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Compendium of Continuing Education in Dentistry

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https://www.readbyqxmd.com/read/28459252/a-targeted-approach-for-managing-nociceptive-orofacial-pain
#1
Mark Donaldson
No abstract text is available yet for this article.
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459251/removal-of-modern-ceramics
#2
Andrew Spath, Colby Smith
With the overwhelming acceptance of lithium disilicate and zirconia, the frequency with which dentists have to remove these materials is increasing, and this can be difficult. Proper cement usage for full-coverage crowns with preparations that have retention and resistance can be helpful if in the future the restoration needs to be removed. When removing these modern materials, bur and laser techniques are both effective means, with each having specific benefits. Materials selection and preparation design are vital when considering areas of risk each patient exhibits and the potential need for removal...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459250/options-for-the-esthetic-zone-using-the-immediate-restoration-procedure-observational-data-of-15-years-and-5000-implants
#3
Paul S Petrungaro
Dental implants have become a suitable treatment option for patients experiencing tooth loss and a popular choice among clinicians for immediate tooth replacement. Because of modifications in implant designs and development in immediate restoration and loading protocols, dental implant treatment can be reduced to a single procedure instead of multiple processes, hence providing the patient with a streamlined treatment that is typically much less invasive with immediate-tooth replacement. The purpose of this paper is to review the immediate restoration of dental implant(s) procedure and validate its position in treatment protocols by presenting success rates documented for more than 15 years and with 5000 implants...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459249/a-systematic-method-for-accurate-functional-diagnosis
#4
Christopher Huff
The "medical model" is a term coined for a set of procedures in which American physicians are trained. For dentistry, the sequentially ordered set of procedures includes: (1) immediate concerns; (2) medical/ dental histories; (3) physical examination findings; (4) ancillary tests, if needed; (5) diagnosis; (6) risk assessment; (7) prognosis without treatment; (8) treatment-plan options/informed consent; (9) treatment; (10) post-treatment assessment and verification. This case report demonstrates a diagnostic system using the medical model via linear thinking-ie, step-by-step progression-to diagnose and conservatively treat a patient with a constricted chewing pattern...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459248/frontline-temporomandibular-joint-orofacial-pain-therapy-for-every-dental-practice
#5
Lisa Germain, Louis Malcmacher
Temporomandibular disorders (TMD) are a group of conditions affecting the temporomandibular joint and/or muscles of mastication. TMD may present along with many comorbid pain syndromes such as myofascial pain, headache, and neck and back stiffness with limited range of motion, as well as fibromyalgia and chronic fatigue syndrome. The diagnosis and management of TMD is complex and, many times, multidisciplinary. However, dentists can provide their patients with frontline temporomandibular/orofacial pain therapy with didactic and hands-on training that provides a better understanding and a conservative approach for treatment of TMDs...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459247/conservative-functional-and-esthetic-rehabilitation-of-severe-palatal-erosion-class-iv-using-modified-dahl-approach
#6
Aliasger Tunkiwala, Rajeev Chitguppi
This article demonstrates the clinical application of biomechanical and occlusal principles to conservatively provide optimal clinical outcomes in restoring an eroded anterior dentition. The authors manage a challenging case involving limited palatal clearance (ie, deep bite) coupled with palatal erosion and wear by combining the centric relation (CR) and Dahl principles to create anterior interocclusal space to reduce the need for more invasive palatal reduction. The combined use of adhesive restorations-resin composites on the palatal surface and indirect porcelain veneers on the facial/incisal surfaces-through enamel and dentin bonding helped optimize esthetic and functional/biomechanical aspects...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459246/correction-of-a-single-discolored-anterior-tooth-due-to-internal-resorption-a-clinical-report
#7
Megan Todd, William Brackett, Mario Romero
For patients with a single discolored tooth who desire to have it lightened, a thorough examination and radiographic analysis need to be performed prior to initiating any bleaching treatment so that the cause of the discoloration can be determined. Underlying pathology, such as internal resorption, is often asymptomatic and difficult to diagnose and if left untreated could result in tooth loss. This article describes a case of a patient with a discolored maxillary central incisor resulting from internal resorption and the subsequent endodontic and bleaching therapy performed to resolve the pathology and achieve an acceptable esthetic result...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459245/does-post-etching-cleaning-influence-bond-strength-of-lithium-disilicate-laminate-veneers
#8
Ana Paula Rodrigues Magalhães, Rafael Almeida Decurcio, Gerardo Patricio Durán Ojeda, Terence Romano Teixeira, Paula de Carvalho Cardoso
This paper aims to present a clinical case of laminate veneers in lithium disilicate (LD) reinforced ceramic, complemented with scanning electron microscopy and energy dispersive x-ray spectroscopy analysis of this ceramic's surfaces submitted to some of the different post-etching cleaning protocols proposed by literature. Many dentists are applying all-ceramic restorations, especially veneers, with the most applied material being LD, due to its good mechanical properties, esthetics, and ability to adhere to tooth substrate...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459244/is-residual-bone-height-an-absolute-indicator-for-simultaneous-implant-placement-in-lateral-wall-sinus-grafting
#9
Lanka Mahesh, Gregori Kurtzman, Sagrika Shukla
Placement of an implant in the posterior maxilla often relies heavily on a variety of procedures that increase the vertical dimensions of available bone. With numerous bone graft substitutes now available and recent advancements having been made in technique, the question arises of whether residual bone height still remains an absolute indicator for simultaneous implant placement in lateral wall sinus grafting. In addition to reviewing the literature, the authors present a case in which a direct sinus lift procedure was performed with simultaneous implant placement...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28459243/nanotechnology-in-dentistry-clinical-applications-benefits-and-hazards
#10
Govind Shashirekha, Amit Jena, Satyajit Mohapatra
Nanotechnology is emerging as an interdisciplinary field that is undergoing rapid development and has brought about enormous changes in medicine and dentistry. Nanomaterial-based design is able to mimic some of the mechanical and structural properties of native tissue and can promote biointegration. Nanotechnology has various applications in dentistry, including dentition renaturalization, therapy for dentin hypersensitivity, complete orthodontic realignment in a single visit, covalently bonding diamondized enamel, enhancing properties of root canal sealers, and continuous oral health maintenance using mechanical dentifrobots...
May 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28509563/the-adjunctive-soft-tissue-diode-laser-in-orthodontics
#11
Ali Borzabadi-Farahani
Lasers are a relatively new addition to the orthodontist's armamentarium. This article reviews the fundamental basic science of available soft-tissue lasers, with an emphasis on diode lasers, and discusses various adjunct applications of the diode laser for soft-tissue orthodontic procedures. Diode lasers function by cutting with an initiated hot tip and produce minimal to no interaction with healthy dental hard tissue, making them suitable for soft-tissue procedures. The contact cutting mode provides enhanced bloodless site visibility and facility to perform delicate soft tissue procedures, which is important in areas with difficult access...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28368134/oral-hygiene-past-present-and-future
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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