The following case study is unique because of 2 questions. Which mandibular treatment splint position (CR or CO) was appropriate for the initial and eventual final treatment of this patient for her temporomandibular disorder/myofascial pain and dysfunction? Also, how might the mandibular position of CR and CO affect the size and shape of the airway? The airway's size and shape is important as it relates to sleep-disordered breathing and potentially leading to obstructive sleep apnea later in life...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368126/the-key-points-of-maintenance-therapy-for-dental-implants-a-literature-review
#9
Miha Pirc, Irina F Dragan
Dental implants require lifelong maintenance and care. Success is defined by biologic factors (presence of inflamed soft tissues surrounding dental implants and radiographic changes in the crestal bone levels) and mechanical factors (stability of the implant fixture and implant supported restoration, etc). Most implant failures are initiated by incipient stages of inflammatory processes, which lead to peri-mucositis and peri-implantitis. The evidence regarding the value of maintenance protocol regarding implants is sparse compared with the one for teeth...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368125/endodontic-management-of-maxillary-first-molar-with-two-palatal-canals-aided-with-cone-beam-computed-tomography-a-case-report
#10
Jaya Pamboo, Manoj Kumar Hans, Subhas Chander, Kapil Sharma
The success of endodontic therapy is based on having sufficient endodontic access, correct cleaning and shaping, and adequate root canal obturation. However, endodontic treatment is also dependent on having a sound knowledge of the internal anatomy of human teeth, especially when anatomic variations are present. Reporting these alterations is important for improving the understanding and expertise of endodontists. The aim of this case report is to describe a unique case of maxillary first molar with 2 palatal canals within a single root, as confirmed by cone-beam computed tomography (CBCT) scans...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257226/quality-impressions-are-essential
#11
Eric C Bailey, Philip S Baker
No abstract text is available yet for this article.
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257225/dental-space-deficiency-syndrome-an-anthropological-perspective
#12
Colin S Richman
A new syndrome in dentistry, the dental space deficiency syndrome is proposed in this article. Signs and symptoms of this entity may include one or more of the following clinical dental features: tooth crowding, gingival recession, tooth impactions, rapid resorption of facial alveolar bony plates following premature tooth loss, dentally oriented sleep disorders, extended orthodontic treatment time, and malocclusion relapse following orthodontic therapy. These oral conditions, individually or collectively, seem to be associated with both genetic and functional factors...
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257224/challenges-in-treating-edge-to-edge-incisal-position-for-esthetics
#13
Bozidar Kuljic
Taking into consideration initial risk assessment, the clinician establishes criteria that are important for risk reduction. All too often, we see perfectly executed, and sometimes elaborate treatments that, in their essence, did not reduce but merely replaced one risk for the another. Careful analysis of the risks and benefits of the potential treatment can help the clinician avoid this. This case presents an adult opting for an acceptable alternative to costly, comprehensive, and time-consuming treatment by using a well-planned orthodontic and restorative plan, leading to satisfactory, stable results...
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257223/limitless-possibilities-with-full-arch-zirconia-monolithic-hybrid-restorations
#14
Pinhas Adar
Although technology continues to profoundly change dentistry, the human touch and human intelligence remain the defining forces in the final outcome to create beautiful teeth. Dental professionals ask patients to rely on their expertise, making it incumbent on the dental team to understand the materials in use. The author explores how to leverage the technological advancements with the uniqueness of the dental professional's personal touch to create implant-supported solid zirconia hybrid restorations. The tips and strategies shared in this article will enhance both efficiency and predictability...
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257222/a-simple-technique-for-fabricating-a-screw-retained-cemented-implant-supported-crown
#15
Gregg A Helvey
Many factors figure into the long-term success of an implant-supported restoration. While some are uncontrollable, others are manageable. The cement-retained implant-supported restoration is easier to fabricate, while the screw-retained implant-supported restoration involves more complicated, timeconsuming laboratory procedures. Most research has found the screw-retained restoration has had more minimal complications than the cement-retained counterpart. This article describes a simple, low-cost technique of converting a cement-retained implant crown to a screw-retained implant crown, which allows for easy retrievability and eliminates a number of laboratory steps and costs...
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257221/preservation-in-young-patients-of-pulp-vitality-and-anatomical-functional-restoration-of-the-lost-structure
#16
Carlos Andres Villavicencio Espinoza, Juan Fernando Ordoñez Aguilera, Fabio Antonio Piola Rizzante, Rafael Massunari Maenosono, Eduardo Batista Franco, Sérgio Kiyoshi Ishikiriama
Often, young patients (≤30 years old) present with carious lesions that progress acutely, compromising a large amount of tooth structure. In these cases, a treatment to prevent the occurrence of pulp exposure and promote remineralization of caries-affected dentin is necessary to maintain healthy dental structure and allow more conservative interventions. The approach will be different when pulp exposure occurs: The therapeutic treatments will be focused on reparative dentin formation and prevention of microorganisms penetrating the pulp organ...
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257220/can-tooth-preparation-design-affect-the-fit-of-cad-cam-restorations
#17
Renato Cassio Roperto, Marina Piolli Oliveira, Thiago Soares Porto, Lais Alaberti Ferreira, Lucas Simino Melo, Anna Akkus
OBJECTIVE: The purpose of this study was to evaluate if the marginal fit of computer-aided design and computer-aided manufacturing (CAD/CAM) restorations manufactured with CAD/CAM systems can be affected by different tooth preparation designs. METHODS: Twenty-six typodont (plastic) teeth were divided into two groups (n = 13) according to the occlusal curvature of the tooth preparation. These were the group 1 (control group) (flat occlusal design) and group 2 (curved occlusal design)...
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257219/management-of-a-malpositioned-implant-in-the-anterior-maxilla
#18
Catherine DeFuria, Hans-Peter Weber, Yukio Kudara, Panos Papaspyridakos
The surgical and prosthodontic management of patients with multiple missing teeth in the anterior maxilla can be challenging. The purpose of this clinical report is to illustrate the 2-year outcome after immediate implant placement in unintentional close proximity with the adjacent root. Following uneventful healing, the definitive implant rehabilitation was done with a modified monolithic zirconia framework and porcelain veneers bonded to the framework. The patient's satisfaction with the functional and esthetic outcomes remained high throughout the observation time, with no symptoms or biologic and technical complications...
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257218/modified-double-papillae-flap-technique-with-subepithelial-connective-tissue-graft-for-root-coverage-in-the-esthetic-zone-case-report
#19
Gustavo Javier Salazar Littuma, Leonardo Bez, Camilo Andres Villabona Lopez, Cesar Augusto Magalhães Benfatti, Ricardo de Souza Magini
Gingival recession can compromise the esthetic appearance, leading to functional problems, hypersensitivity, and root caries. Several techniques have been implicated for root coverage, which includes pedicle grafts, free gingival grafts, connective tissue grafts, and guided-tissue regeneration. The double-papillae flap associated with subepithelial connective tissue is a predictable technique to cover isolated areas with insufficient attached gingiva apical to a recession. This case report demonstrates a surgical alternative to the technique using a sling periosteal suture to stabilize the connective tissue and pedicle flap during the initial phase of healing, increasing the potential of this periodontal procedure for gingival recession coverage...
March 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28257217/two-year-clinical-evaluation-of-a-nanofilled-etch-and-rinse-and-a-self-etch-adhesive-system-containing-mdpb-and-fluoride-in-non-carious-cervical-lesions
#20
Fernanda Garcia de Oliveira, Lucas Silveira Machado, Daniel Sundfeld-Neto, Marcelo Giannini, André Luiz Fraga Briso, Paulo Henrique Dos Santos, Maria Lúcia Marçal Mazza Sundefeld, Renato Herman Sundfeld
OBJECTIVES: The aim of this clinical study was to evaluate the performance of restorations for non-carious cervical lesions performed with a two-step etch-and-rinse or with a two-step self-etch adhesive. MATERIALS AND METHODS: The teeth to be restored (15 patients, N = 90 restorations) were randomly assigned into 3 groups (n = 30), according to the adhesive system: group 1 (G1): Peak LC Bond; group 2 (G2): Clearfil Protect Bond; and group 3 (G3): prior selective acid etching of the enamel margins before bonding with Clearfil Protect Bond...
March 2017: Compendium of Continuing Education in Dentistry
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