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Journals Compendium of Continuing Educa...

Compendium of Continuing Education in Dentistry

https://read.qxmd.com/read/37850968/smile-restoration-of-a-dental-anxiety-patient-using-same-day-chairside-cad-cam-and-esthetic-zirconia
#21
JOURNAL ARTICLE
Lincoln R Fantaski
This clinical case study describes the smile restoration of a 33-year-old female patient who exhibited severe dental anxiety, multiple cavities, discoloration, and a fractured tooth. The patient's complex dental history and anxiety-driven treatment preferences posed challenges that were met with a minimally invasive strategy. The case involved meticulous diagnosis, leveraging advanced diagnostic wax-ups, and a comprehensive treatment plan. Esthetic zirconia material was utilized to enable the preservation of tooth structure while achieving visually appealing and functional outcomes, and CAD/CAM technology facilitated same-day restorations with superior marginal fit, aided by the precision of a digital intraoral scanner...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37850967/a-predictable-approach-to-exquisite-anterior-direct-restorations-the-additive-solution
#22
JOURNAL ARTICLE
Mehrdad Razaghy
A rapidly increasing knowledge of and value in minimally invasive dentistry has shed more light on additive bonding as an ideal solution for esthetic improvement in anterior teeth. Understanding the essentials to performing predictable composite bondings, when indicated and possible, can transform everyday treatment planning to offer enduring, functional, and visually appealing results achieved, most importantly, through additive means. By preserving natural tooth structure and seamlessly blending restorations, additive bonding represents a revolutionary approach to achieving esthetic enhancements while optimizing patient satisfaction...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37850966/fabrication-of-a-dual-purpose-implant-surgical-guide
#23
JOURNAL ARTICLE
Thomas H Yoo, Caleb J Cross, Brian M Kasten, Harold S Baumgarten, Howard P Fraiman
While surgical guides have allowed for more highly accurate immediate implant placement in the esthetic zone, only a few techniques have been described to predictably position an immediate implant provisional. Even fewer techniques have addressed repositioning a patient's extracted tooth for use as the interim implant restoration. This article describes a workflow for the fabrication of a dual-purpose surgical guide that allows for guidance of implant placement as well as repositioning of a decoronated tooth that will serve as a provisional...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37850959/hba1c-in-dental-practices-enhancing-patient-health-through-blood-glucose-screenings
#24
JOURNAL ARTICLE
Deepika Dhama
Periodontal disease and diabetes are highly prevalent chronic health conditions that have far-reaching implications, impacting health, economic well-being, and overall quality of life. With half of all American adults affected by periodontal disease1 and more than 422 million individuals impacted by diabetes globally,2 the need for effective strategies to manage these conditions is significant. Incorporating hemoglobin A1c (HbA1c) testing into routine dental visits provides dental professionals an opportunity to improve patient health outcomes...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37850958/deep-margin-elevation-next-level-adhesive-dentistry-to-avoid-surgical-crown-lengthening
#25
JOURNAL ARTICLE
Markus B Blatz, Florin Eggmann
Surgical crown lengthening (SCL) is the treatment of choice to ensure healthy tissues when subgingival tooth defects encroach on the biologic width.1 However, restorative techniques employing adhesive dentistry may provide viable alternatives to or complement SCL in select cases without the repercussions of surgical bone removal and open interproximal spaces. One such clinical technique, deep margin elevation (DME), employs a direct restoration to relocate the cervical margin of small subgingival defects of posterior teeth supragingivally...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37850957/mixing-allograft-and-xenograft-for-a-predictable-alveolar-ridge-preservation-procedure-a-case-series
#26
JOURNAL ARTICLE
Samar Shaikh, Annie Li, Irina Dragan
BACKGROUND: An alveolar ridge preservation (ARP) procedure is commonly performed to preserve ridge width and height for optimal dental implant placement. Mixing different sources of bone grafts may help maximize their properties to obtain predictable ARP results. OBJECTIVE: The aim of this case series is to highlight the clinical and radiographic outcomes of a combined allograft and xenograft approach for a predictable ARP procedure. MATERIALS AND METHODS: Eleven clinical cases that required tooth extraction and future implant placement were selected for this case series...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37850956/3d-printing-of-thermoflexible-therapeutic-splints-treating-bruxism-more-comfortably
#27
JOURNAL ARTICLE
Yassine Harichane
Three-dimensional (3D) printing has helped drive rapid and abundant growth in the field of digital dentistry and has been largely spurred on by the development of material innovation. Thermoflexible occlusal splints represent a recent innovation in this area, as they feature a remarkably elastic behavior. Now, practitioners can provide patients with a comfortable, soft, class II medical device generated through a simple digital workflow. This article presents a case report that demonstrates the management of temporomandibular joint disorders by means of a flexible 3D-printed splint...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37850955/clinical-guidelines-for-the-surgical-orthodontic-management-of-impacted-maxillary-central-incisors-based-on-a-decision-tree
#28
JOURNAL ARTICLE
Miguel Hirschhaut, Carol Weinstein, Carolina Alarcon, Carlos Flores-Mir
Maxillary central incisors are critical to occlusal function, smile esthetics, and even one's self-image. Furthermore, their impaction at an early age could have harmful psychological consequences on the individual. Maxillary central incisors can be impacted due to early dentoalveolar trauma to the upper anterior region that displaces the incisor in formation and, in rare instances, tooth germs are deformed. The aftermath of trauma during primary dentition is seen later during mixed dentition. Other causes are either an impediment in the eruption pathway of the maxillary central incisor due to the presence of odontomas or supernumerary teeth, an insufficient eruption space, or, very rarely, syndromic and/or other general medical conditions...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37850954/behind-the-scenes-infection-prevention-focusing-on-clinical-surfaces-and-instrument-processing
#29
REVIEW
Shannon Pace Brinker, Gaylene Baker
All dental healthcare providers need to ensure patient and worker safety by maintaining excellent standards with regard to cleaning and disinfecting treatment rooms and reprocessing critical instruments. Especially in this day and age of heightened infection control concerns, proper cleaning and disinfection protocols are critically important to prevent cross-contamination and maintain hygienic conditions. This article reviews infection prevention strategies in the dental office, beginning with treatment room cleaning and disinfection, which includes maintenance of various types of surfaces and the use of barrier protection, and continuing to the disinfection and sterilization of dental instruments...
October 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37708047/what-s-new-in-glue-utilizing-universal-resin-cement-for-non-ideal-situations-in-prosthodontics
#30
JOURNAL ARTICLE
Miles R Cone
Dentists frequently encounter the need to cement indirect restorations in clinical situations that are less than ideal, and the longevity and predictability of the indirect restorative materials used in such cases is largely predicated on the chemical and/or mechanical bond formed between the natural tooth or abutment and the cement. These non-ideal scenarios have been a significant driver in the continued evolution of self-adhesive resin cements (SARCs) with added functional monomers, such as 10-MDP. This article discusses three real-world case studies in which a newly developed universal SARC was utilized and combined with the use of an optional adhesive-enhancing primer that employs a proprietary "touch-cure" technology, or a light-cured adhesive, to improve the bond strength of the resin cement and enhance patient outcomes...
September 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37708046/keys-to-bonding-esthetic-durable-zirconia-restorations-two-case-reports
#31
JOURNAL ARTICLE
Todd Snyder
Polycrystalline metal oxide-based ceramics, typically referred to as zirconium dioxide (or zirconia), have advanced greatly in the past two decades, becoming a popular cosmetic restorative material. Although contrary to common belief, adhesive bonding to zirconia is not only possible but quite effective using the right materials with proper technique. This article discusses keys to bonding to zirconia, presenting two case reports in which adhesion and cementation are demonstrated.
September 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37708045/coming-together-for-better-international-oral-health-a-model-for-hope
#32
JOURNAL ARTICLE
Michael Minh Le, Rodrigo Letona Barillas, Marisol King
Good oral health is crucial to overall well-being, and everyone needs to have equal access to quality oral healthcare. Despite this, disparities in oral health still exist on an international scale. In 2022, the World Health Organization (WHO) adopted a global oral health strategy to reduce oral diseases and health inequities through public health approaches, integrating oral health with primary healthcare and adopting innovative workforce models.1 Tailored interventions and optimized digital technologies are also critical to this strategy...
September 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37708044/advances-in-esthetic-immediate-tooth-replacement-therapy-aimed-at-improving-clinical-outcomes
#33
JOURNAL ARTICLE
Barry P Levin
The criteria for successful tooth replacement in the esthetic zone is comprehensive and often complex. Merely achieving osseointegration is no longer the bar for which clinicians strive to reach in this endeavor. Achieving and maintaining hard- and soft-tissue stability as well as physiologic, scalloped soft-tissue architecture to frame cosmetic restorations is the ultimate goal of esthetic, immediate tooth replacement therapy (EITRT).
September 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37708043/digital-workflow-as-an-aid-to-complex-multidiscipline-dental-treatment-for-improved-esthetics
#34
JOURNAL ARTICLE
Fred A Puccio, Gregori M Kurtzman
Complex treatment frequently requires the often challenging task of cohesively melding multiple disciplines of dentistry. The use of a digital workflow aids in simplifying the flow of treatment from start to finish and can result in faster and better outcomes for the patient as compared to traditional analog methods. Digital workflows allow the clinician to design esthetic outcomes and occlusion first virtually, communicate these esthetic designs to the patient, and then transmit digital files to chairside milling and printing devices as well as to dental laboratories for permanent restoration fabrication...
September 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37708042/redefining-what-is-possible-treating-function-and-enhancing-esthetics-using-a-risk-management-system
#35
JOURNAL ARTICLE
Kris Swanson, Leon Hermanides
The case presented involves a patient with a history of extensive dental treatment who had become exasperated with her increasingly uncomfortable bite. She also had concerns about the potential fracture or loss of anterior teeth. In managing her risk profile and esthetic concerns, the clinician utilized a systematic approach to diagnosis and treatment planning. The treatment consisted of addressing her joint pain, restoring the maxillary arch, and then restoring the mandibular arch using a combination of direct and indirect restorations...
September 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37708041/how-to-evaluate-clinical-trials-in-contemporary-dental-journals
#36
JOURNAL ARTICLE
Gary Greenstein, John Grbic
Knowing how to rightly interpret studies is important for dental clinicians so they can glean pertinent information that can be applied to patient care. This article describes the contents that are included in the introduction, methods and materials, results, and discussion sections of a clinical trial and emphasizes several important statistical concepts, including why a statistically significant difference does not necessarily translate to a clinically significant finding. The authors conclude that critical analyzation of a clinical trial enhances evidence-based clinical practice...
September 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37708040/subcrestal-implantoplasty-for-treating-peri-implantitis-with-regenerative-care-how-deep-should-treatment-go
#37
JOURNAL ARTICLE
Paul S Rosen, Dennis P Tarnow
Used to treat implants failing due to peri-implantitis, implantoplasty has traditionally been performed in conjunction with a resective approach or to smooth the portion of the dental implant above the bone to facilitate oral hygiene efforts. This article demonstrates the use of implantoplasty to decontaminate the implant surface both above and below the crest of bone in an attempt to reosseointegrate the failing implant; to the authors' knowledge this is the first time in the literature that implantoplasty was used in this manner and demonstrated potential regenerative efficacy...
September 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37418472/sleep-disordered-breathing-and-its-potential-impact-on-restorative-dentistry-a-14-year-case-study
#38
JOURNAL ARTICLE
Bozidar L Kuljic
Understanding the effects sleep-disordered breathing can have on dentitions may be critical to the long-term success of restorative treatment. In the current case, a patient presented with a large diastema that was successfully closed using porcelain veneers only to have an unexpected unesthetic consequence occur years later. The case demonstrates that if the clinical focus is solely on reparatory modalities or clinical management, without recognition of possible airway issues, unintended restorative consequences may surface in the future...
June 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37418471/more-than-straightening-teeth-the-orthodontist-s-role-in-sleep-dentistry
#39
JOURNAL ARTICLE
Daniel Berant, Diana-Beatrix Velicu
In 2023, the ever-evolving field of orthodontics continues to provide clinicians opportunities to positively impact their patients' oral health and overall well-being. Clear aligners have sustained their upward trend of being utilized more frequently than ever and delivering outstanding results in cases that were previously deemed to be "impossible" to treat with aligners. Technology has advanced and new companies that rely heavily on intraoral scans combined with cone-beam computed tomography (CBCT) have continued to demonstrate their impact on decreasing treatment time and increasing predictability...
June 2023: Compendium of Continuing Education in Dentistry
https://read.qxmd.com/read/37418470/hypoglossal-nerve-stimulation-therapy-for-obstructive-sleep-apnea
#40
JOURNAL ARTICLE
Thomas M Kaffenberger, Ryan J Soose
Obstructive sleep apnea (OSA) is characterized by repetitive episodes of disrupted breathing during sleep. The most effective treatment for OSA is positive pressure ventilation; however, this treatment can be complicated by adherence difficulties. An array of alternative OSA therapies have emerged, including positional therapy, nasal exhalation devices, oral appliances, and various nasal, pharyngeal, and skeletal surgical treatments. One of the newest options, hypoglossal nerve stimulation (HNS) therapy, represents a hybrid medical and surgical treatment...
June 2023: Compendium of Continuing Education in Dentistry
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