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Compendium of Continuing Education in Dentistry

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https://www.readbyqxmd.com/read/28156126/tipping-point-an-update-on-curing-lights-resin-composites-and-matrix-systems
#1
Nathaniel C Lawson, Augusto Robles
No abstract text is available yet for this article.
February 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28156125/cell-adhesion-to-acrylic-custom-provisional-abutment-placed-on-an-immediate-implant-a-case-report
#2
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
https://www.readbyqxmd.com/read/28156124/a-technique-using-calibrated-photography-and-photoshop-for-accurate-shade-analysis-and-communication
#3
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
https://www.readbyqxmd.com/read/28156123/thyroglossal-duct-cyst-abbreviated-review-and-case-report
#4
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
https://www.readbyqxmd.com/read/28156122/implant-insertion-torque-its-role-in-achieving-primary-stability-of-restorable-dental-implants
#5
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
https://www.readbyqxmd.com/read/28156121/clinically-enhancing-local-anesthesia-techniques-for-endodontic-treatment
#6
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
https://www.readbyqxmd.com/read/28156120/retrospective-study-to-determine-patient-satisfaction-of-immediately-placed-and-provisionalized-implants-in-the-esthetic-zone-from-a-us-private-practice-research-network
#7
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
https://www.readbyqxmd.com/read/28156119/minimally-invasive-all-ceramic-preparation-for-the-occlusal-face-the-v-preparation
#8
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
https://www.readbyqxmd.com/read/28156118/consensus-conference-findings-on-supragingival-and-subgingival-air-polishing
#9
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
https://www.readbyqxmd.com/read/28054795/managing-a-lateral-periodontal-cyst-with-bone-graft-a-computed-tomography-assessment-18-months-postoperatively
#10
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
https://www.readbyqxmd.com/read/28054794/full-mouth-implant-rehabilitation-with-monolithic-zirconia-benefits-and-limitations
#11
Sarah Amin, Hans-Peter Weber, Yukio Kudara, Panos Papaspyridakos
As increased chipping rates have been reported with porcelain-fused-to-zirconia fixed dental prostheses, monolithic zirconia has been introduced in an effort to reduce the technical complications associated with bilayered ceramics. This clinical report illustrates the steps for achieving full-mouth implant rehabilitation with monolithic zirconia prostheses and minimal facial porcelain veneering. The benefits and limitations of this technique are also discussed. The incisal edges and occluding surface areas comprised monolithic zirconia to reduce the possibility of breakage and improve the esthetic outcome...
January 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28054793/harnessing-the-power-of-light-energy
#12
Scott D Benjamin
No abstract text is available yet for this article.
January 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28054792/minimally-invasive-dentistry-a-conservative-approach-to-smile-makeover
#13
Jeffrey M Rosenberg
The concept of minimally invasive dentistry is based on preserving tooth structure, especially enamel. A conservative method to treat discolored teeth that have diastemas is a freehand additive technique using composite resin. While selecting the correct shade of resin can be challenging, newer composite resin formulations are being developed with optical properties that enable the material to more effectively blend into the dentition. This case report describes the use of conservative approaches and materials to treat discolored, unevenly spaced teeth and restore harmony and balance to a patient's smile...
January 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28054791/digital-mandibular-arch-restoration-at-an-increased-occlusal-vertical-dimension-in-one-visit
#14
Nancy E Hartrick, Steven R Acker
This case demonstrates how a fully digital technique was used to restore the mandibular arch to proper function and improved esthetics. The initial treatment plan to restore implants replacing the lower right molars had to be altered due to space limitations. A direct deprogrammer was utilized to determine the proper jaw relationship at an acceptable occlusal vertical dimension. A computer-aided design system was employed to digitally create and fabricate implant/abutment-supported cement-retained lithium-disilicate crowns, toothsupported lithium-disilicate crowns, and screw-retained hybrid abutment lithium-disilicate crowns in one visit...
January 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28054790/fusion-of-a-maxillary-central-and-lateral-incisor-with-a-congenitally-missing-lateral-a-10-year-conservative-esthetic-approach
#15
Leslie Stone Hirsh, Peter M Greco, Jay B Laudenbach, Alan M Atlas
Dental fusion and agenesis present unique esthetic challenges for the dental team when discovered in a developing child. This article highlights treatment of a 9-year-old girl with fusion of a maxillary central and lateral incisor with a congenitally missing lateral over a 10-year period. The article defines the developmental anomalies, provides a review of treatment options for the clinical team, and highlights clinical management using a conservative, interdisciplinary approach to esthetic treatment.
January 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28054789/corticotomy-accelerated-orthodontics-a-comprehensive-review-and-update
#16
Nouf Zimmo, Muhammad H A Saleh, George A Mandelaris, Hsun-Liang Chan, Hom-Lay Wang
Of all the modalities reported to decrease orthodontic treatment time, corticotomy-accelerated orthodontics (CAO) is the only evidence-based approach. The aim of this article is to critically review the available evidence and to summarize the pros and cons of CAO. Articles published in the last 15 years related to CAO were screened and critically assessed. Based on the literature, CAO results in acceleration of the orthodontic treatment rate as much as three times on average, in addition to many benefits not commonly recognized by the profession or reported in the literature...
January 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/27875056/opioid-nsaid-and-otc-analgesic-medications-for-dental-procedures-pearl-network-findings
#17
Ying Jo Wong, James Keenan, Keith Hudson, Henry Bryan, Frederick Naftolin, Van P Thompson, Ronald G Craig, Don Vena, Damon Collie, Hongyu Wu, Abigail G Matthews, Ashley C Grill, Frederick A Curro
OBJECTIVE: Dental treatment is often categorized as a moderately or severely painful experience; however, no clinical data reported by the patient and dentist currently exists to support this degree of pain. This has contributed possibly to the overprescribing of analgesics, in particular the opioid class of medications. The primary objective of the study was to document the dentists' postprocedural prescriptions and recommendations for analgesic medications and their effectiveness for a 5-day period...
November 2016: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/27875055/intraoral-repair-of-a-glass-ceramic-restoration-with-nanohybrid-ormocers-a-case-report
#18
Juergen Manhart, Iris Frasheri
The interest in repairing failed restorations has been growing; such a procedure may prolong the life span of defective direct and indirect dental restorations. The intraoral repair using resin-based composite materials has major benefits, as it preserves the main body of the restoration, avoids unnecessary removal of sound tooth structure, is an easy and fast treatment, avoids additional appointments, and is inexpensive. This case report demonstrates the use of nanohybrid Ormocer®, or organically modified ceramic, materials...
November 2016: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/27875054/the-role-of-dietary-supplements-in-postsurgical-bleeding-an-update-for-the-practitioner
#19
Alessandro Grisa, Salvatore Florio, Elisabetta Bellia, Sang-Choon Cho, Stuart J Froum
In the United States, dietary supplement use in adults aged 20 and older has increased significantly in the last 2 decades. Intraoperative and postoperative bleeding has been among the complications linked with usage, which is particularly problematic if patients do not disclose use to the dental practitioner. The aim of this article is to present a case report of a patient who had been taking dietary supplements for only 1 month and developed severe bleeding after receiving second-stage implant abutment insertion surgery...
November 2016: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/27875053/pharmacological-reversal-agents-in-dental-practice-keys-to-patient-safety
#20
Mark Donaldson, Jason H Goodchild
Though uncommon, medical emergencies in the dental office are harrowing occurrences that can be the result of adverse drug reactions. Pharmacological antagonists have been developed for administration as reversal agents in emergency situations in which patients may have an untoward effect, typically caused by too much medication. Dental practitioners should be familiar with these agents to keep patients safe and help mitigate drug-induced medical emergencies. This article reviews the pharmacokinetic and pharmacodynamic principles of pharmacological antagonists; it emphasizes six specific reversal agents as they relate to the clinical practice of dentistry: naloxone, flumazenil, epinephrine, diphenhydramine, phentolamine, and atropine...
November 2016: Compendium of Continuing Education in Dentistry
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