Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.884
Elizabeth O'Sullivan
Tooth wear in children is a multifactorial process that can be due to either physiological or pathological processes. The most frequent type of tooth wear in children is erosion, and its contribution to overall tooth wear is explained. The prevalence, aetiology, presentation and management of tooth wear, especially erosion, are discussed in this article, with practical clinical advice for the treating clinician and families. The challenges to giving practical preventive advice, and the complexities involved in overcoming dietary and lifestyle changes in an environment of powerful advertising, peer pressure and social media influencers are discussed in detail. CPD/Clinical Relevance: Erosive tooth wear is common in children, so understanding the aetiology and giving families practical and relevant preventive advice is important.
{"title":"Tooth wear in children: prevalence, presentation and prevention","authors":"Elizabeth O'Sullivan","doi":"10.12968/denu.2023.50.10.884","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.884","url":null,"abstract":"Tooth wear in children is a multifactorial process that can be due to either physiological or pathological processes. The most frequent type of tooth wear in children is erosion, and its contribution to overall tooth wear is explained. The prevalence, aetiology, presentation and management of tooth wear, especially erosion, are discussed in this article, with practical clinical advice for the treating clinician and families. The challenges to giving practical preventive advice, and the complexities involved in overcoming dietary and lifestyle changes in an environment of powerful advertising, peer pressure and social media influencers are discussed in detail. CPD/Clinical Relevance: Erosive tooth wear is common in children, so understanding the aetiology and giving families practical and relevant preventive advice is important.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.834
Jose Suarez Feito, Shamir B Mehta, Subir Banerji
In this article, full-mouth restorative rehabilitation of the generalized worn dentition is presented. In the authors' opinion, the steps to achieve a predictable functional and aesthetic outcome are proposed and illustrated using clinical case examples. The rationale for each step is outlined and the longer-term expectations, from the point of view of both the clinicians and patients are considered. CPD/Clinical Relevance: Knowledge of a step-by-step approach to the full-mouth rehabilitation of the worn dentition is valuable for clinicians.
{"title":"Full mouth restorative rehabilitation of the generalized worn dentition: a step-by-step approach to treatment","authors":"Jose Suarez Feito, Shamir B Mehta, Subir Banerji","doi":"10.12968/denu.2023.50.10.834","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.834","url":null,"abstract":"In this article, full-mouth restorative rehabilitation of the generalized worn dentition is presented. In the authors' opinion, the steps to achieve a predictable functional and aesthetic outcome are proposed and illustrated using clinical case examples. The rationale for each step is outlined and the longer-term expectations, from the point of view of both the clinicians and patients are considered. CPD/Clinical Relevance: Knowledge of a step-by-step approach to the full-mouth rehabilitation of the worn dentition is valuable for clinicians.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.814
Ulpee R Durbar, Ken W Hemmings
Patients may present with localized anterior toothwear, complaining of poor appearance or sensitivity. or both. Restoration of these teeth continues to cause problems, especially if interocclusal space has been lost. Conventional treatment to satisfy the patient's aesthetic and functional demands is time consuming and requires careful maintenance. This paper describes the use of chairside composite resin restorations in the treatment of localized anterior toothwear. lnteroccusal space is provided by placing the restorations at an increased vertical dimension of occlusion. It enables the presenting complaint to be resolved while restoring structure, function and appearance. CPD/Clinical Relevance: Localized anterior toothwear may be treated in suitable cases by placement of palatal composite restorations, with posterior tooth contact normally being re-established within 6 months. Original article reproduced in full from: Darbar UR, Hemmings KW. Treatment of localized anterior toothwear with composite restorations at an increased occlusal vertical dimension. Dent Update 1997; 24: 72–75. (Please note that the figures have been reproduced from the original printed version.)
{"title":"Treatment of localized anterior toothwear with composite restorations at an increased occlusal vertical dimension","authors":"Ulpee R Durbar, Ken W Hemmings","doi":"10.12968/denu.2023.50.10.814","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.814","url":null,"abstract":"Patients may present with localized anterior toothwear, complaining of poor appearance or sensitivity. or both. Restoration of these teeth continues to cause problems, especially if interocclusal space has been lost. Conventional treatment to satisfy the patient's aesthetic and functional demands is time consuming and requires careful maintenance. This paper describes the use of chairside composite resin restorations in the treatment of localized anterior toothwear. lnteroccusal space is provided by placing the restorations at an increased vertical dimension of occlusion. It enables the presenting complaint to be resolved while restoring structure, function and appearance. CPD/Clinical Relevance: Localized anterior toothwear may be treated in suitable cases by placement of palatal composite restorations, with posterior tooth contact normally being re-established within 6 months. Original article reproduced in full from: Darbar UR, Hemmings KW. Treatment of localized anterior toothwear with composite restorations at an increased occlusal vertical dimension. Dent Update 1997; 24: 72–75. (Please note that the figures have been reproduced from the original printed version.)","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.858
Gareth Calvert, William Keys, Khaled E Ahmed
There is increased evidence supporting the different management modalities of tooth wear, be it direct or indirect resin composite through an additive approach, or ceramics through a subtractive one. However, there remains a cohort of patients with complex clinical case presentations that require careful assessment, formulation of a multidisciplinary treatment plan, and the delivery of a restorative-led systematic intervention involving additional oral surgery or orthodontic specialties. This case series presents the multidisciplinary management of advanced complexity tooth wear cases, with treatment needs extending beyond the scope of direct and indirect restorative management, through a systematic treatment planning approach. CPD/Clinical Relevance: To highlight the potential multidisciplinary management options of tooth wear.
{"title":"Multidisciplinary management of advanced complexity tooth wear cases: patient needs beyond the direct and indirect restorations dichotomy","authors":"Gareth Calvert, William Keys, Khaled E Ahmed","doi":"10.12968/denu.2023.50.10.858","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.858","url":null,"abstract":"There is increased evidence supporting the different management modalities of tooth wear, be it direct or indirect resin composite through an additive approach, or ceramics through a subtractive one. However, there remains a cohort of patients with complex clinical case presentations that require careful assessment, formulation of a multidisciplinary treatment plan, and the delivery of a restorative-led systematic intervention involving additional oral surgery or orthodontic specialties. This case series presents the multidisciplinary management of advanced complexity tooth wear cases, with treatment needs extending beyond the scope of direct and indirect restorative management, through a systematic treatment planning approach. CPD/Clinical Relevance: To highlight the potential multidisciplinary management options of tooth wear.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.898
Sandeep Mukar, Len D'Cruz
Tooth wear is increasing in prevalence in both the younger and older population, and general dental practitioners have a duty of care to examine patients carefully, diagnose the condition and manage it with patient input. The article briefly covers the elements of examination, diagnosis and decision-making about how to manage it from a dento-legal perspective. CPD/Clinical Relevance: Dentists with their teams need to understand their legal obligations in managing this among their patient base.
{"title":"Dento-legal considerations in the management of patients with tooth wear","authors":"Sandeep Mukar, Len D'Cruz","doi":"10.12968/denu.2023.50.10.898","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.898","url":null,"abstract":"Tooth wear is increasing in prevalence in both the younger and older population, and general dental practitioners have a duty of care to examine patients carefully, diagnose the condition and manage it with patient input. The article briefly covers the elements of examination, diagnosis and decision-making about how to manage it from a dento-legal perspective. CPD/Clinical Relevance: Dentists with their teams need to understand their legal obligations in managing this among their patient base.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.810
KW Hemmings
Dental UpdateVol. 50, No. 10 Guest EditorialSticking with a concept: developing the use of composite restorations to manage tooth wearKW HemmingsKW Hemmingsemail: E-mail Address: [email protected]Consultant in Restorative Dentistry and Honorary Clinical Associate Professor, Eastman Dental Hospital and Institute, University College London and HospitalSearch for more papers by this authorKW HemmingsPublished Online:14 Nov 2023https://doi.org/10.12968/denu.2023.50.10.810AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View article References 1. Bevenius J, Evans S, L'Estrange P. Conservative management of erosion-abrasion: a system for the general practitioner. Aust Dent J 1994; 39: 4–10. https://doi.org/10.1111/j.1834-7819.1994.tb05537.x Medline, Google Scholar2. Dahl BL, Krogstad O, Karlsen K. An alternative treatment in cases with advanced localized attrition. J Oral Rehabil 1975; 2: 209–14. https://doi.org/10.1111/j.1365-2842.1975.tb00914.x Medline, Google Scholar3. Gough MB, Setchell DJ. A retrospective study of 50 treatments using an appliance to produce localised occlusal space by relative axial tooth movement. Br Dent J 1999; 187: 134–139. https://doi.org/10.1038/sj.bdj.4800223 Medline, Google Scholar4. Darbar UR, Hemmings KW. Treatment of localized anterior toothwear with composite restorations at an increased occlusal vertical dimension. Dent Update 1997; 24: 72–75. Medline, Google Scholar5. Hemmings KW, Darbar UR. Treatment of tooth wear with direct composite restorations at an increased vertical dimension. J Dent Res 1996; 75: 1146 Abstr 134. Google Scholar6. Hemmings KW, Darbar UR. Tooth wear treated with direct composite resin restorations at an increased vertical dimension – results at 30 months. J Dent Res 1998; 77: Abstr 2151. Google Scholar7. Hemmings KW, Darbar UR, Vaughan S. Tooth wear treated with direct composite restorations at an increased vertical dimension: results at 30 months. J Prosthet Dent 2000; 83: 287–293. https://doi.org/10.1016/s0022-3913(00)70130-2 Medline, Google Scholar8. Milosevic A, Burnside G. The survival of direct composite restorations in the management of severe tooth wear including attrition and erosion: a prospective 8-year study. J Dent 2016; 44: 13–19. https://doi.org/10.1016/j.jdent.2015.10.015 Medline, Google Scholar9. Poyser NJ, Briggs PF, Chana HS et al.. The evaluation of direct composite restorations for the worn mandibular anterior dentition – clinical performance and patient satisfaction. J Oral Rehabil 2007; 34: 361–376. https://doi.org/10.1111/j.1365-2842.2006.01702.x Medline, Google Scholar10. Loomans B, Opdam N, Attin T et al.. Severe tooth wear: European Consensus Statement on Management Guidelines. J Adhes Dent 2017; 19: 111–119. https://doi.org/10.3290/j.jad.a38102 Medline, Google Scholar11. Goldstein G, Campbell S. The Dahl concept: best evidence consensus statement. J Prosthodont 2022; 31:
{"title":"Sticking with a concept: developing the use of composite restorations to manage tooth wear","authors":"KW Hemmings","doi":"10.12968/denu.2023.50.10.810","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.810","url":null,"abstract":"Dental UpdateVol. 50, No. 10 Guest EditorialSticking with a concept: developing the use of composite restorations to manage tooth wearKW HemmingsKW Hemmingsemail: E-mail Address: [email protected]Consultant in Restorative Dentistry and Honorary Clinical Associate Professor, Eastman Dental Hospital and Institute, University College London and HospitalSearch for more papers by this authorKW HemmingsPublished Online:14 Nov 2023https://doi.org/10.12968/denu.2023.50.10.810AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View article References 1. Bevenius J, Evans S, L'Estrange P. Conservative management of erosion-abrasion: a system for the general practitioner. Aust Dent J 1994; 39: 4–10. https://doi.org/10.1111/j.1834-7819.1994.tb05537.x Medline, Google Scholar2. Dahl BL, Krogstad O, Karlsen K. An alternative treatment in cases with advanced localized attrition. J Oral Rehabil 1975; 2: 209–14. https://doi.org/10.1111/j.1365-2842.1975.tb00914.x Medline, Google Scholar3. Gough MB, Setchell DJ. A retrospective study of 50 treatments using an appliance to produce localised occlusal space by relative axial tooth movement. Br Dent J 1999; 187: 134–139. https://doi.org/10.1038/sj.bdj.4800223 Medline, Google Scholar4. Darbar UR, Hemmings KW. Treatment of localized anterior toothwear with composite restorations at an increased occlusal vertical dimension. Dent Update 1997; 24: 72–75. Medline, Google Scholar5. Hemmings KW, Darbar UR. Treatment of tooth wear with direct composite restorations at an increased vertical dimension. J Dent Res 1996; 75: 1146 Abstr 134. Google Scholar6. Hemmings KW, Darbar UR. Tooth wear treated with direct composite resin restorations at an increased vertical dimension – results at 30 months. J Dent Res 1998; 77: Abstr 2151. Google Scholar7. Hemmings KW, Darbar UR, Vaughan S. Tooth wear treated with direct composite restorations at an increased vertical dimension: results at 30 months. J Prosthet Dent 2000; 83: 287–293. https://doi.org/10.1016/s0022-3913(00)70130-2 Medline, Google Scholar8. Milosevic A, Burnside G. The survival of direct composite restorations in the management of severe tooth wear including attrition and erosion: a prospective 8-year study. J Dent 2016; 44: 13–19. https://doi.org/10.1016/j.jdent.2015.10.015 Medline, Google Scholar9. Poyser NJ, Briggs PF, Chana HS et al.. The evaluation of direct composite restorations for the worn mandibular anterior dentition – clinical performance and patient satisfaction. J Oral Rehabil 2007; 34: 361–376. https://doi.org/10.1111/j.1365-2842.2006.01702.x Medline, Google Scholar10. Loomans B, Opdam N, Attin T et al.. Severe tooth wear: European Consensus Statement on Management Guidelines. J Adhes Dent 2017; 19: 111–119. https://doi.org/10.3290/j.jad.a38102 Medline, Google Scholar11. Goldstein G, Campbell S. The Dahl concept: best evidence consensus statement. J Prosthodont 2022; 31:","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-02DOI: 10.12968/denu.2023.50.9.758
Martina Hayes, Richeal Ni Riordain, Anthony Roberts
There are a large number of mouthwashes available, with the majority available to buy without prescription. Different active ingredients in mouthwashes serve different functions, and it can be confusing for patients who may seek guidance from their general dental practitioner on which formulation best suits their oral healthcare needs. It is important that patients are given direction by their dentist on the duration they should use a mouthwash for, side effects they may encounter, and where the mouthwash fits in their daily oral hygiene routine. CPD/Clinical Relevance: Mouthwashes are typically well tolerated, easy to use, and can be a useful addition to a patient's oral healthcare routine.
{"title":"Uses of Mouthwashes in Primary Dental Care","authors":"Martina Hayes, Richeal Ni Riordain, Anthony Roberts","doi":"10.12968/denu.2023.50.9.758","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.758","url":null,"abstract":"There are a large number of mouthwashes available, with the majority available to buy without prescription. Different active ingredients in mouthwashes serve different functions, and it can be confusing for patients who may seek guidance from their general dental practitioner on which formulation best suits their oral healthcare needs. It is important that patients are given direction by their dentist on the duration they should use a mouthwash for, side effects they may encounter, and where the mouthwash fits in their daily oral hygiene routine. CPD/Clinical Relevance: Mouthwashes are typically well tolerated, easy to use, and can be a useful addition to a patient's oral healthcare routine.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-02DOI: 10.12968/denu.2023.50.9.724
Christel Bazoua, Afra Rahim, Ruby Robinson, Jasmine Webster, DJ Brierley
This article explores the ways in which Generation-Z dental students learn currently, how this compares with previous generations, and how this may influence the ways in which future generations of dentists will practise. The opinions discussed are those of current fourth year dental students at the University of Sheffield, who delve into what their university learning experience has entailed so far, alongside sharing their feelings towards current methods of teaching. In this way, a student-centred insight is offered into the way Generation-Z students are learning dentistry, and how general dental practices (GDPs) may take account of this in dental foundation training (DFT).
{"title":"Exploring the Ways in which Generation-Z Dental Students Learn and How this Could Impact Dental Foundation Training","authors":"Christel Bazoua, Afra Rahim, Ruby Robinson, Jasmine Webster, DJ Brierley","doi":"10.12968/denu.2023.50.9.724","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.724","url":null,"abstract":"This article explores the ways in which Generation-Z dental students learn currently, how this compares with previous generations, and how this may influence the ways in which future generations of dentists will practise. The opinions discussed are those of current fourth year dental students at the University of Sheffield, who delve into what their university learning experience has entailed so far, alongside sharing their feelings towards current methods of teaching. In this way, a student-centred insight is offered into the way Generation-Z students are learning dentistry, and how general dental practices (GDPs) may take account of this in dental foundation training (DFT).","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peri-implantitis is a biological complication characterized by an inflammatory process affecting the soft and hard tissues around an osseo-integrated load-bearing implant. Clinically, it results in progressive bone loss, pocket formation, bleeding and/or suppuration and leads to implant loss. Although the main aetiological factor is bacterial biofilms, the clinical presentation and progression of peri-implantitis is exacerbated by several local, systemic and iatrogenic factors. Treatment protocols of peri-implantitis include various decontamination procedures of the exposed implant surface. In this two-part series, we will review the available evidence for the non-surgical and surgical management of peri-implantitis (Part 1), and then we will discuss various modalities for implant surface decontamination (Part 2). CPD/Clinical Relevance: The pre-operative risk identification and management at both patient and site level, early diagnosis and regular supportive peri-implant care are fundamental for long term implant success and survival.
{"title":"Treatment of Peri-implantitis: Fiction or Reality? Part 1: Non-surgical and Surgical Management","authors":"Vanessa Sousa, Víctor Beltrán, Nikos Mardas, Lochana Nanayakkara, Nikolaos Donos","doi":"10.12968/denu.2023.50.9.731","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.731","url":null,"abstract":"Peri-implantitis is a biological complication characterized by an inflammatory process affecting the soft and hard tissues around an osseo-integrated load-bearing implant. Clinically, it results in progressive bone loss, pocket formation, bleeding and/or suppuration and leads to implant loss. Although the main aetiological factor is bacterial biofilms, the clinical presentation and progression of peri-implantitis is exacerbated by several local, systemic and iatrogenic factors. Treatment protocols of peri-implantitis include various decontamination procedures of the exposed implant surface. In this two-part series, we will review the available evidence for the non-surgical and surgical management of peri-implantitis (Part 1), and then we will discuss various modalities for implant surface decontamination (Part 2). CPD/Clinical Relevance: The pre-operative risk identification and management at both patient and site level, early diagnosis and regular supportive peri-implant care are fundamental for long term implant success and survival.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-02DOI: 10.12968/denu.2023.50.9.776
Julian Leow, Kohmal Solanki, Mahesh Kumar
We report the case of a symptomatic 41-year-old female presenting with fusion of an impacted third (LL8) and fourth (LL9) mandibular molar tooth with concrescence of the second molar tooth (LL7). Cone-beam computed tomography showed direct contact with the inferior dental nerve (IDN) and lingual aspect of the double tooth. The patient underwent surgical removal of the LL8–LL9 using piezoelectric surgery. We present the first case of successfully using pre-operative CBCT in the planning of surgery and piezoelectric surgery to separate an impacted fused LL8–LL9 from a concrescent LL7 without causing trauma to the LL7 or intimately positioned IDN. CPD/Clinical Relevance: An impacted fused mandibular third and supernumerary fourth molar with concrescence of the second molar requires very careful management.
{"title":"Fusion of an Impacted Third and Supernumerary Fourth Molar Tooth with Concrescence of the Second Molar","authors":"Julian Leow, Kohmal Solanki, Mahesh Kumar","doi":"10.12968/denu.2023.50.9.776","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.776","url":null,"abstract":"We report the case of a symptomatic 41-year-old female presenting with fusion of an impacted third (LL8) and fourth (LL9) mandibular molar tooth with concrescence of the second molar tooth (LL7). Cone-beam computed tomography showed direct contact with the inferior dental nerve (IDN) and lingual aspect of the double tooth. The patient underwent surgical removal of the LL8–LL9 using piezoelectric surgery. We present the first case of successfully using pre-operative CBCT in the planning of surgery and piezoelectric surgery to separate an impacted fused LL8–LL9 from a concrescent LL7 without causing trauma to the LL7 or intimately positioned IDN. CPD/Clinical Relevance: An impacted fused mandibular third and supernumerary fourth molar with concrescence of the second molar requires very careful management.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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