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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
Timothy Donley
No abstract text is available yet for this article.
May 2018: Compendium of Continuing Education in Dentistry
Joseph R Greenberg, Stephen Sinclair, Cheryl A Janssen, Kevin Krick, Mimi O'Brien, Kate Flanagan, Michael A Posner
OBJECTIVE: To evaluate the reliability, ease, and efficiency of data entry for an oral health screening app that allows iPad® entry of data, including permanent versus deciduous teeth present, visual image comparison grading of demineralization/caries, fluorosis, periodontal inflammation, oral hygiene status, identification of sealants/restorations, dental trauma, orthodontic malocclusion, mandibular joint dysfunction, and early childhood caries. METHODS: 89 consented children were examined first by a public health dental hygienist in a dental office reception area and then by a dentist in a treatment operatory...
May 2018: Compendium of Continuing Education in Dentistry
Barry P Levin, Stephen J Chu
The efficacy of immediate implant placement has made it an appealing treatment modality in dentistry. Over the past several decades various surgical techniques to minimize the ridge collapse and other adverse changes that occur after tooth extraction have been advocated. This case series proposes a method of soft-tissue augmentation when multiple implants are being immediately placed. The authors describe a subperiosteal tunneling technique that achieves the dual purpose of graft containment/guided bone regeneration and soft-tissue augmentation around maxillary anterior implants...
May 2018: Compendium of Continuing Education in Dentistry
David Dano, Monica Stiteler, Russell Giordano
Developments in 3-dimentional (3D) diagnostic technology and advanced digital optical imaging have improved the predictability, safety, and efficiency of restoratively driven implant dentistry. Surgical procedures may now be performed in a single visit utilizing chairside, computer-aided design/computer-aided manufacturing technology and in situations when a two-stage implant protocol is indicated as demonstrated in this case. The CEREC® GALILEOS® integration workflow system was used to prosthetically plan and place an implant in the lower right mandibular first molar site, No...
May 2018: Compendium of Continuing Education in Dentistry
Khashayar Kordbacheh Changi, Gary Greenstein
In type II sockets, the soft-tissue level is at or coronal to the cementoenamel junction, and part of the buccal plate is missing. In the esthetic zone, a patient with this type of situation often is not a good candidate for immediate implant placement until the osseous defect is repaired. Therefore, use of a conservative regenerative procedure to repair such a defective socket would be advantageous. The Cytocone procedure utilizes a nonresorbable dense polytetrafluorethylene (d-PTFE) barrier and modifies the classic "ice cream cone" technique to restore a buccal osseous defect without raising a labial flap...
May 2018: Compendium of Continuing Education in Dentistry
Maria L Geisinger, Irina F Dragan, David C Alexander
Many current myths and outdated practices exist regarding dental care for pregnant women. Additionally, many medical care providers fail to check pregnant patients for dental problems and refer them for dental care. Therefore, it is critical that dental healthcare providers and their medical colleagues are well-informed of the risks and benefits of dental care throughout pregnancy and are equipped with the tools to discuss the importance of dental health with patients. Patient-centered interventions, such as motivational interviewing (MI), are effective tools to alter patient behaviors and fully engage patients as active participants in their care...
May 2018: Compendium of Continuing Education in Dentistry
Tyler J Thomas, Avinash S Bidra
Sinus membrane elevation can be accomplished through use of either a direct or indirect technique. The indirect or internal elevation technique lifts the sinus membrane by elevating it superiorly using osteotomes, with or without the use of grafting material. The authors reference a revolutionary randomized clinical trial in which tissue-level implants with a coronally flared design were placed in residual bone height of ≤4 mm using an internal sinus membrane elevation technique and describe an adaptation of the procedure discussed in that study and its successful use in a prosthodontics residency program...
May 2018: Compendium of Continuing Education in Dentistry
Delia Tuttle, Gregori Kurtzman, Ana Luisa Bernotti
Minimally invasive techniques for treatment of marginal soft-tissue recession, or root recession, are conducive to lower morbidity and less postoperative discomfort than techniques that employ surgical flaps. The gum drop technique (GDT) is a novel soft-tissue grafting procedure that combines minimally invasive incisions with blood derivatives from the patient to achieve root coverage. Demonstrating favorable healing without the need for a donor site to provide connective tissue, this papilla-preserving approach offers the benefits of an autogenous, biologically enhanced procedure...
May 2018: Compendium of Continuing Education in Dentistry
Jonathan H Dawson, Grady Dix, Bryan T Harris, Wei-Shao Lin
Restorative material options for implant-supported complete fixed dental prostheses (ICFDP) have progressed from traditional metal-acrylic or metal-ceramic combinations to today's monolithic zirconia or high-performance polymer designs. To avoid potential errors that may be introduced into the restorative process in the interim phase and to provide a more predictable clinical outcome of the definitive ICFDP, a clinical protocol utilizing a prototype prosthesis is described in this case report.
May 2018: Compendium of Continuing Education in Dentistry
Samuel Oh, Karl Kingsley
BACKGROUND: Ketamine has been used as a safe and effective sedative to treat adults and children exhibiting high levels of anxiety or fear during dental treatment. Pediatric dentistry often involves patients with high levels of anxiety and fear and possibly few positive dental experiences. Patient management can involve behavioral approaches, as well as the use of sedation or general anesthesia with a variety of agents, including midazolam, diazepam, hydroxyzine, meperidine, and ketamine...
May 2018: Compendium of Continuing Education in Dentistry
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