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Compendium of Continuing Education in Dentistry

Richard B Smith, Dennis P Tarnow, Guido Sarnachiaro
The authors present an 11-year retrospective analysis of 300 immediately placed implants in molar extraction sockets. The protocol used for the placement and restoration of these implants is based upon a previously published article by the authors regarding the classification of molar extraction sockets. Four different implant systems were used during this study, and implants varied in diameter, length, and texture. Some implants were immediately provisionalized, and some were immediately loaded. The overall survival rate of 97...
March 2019: Compendium of Continuing Education in Dentistry
J Sylvia Western, Vivek V Gupta, Srinivas S Ramachandra
This case report describes the management of a mandibular first molar with an additional distolingual root (radix entomolaris) and grade III cervical enamel projection through a multidisciplinary approach. Diagnosis for the case was endodontic-periodontal lesion due to non-vitality and associated advanced periodontal destruction. The patient was treated with drainage of the periodontal abscess with adjunct antibiotics, phase I periodontal therapy, endodontic therapy, radiculoplasty, regenerative periodontal therapy, replacement of the missing right mandibular second molar, and long-term maintenance...
March 2019: Compendium of Continuing Education in Dentistry
Daniel Cullum, Mark Lucas
Site preservation grafting after tooth extraction offers improved predictability for alveolar volume maintenance and successful delayed implant treatment. Multiple techniques and materials are used for these procedures, and each possesses relative benefits and challenges for the clinician and patient. In the case reports presented, the patients were treated with minimally invasive open extraction site preservation with dehydrated amnion/chorion membrane (dHACM) at pontic sites and prior to delayed implant therapy...
March 2019: Compendium of Continuing Education in Dentistry
Jeremy A Horst, Masahiro Heima
The use of silver diamine fluoride (SDF) for management of dental caries has gained considerable attention due to recent regulatory clearance in the United States. The primary focus of policies, presentations, and publications has been the arrest of caries lesions (cavities) because of the material's unique ability to non-invasively achieve this elusive and clinically important goal. However, SDF also has proven efficacy in prevention, ie, decreasing the incidence of new caries lesions. Analysis of nine clinical trials in children shows that SDF prevented 61% of new lesions compared to controls...
March 2019: Compendium of Continuing Education in Dentistry
Whitney Mostafiz
Interceptive orthodontics is intended to optimize dentofacial growth and development. This treatment concept attempts to prevent or minimize dental development abnormalities while enabling craniofacial growth modification. Utilizing preventative holistic concepts, it also focuses on habit intervention. Interceptive orthodontics in children entails monitoring for a variety of conditions, including excessive space, severe crowding, open or deep bites, anterior and/or posterior crossbites, severe overjet, and abnormal eruption patterns...
March 2019: Compendium of Continuing Education in Dentistry
Marco Rinaldi, Scott D Ganz
PURPOSE: This study introduces a novel protocol for the placement of zygomatic implants utilizing presurgical planning with 3-dimensional (3D) computed tomography (CT)/cone-beam (CB)CT diagnostic technologies and advanced 3D printing through the development of a specific surgical guide. MATERIALS AND METHODS: The protocol relied on large field of view CT/CBCT for an accurate assessment of the maxillary arch to plan zygomatic implant receptor sites. CT/CBCT-derived surgical guides of a novel design were then fabricated using 3D printing technology...
March 2019: Compendium of Continuing Education in Dentistry
Nisha Ganesh, Howard E Strassler
No abstract text is available yet for this article.
February 2019: Compendium of Continuing Education in Dentistry
Ryan T On Tse
Digital smile design (DSD) used in combination with an esthetic pre-evaluative temporary restoration is a reliable means of minimizing the removal of tooth structure when ceramic veneers are being placed. When patients present with poorly aligned teeth, the use of clear aligners may be considered to properly position the teeth based on the desired outcome. This article, which illustrates a method to systematically diagnose, plan, and stage treatment for a smile makeover, describes the merging of DSD with clear aligner therapy to enable clinicians to recognize digitally where to position the teeth using orthodontic movement...
February 2019: Compendium of Continuing Education in Dentistry
Lisa M Yerke, Robert E Cohen
Periapical and bitewing radiographs lack the sensitivity to reliably diagnose horizontal root fractures, and, therefore, asymptomatic teeth with root fractures may remain undetected for years. This article reports a case in which a patient presented with a mucogingival defect on tooth No. 24 with no apparent history of dental trauma. During a free gingival graft procedure, a horizontal root fracture was observed in the apical third of the aforementioned tooth. After the clinician communicated this finding to the patient, the patient recollected two instances of trauma that had occurred to this area more than 30 years earlier...
February 2019: Compendium of Continuing Education in Dentistry
Joseph R Grennberg
As digital technology increasingly permeates the practice of dentistry, intraoral digital impression scanning is evolving rapidly. New systems are making the capture of digital impressions faster and easier than previous generations of digital impression scanners. This case report describes the use of a contemporary intraoral impression scanner to capture tooth and soft-tissue positions for a four-unit fixed prosthesis and accompanying custom dental implant abutment.
February 2019: Compendium of Continuing Education in Dentistry
Maria L Geisinger, David C Alexander, Irina F Dragan, Stephen C Mitchell
For a mother-to-be, pregnancy presents an opportunity to improve not only her health and well being but also that of the immediate family, particularly the newborn infant. The National Consensus Statement of the Oral Health Care During Pregnancy Expert Group together with both governmental and non-governmental guidelines indicate that dental care is both safe and effective during pregnancy. These statements and guidelines may not be widely understood across all healthcare providers that form the perinatal care team, and confusion seems to exist among the general public regarding the safety of and necessity for dental care during pregnancy...
February 2019: Compendium of Continuing Education in Dentistry
Vanara F Passos, Mary A S Melo, Jennifer Park, Howard E Strassler
Dental erosion is a multifactorial condition associated with chemical, biological, and behavioral factors whereby a non-bacterial chemical process leads to an irreversible loss of dental structure. Consequences of this erosive process include painful sensitivity, susceptibility to further erosion, mechanical wear, changes in occlusion, exposure of dental pulp, and poor esthetics. Substantial evidence has revealed new insights to diagnosing early stages of dental erosion and enabling novel preventive approaches to control its progression...
February 2019: Compendium of Continuing Education in Dentistry
Anusha Etikala, Mustafa Tattan, Houssam Askar, Hom-Lay Wang
BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed group of drugs in dentistry for managing postoperative pain and discomfort. Little is known regarding their effects on the healing of periodontal and peri-implant tissues. METHODS: The authors conducted a review of the literature to provide an overview of knowledge about NSAIDs and their potential effects on periodontal and implant wound healing. RESULTS: A Pubmed (MEDLINE) database search was conducted to identify articles evaluating the influence of administration of NSAID drugs on outcomes following periodontal treatments (nine clinical studies) and dental implant placement (four animal studies and two human clinical studies)...
February 2019: Compendium of Continuing Education in Dentistry
Michael D Scherer
Proper treatment planning is critical to achieving a successful outcome when treating patients with implant overdenture restorations. Key factors related to success include the number, location, and distribution of implants and choice of abutment. Contemporary design of stud-style abutment systems for overdentures is aimed at accommodating patients who present with challenges such as anatomical limitations or poor dexterity hampering insertion and removal of prostheses. This article describes the effective management of excessive angulation to achieve an enhanced outcome with implant overdenture treatment, even with a less-than-ideal clinical presentation...
January 2019: Compendium of Continuing Education in Dentistry
Timothy L Hottel, Robin L Jack, Elliott Taynor, Martha Wells, Wainscott Hollis
BACKGROUND: This study evaluated a novel treatment approach using the concept of cranial facial manipulation with an oral appliance, the TicTocStop Tic Guard (TTSTG), also known as the Tic Guard, to determine its safety and efficacy in the treatment of Tourette syndrome (TS) and chronic tic disorders (CTDs). METHODS: A two-center study was undertaken at the University of Tennessee Health Science Center and a facility on Long Island, New York. A total of 77 subjects enrolled between the centers upon referral from local neurologists and via Internet enrollment; 67 subjects started the study, and 58 completed the study...
January 2019: Compendium of Continuing Education in Dentistry
Samuel B Low
No abstract text is available yet for this article.
January 2019: Compendium of Continuing Education in Dentistry
Scott L Rice, Taylor S Rice, Nicolas A Ravon
The use of orthodontic extrusion can be advantageous for creating a favorable periodontal and restorative environment while avoiding extensive bone and soft-tissue grafting. This approach is demonstrated in the case of a young woman who presented with discomfort and concerns over her maxillary central incisors. Additionally, the orthodontic treatment corrected occlusal dysfunction and slight crowding. Interdisciplinary, facially generated treatment planning was critical to the final esthetic result and the reduction of biomechanical, functional, and dentofacial risk factors...
January 2019: Compendium of Continuing Education in Dentistry
Eric T Stoopler, Sahar Mirfarsi, Faizan Alawi, Thomas P Sollecito
Oral mucosal lesions are frequently encountered in a variety of healthcare settings and often present as a diagnostic and management challenge. Several immune-mediated disorders present with overlapping oral and/or cutaneous manifestations. Healthcare providers must establish a specific diagnosis to guide effective disease management. This article describes the case of a patient previously diagnosed with Behçet's disease who presented with recalcitrant gingival lesions. The case report underscores the need for healthcare providers to have a fundamental knowledge of mucocutaneous disorders...
January 2019: Compendium of Continuing Education in Dentistry
Christopher A Haggard, Brock J Pumphrey, Colin S Richman, Mark E Peacock, J Kobi Stern
Periodontal regeneration of lost tissue, including periodontal ligament (PDL), cementum, and bone, has evolved with regard to surgical techniques, biomaterials, and growth factors. Simultaneous orthodontic therapy and periodontal surgical treatment has been documented previously and shown to enhance the regenerative outcome due to stimulation of the PDL by tooth movement. This combined strategy is becoming increasingly common as clinicians explore the capabilities of a collaborative approach. This article presents a case series that documents three cases in which combined orthodontic and surgical procedures were used to enhance the regenerative outcome in challenging clinical scenarios...
January 2019: Compendium of Continuing Education in Dentistry
James Bahcall, Seema Ashrafi, Qian Xie
Maintaining dental pulp vitality should be among the clinical goals of any restorative treatment. By obtaining a pretreatment pulpal and periradicular diagnosis before performing restorative treatment, the clinician will be better able to proceed with treatment of the pulp, especially if it is exposed during caries excavation. A pretreatment pulpal and periapical diagnosis may be effectively attained by performing five objective clinical tests: pulp sensibility, percussion (which may include bite testing), palpation, periodontal probing/ tooth mobility, and updated radiography...
January 2019: Compendium of Continuing Education in Dentistry
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