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Compendium of Continuing Education in Dentistry

Eric C Bailey, Philip S Baker
No abstract text is available yet for this article.
March 2017: Compendium of Continuing Education in Dentistry
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
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
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
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
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
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
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
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
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
Nathaniel C Lawson, Augusto Robles
No abstract text is available yet for this article.
February 2017: Compendium of Continuing Education in Dentistry
Hanae Saito, Ru-Ching Hsia, Dennis P Tarnow, Mark A Reynolds
This article presents the results of a scanning electron microscope (SEM) analysis of the surface of an acrylic custom provisional abutment following first disconnection from a post-extraction immediate implant placement. An implant was placed immediately after extraction, the site was grafted, and a barrier membrane was adapted for graft containment. A custom acrylic shell was then relined, polished, and steam-cleaned prior to being screwed onto the implant. After 5 months of undisturbed healing, the custom provisional abutment was disconnected for the first time and processed for SEM examination...
February 2017: Compendium of Continuing Education in Dentistry
Edward A McLaren, Johan Figueira, Ronald E Goldstein
This article reviews the critical aspects of controlling the shade-taking environment and discusses various modalities introduced throughout the years to acquire and communicate shade information. Demonstrating a highly calibrated digital photographic technique for capturing shade information, this article shows how to use Photoshop® to standardize images and extract color information from the tooth and shade tab for use by a ceramist for an accurate shade-matching restoration.
February 2017: Compendium of Continuing Education in Dentistry
Nicholas J Fujii, Tanya M Gibson, Keerthana M Satheesh, Charles M Cobb
The thyroglossal duct cyst (TGDC) is the most common developmental cyst of the neck. The cyst typically occurs along the midline of the neck on the ventral surface. Malignant transformation is rare and can be diagnosed only after histologic examination of a biopsy specimen. This article presents a brief, focused narrative review, which includes a discussion of successful treatment of a TGDC, and a single case report that describes a Sistrunk-like procedure.
February 2017: Compendium of Continuing Education in Dentistry
Gary Greenstein, John Cavallaro
A literature review was conducted to determine the role of insertion torque in attaining primary stability of dental implants. The review is comprised of articles that discussed the amount of torque needed to achieve primary implant stability in healed ridges and fresh extraction sockets prior to immediate implant loading. Studies were appraised that addressed the effects of minimum and maximum forces that can be used to successfully place implants. The minimum torque that can be employed to attain primary stability is undefined...
February 2017: Compendium of Continuing Education in Dentistry
James Bahcall, Qian Xie
Local anesthesia is one of the most important drugs given to patients who undergo endodontic treatment. Yet, clinicians often do not view local anesthetic agents as drugs and, therefore, struggle clinically to consistently achieve profound pulpal anesthesia. To improve the clinical effects of local anesthesia for endodontic treatment, in conjunction with selecting the correct type of local anesthesia, clinicians need to thoroughly understand how the local anesthetic process works and how to objectively test for clinical signs of pulpal anesthesia and integrate supplemental anesthesia when appropriate...
February 2017: Compendium of Continuing Education in Dentistry
E Todd Scheyer, Christopher Richardson, George Mandelaris, Stephen Pickering, Marc Nevins, Bryan Pope, Jim Janakievski, Gregory Toback, Rick H Heard
BACKGROUND: Immediately placed/immediately restored dental implants in the esthetic zone are judged by not only their functional success but also the appearance and acceptance of the restorative outcome. The purpose of this study was to retrospectively evaluate in a private-practice setting the satisfaction of both patients and doctors regarding immediately placed/immediately restored implants in the esthetic zone. METHODS: The author group consists of nine board-certified periodontists...
February 2017: Compendium of Continuing Education in Dentistry
Michel Fages, Bertrand Bennasar, Jacques Raynal
A clinical case illustrates and explains step by step a minimally invasive molar occlusal surface preparation for all-ceramic bonded restoration. The sequential use of calibrated burs, following the specific procedure, systematically and quickly, provides a perfectly calibrated reduction of the occlusal face even for an inexperienced practitioner. This preparation increases the bonding surface and optimizes the accommodation of constraints that provides a more resistant reconstruction and favors the preservation of the vital tooth...
February 2017: Compendium of Continuing Education in Dentistry
Charles M Cobb, Diane M Daubert, Karen Davis, Jodi Deming, Thomas F Flemmig, Anna Pattison, Jean-François Roulet, Roger V Stambaugh
A consensus conference was convened to evaluate and address issues of safety and efficacy when using glycine powder in an air-powder jet device for supra- and subgingival applications during dental prophylaxis and periodontal maintenance. The conference reported the following conclusions: 1) Supra- and subgingival air polishing using glycine powder is safe and effective for removal of biofilms from natural tooth structure and restorative materials; 2) there is no evidence of soft-tissue abrasion when using glycine powder in an air-polishing device; 3) in periodontal probing depths of 1 mm to 4 mm, glycine-powder air polishing, using a standard air-polishing nozzle, is more effective at removing subgingival biofilm than manual or ultrasonic instruments; and 4) at probing depths of 5 mm to 9 mm, using a subgingival nozzle, glycine powder air polishing is more effective at removing subgingival biofilm than manual or ultrasonic instrumentation...
February 2017: Compendium of Continuing Education in Dentistry
Rania Livada, Jacob Shiloah, K Mark Anderson, William R Callahan
The lateral periodontal cyst is a rare benign lesion that is generally asymptomatic and commonly discovered by routine intraoral radiography. Reports on proper management of this lesion are readily available. However, the literature is sparse regarding the long-term outcomes following surgery. A traditional radiographic technique does not provide an adequate image of the healing, and a patient may resist the prospect of a reentry procedure. The current report is the first to utilize a cone-beam computed tomography scan to evaluate the healing potential of a freeze-dried bone allograft approximately 18 months postoperatively...
January 2017: Compendium of Continuing Education in Dentistry
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