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Compendium of Continuing Education in Dentistry

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https://www.readbyqxmd.com/read/29600874/innovations-in-local-anesthesia-are-easing-the-pain-of-dentistry
#1
Paul A Moore
No abstract text is available yet for this article.
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29600873/long-term-esthetic-and-functional-success-following-an-initial-treatment-complication
#2
Sheila Naik
This case describes the successful long-term outcome of a patient's treatment after a restorative failure occurred soon after delivery. The esthetic and restorative treatment has been successful for nearly a decade due largely to a careful, objective evaluation of all possible causes of the restorative failure. The treatment plan for the patient, who was assessed as high risk biomechanically and functionally, was carried out in the following phases: (1) an implant placement that required an osteotome sinus lift; (2) placement of feldspathic bonded veneers for the maxillary anterior teeth to minimize removal of tooth structure; (3) numerous core-supported restorations, with fixed partial dentures placed for teeth Nos...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29600872/treatment-of-oral-mucosal-lesions-associated-with-overlapping-psychodermatologic-disorders
#3
Sausan Alfaris, Katherine France, Thomas P Sollecito, Eric T Stoopler
Delusional infestations are psychodermatologic disorders in which those affected have a false belief they are infested by parasites and/or "growing" inanimate objects from cutaneous surfaces. Individuals with delusional parasitosis (DP) believe parasites, bacteria, worms, mites, or other living organisms are the source of cutaneous symptoms, while those with Morgellons disease (MD) attribute their symptoms to growth of small fibers or inorganic material. In both DP and MD, self-inflicted, non-healing cutaneous lesions caused by scratching at the affected areas to alleviate symptoms are commonly observed...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29600871/treatment-of-a-gingival-injury-from-a-cosmetic-laser-burn-a-case-report
#4
Maha A Bahammam
Gingival depigmentation is a periodontal plastic surgery procedure for the removal of pigmented gingiva. A gingival depigmentation procedure can be accomplished with the use of a laser; however, as described in this case report, laser burns can be associated with such a procedure, and if one occurs it must be subsequently managed. In this case, the patient presented with a large elliptical ulceration at the right maxillary premolar region. The underlying alveolar bone was exposed and the surrounding gingival margins were inflamed...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29600870/integrating-caries-management-by-risk-assessment-cambra-and-prevention-strategies-into-the-contemporary-dental-practice
#5
Peter Rechmann, Richard Kinsel, John D B Featherstone
In the past, the dental profession has adhered to a rigid tenet: remove decay from a tooth and then restore, a mindset that has been proverbially dubbed as "drill and fill." Today, dental caries is recognized as an infectious disease that affects children and adults throughout life. The philosophy of CAries Management By Risk Assessment, or CAMBRA®, represents a paradigm shift. The CAMBRA concept provides the dentist with scientific, evidence-based solutions with which to approach treatment of dental caries disease...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29600869/periodontal-tissue-bioengineering-is-the-future-now
#6
Tobias Fretwurst, Lena Larsson, Shan Huey Yu, Sophia P Pilipchuk, Darnell Kaigler, William V Giannobile
Periodontitis affects nearly half of the adult population in the United States and leads to periodontium destruction, tooth loss, and tooth mobility. Novel bioengineering has become an area of interest in dentistry, as various approaches aim to regenerate attachment apparatus around diseased teeth with the use of barriers, scaffolds, bone grafts, or biologics. This article emphasizes recent findings in the fields of stem cell/gene therapy, 3-dimensional printing, and innovative scaffold designs for future applications in clinical care...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29600868/smear-layer-removal-efficacy-using-endoactivator-and-endoultra-activation-systems-an-ex-vivo-sem-analysis
#7
Priyatam Karade, Alexander Johnson, John Baeten, Rutuja Chopade, Upendra Hoshing
OBJECTIVE: This study evaluated intracanal smear layer removal using syringe and needle irrigation (ie, conventional irrigation [CI]) with and without adjunctive activation using EndoActivator® or EndoUltra®. MATERIALS AND METHODS: Thirty-five premolars were divided into three experimental groups (n = 10) and a control (n = 5): (1) CI, (2) CI plus sonic activation (EndoActivator), (3) CI plus ultrasonic activation (EndoUltra), or (4) CI using saline. All teeth were prepared to a size #40 K file...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29600867/minimally-invasive-ceramic-restorations-a-step-by-step-clinical-approach
#8
Carlos Marcelo Archangelo, José Carlos Romanini, Karen Cristina Archangelo, Isis Almela Endo Hoshino, Rodolfo Bruniera Anchieta
Minimally invasive treatments are a dominant trend in dentistry. Due to the evolution of adhesive materials and ceramics, minimalistic ceramic restorations have been proposed as alternative treatment options to avoid unnecessary tooth reduction. The aim of this article is to show a clinical protocol for the correct diagnosis, treatment planning, and execution of minimally invasive ceramic veneers. Requiring only slight tooth preparation, this conservative technique is well-suited for restoration of teeth that need color and shape modification...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29600866/management-of-technical-complications-during-full-mouth-implant-rehabilitation-with-hybrid-prostheses-over-a-7-year-period
#9
Bahaa Alshawaf, Yukio Kudara, Hans-Peter Weber, Panos Papaspryidakos
Monolithic ceramics have been introduced in dentistry to help reduce technical complications reported with implant-supported metal-resin hybrid prostheses. This clinical report describes the maintenance and technical complications that occurred during a full-mouth implant rehabilitation using different prosthetic materials over a 7-year period. During the course of 4 of those years, multiple technical complications were encountered with the metal-resin hybrid prostheses, prompting the need for increased maintenance...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493254/immediate-implant-placement-and-provisionalization-using-the-patient-s-extracted-crown-12-month-follow-up
#10
Tatiana Miranda Deliberador, Gilmar José Begnini, Flávia Tomazinho, Carlos Eduardo Edwards Rezende, Fernando Luis Esteban Florez, Denise Piotto Leonardi
STATEMENT OF PROBLEM: Immediate placement and provisionalization of implants in fresh sockets has been previously demonstrated to be a predictable treatment in the restoration of non-recoverable teeth in the anterior regions of the maxilla. PURPOSE: This article reports a clinical case in which an immediate implant placement protocol was used in combination with two distinct and sequential grafts (bovine bone and connective tissue, respectively) followed by immediate implant provisionalization using the patient's crown of an extracted tooth...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493253/protection-from-dental-erosion-all-fluorides-are-not-equal
#11
Robert V Faller, Warden H Noble
All fluoride sources help strengthen teeth against bacterial acids that cause caries. However, excessive exposure to dietary acids, which can result in dental erosion, presents a more aggressive level of challenge compared to caries. Despite the fact that almost all toothpastes contain fluoride, both the incidence and prevalence of dental erosion appear to be on the rise. This article: (1) describes key differences between caries and dental erosion and the ability of different fluoride sources to help prevent erosion; (2) discusses the importance of the evaluation of patients for dental erosion at the earliest stages using the Basic Erosive Wear Examination scoring system to help assess and educate patients; and (3) provides evidence-based information for making specific recommendations to patients with dental erosion...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493252/proof-of-concept-technique-digital-workflow-using-temporary-shell-to-enable-customized-immediate-function-in-two-visits-in-partially-edentulous-patients
#12
Alessandro Pozzi, Lorenzo Arcuri, Peter K Moy
The growing interest in minimally invasive implant placement and delivery of a prefabricated provisional prosthesis immediately, thus minimizing "time to teeth," has led to the development of numerous 3-dimensional (3D) planning software programs. Given the enhancements associated with fully digital workflows, such as better 3D soft-tissue visualization and virtual tooth rendering, computer-guided implant surgery and immediate function has become an effective and reliable procedure. This article describes how modern implant planning software programs provide a comprehensive digital platform that enables efficient interplay between the surgical and restorative aspects of implant treatment...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493251/ten-steps-to-create-virtual-smile-design-templates-with-adobe-photoshop%C3%A2-cs6
#13
Manoj Kumar Sundar, Venkataraman Chelliah
Computer design software has become a primary tool for communication among the dentist, patient, and ceramist. Virtual smile design can be carried out using various software programs, most of which use assorted forms of teeth templates that are made based on the concept of "golden proportion." Despite current advances in 3-dimensional imaging and smile designing, many clinicians still employ conventional design methods and analog (ie, man-made) mock-ups in assessing and establishing esthetic makeovers...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493250/preservation-of-natural-gingival-pigmentation-when-treating-multiple-gingival-recession-defects
#14
Douglas H Mahn
Proper surgical techniques can permit treatment of multiple gingival recession defects without altering the visible gingival pigmentation. In this case report, a patient presented with multiple adjacent sites displaying gingival recession. Natural pigmentation was present in the interdental papillae and in the zone of keratinized gingiva. This patient wanted his natural pigmentation to be preserved. A modified tunnel technique was used to avoid traumatizing the pigmented tissues and allow placement of a large graft...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493249/dental-impressions-maturity-of-imaging-technologies-driving-shift-to-digital
#15
Eugene Antenucci
No abstract text is available yet for this article.
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493248/direct-and-indirect-pulp-capping-a-brief-history-material-innovations-and-clinical-case-report
#16
Gary Alex
Among the goals of pulp capping are to manage bacteria, arrest caries progression, stimulate pulp cells to form new dentin, and produce a durable seal that protects the pulp complex. This article will provide a general discussion of direct and indirect pulp capping procedures, offering practitioners a pragmatic and science-based clinical protocol for treatment of vital pulp exposures. A clinical case will be presented in which a novel light-cured resin-modified mineral trioxide aggregate hybrid material was used to manage a mechanical vital pulp exposure that occurred during deep caries excavation...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493247/the-metal-zirconia-implant-fixed-hybrid-full-arch-prosthesis-an-alternative-technique-for-fabrication
#17
Lambert J Stumpel, Walter Haechler
The metal-resin hybrid full-arch prosthesis has been a traditionally used type of restoration for full-arch implant fixed dentures. A newer development has centered around the use of monolithic zirconia or zirconia veneered with porcelain. Being a ceramic, zirconia has the potential for fracture. This article describes a technique that utilizes a metal substructure to support a chemically and mechanically resinbonded shell of zirconia. The workflow is discussed, ranging from in-office master cast fabrication to the CAD/ CAM production of the provisional and the definitive metal-zirconia prosthesis...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493246/keys-to-achieving-predictable-single-unit-implant-esthetics-in-the-smile-zone
#18
Nicholas Marongiu
When planned and implemented appropriately, single-unit implant dentistry in the smile zone can be an excellent alternative to attempting to save a failing natural tooth. Historically, implant success has revolved around assessment of osseointegration and the healing of bone around the implant, without much regard for esthetics upon completion. As implant dentistry has evolved, the expectations of both restoring clinicians and patients have expanded to emphasize the esthetic outcome as well as faster treatment with immediate implant placement...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493245/drug-abuse-among-the-elderly-implications-for-dental-practice
#19
Kester F Ng, Aviv Ouanounou
Current demographic data demonstrate an aging North American population, and projections suggest that the percentage of the elderly will increase. Substance abuse among seniors is a common problem, though it is often unidentified and frequently undiagnosed. The most predominant drugs abused by the geriatric individual are alcohol; analgesics, including opioids; central nervous system depressants; and illicit drugs. This article will discuss reasons for drug abuse among the elderly, warning signs associated with substance abuse, and the implications of this problem to the oral cavity and the dental practice...
March 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29493244/surgically-facilitated-orthodontic-therapy-optimizing-dentoalveolar-bone-and-space-appropriation-for-facially-prioritized-interdisciplinary-dentofacial-therapy
#20
George A Mandelaris, Bradley S DeGroot, Robert Relle, Brian Shah, Iwei Huang, Brian S Vence
Comorbidities that negatively impact orthodontic (malocclusion), periodontal (periodontitis, deficient dentoalveolar bone volume, mucogingival), and prosthetic (structural integrity compromise from caries, attrition, and erosion) conditions can affect the general health of the patient. In addition, emerging data highlights the importance of undiagnosed airway volume deficiencies and sleep-disordered breathing conditions in the adult and pediatric population. Deficiencies in dentoalveolar bone and discrepancies in skeletal relationships can impact the volume of hard- and soft-tissue structures of the periodontium and decrease oral cavity volume...
March 2018: Compendium of Continuing Education in Dentistry
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