Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)最新文献

Dental practitioners face diverse challenges that can lead to stressful conditions and need practical solutions to help mitigate stress. This article addresses stress in dentistry, focusing on vicarious trauma, boundaries, expectations, and communication within dental practice. Recommendations encompass cultivating a positive work environment, improving time management and workload distribution, and leveraging technology, including artificial intelligence. The article provides actionable insights, contributing to ongoing efforts to reduce occupational stress and enhance well-being within the dental community.

This case report presents a novel digital technique for prosthetically driven orthodontic treatment. A 28-year-old patient who had undergone orthodontics as a teenager experienced a relapse and presented with esthetic concerns. The author utilized state-of-the-art software to create a virtual orthodontic-restorative treatment outcome with virtual restorations. This approach helped guide tooth movement, improve team communication, and optimize treatment outcomes while allowing for minimally invasive restorative treatment.

Various approaches to implant placement in the atrophic posterior maxilla are currently advocated in the literature. Such strategies range from the use of block bone graft, to short, tilted, and zygomatic implants, to sinus floor elevation (SFE). SFE has shown to be a predictable surgical procedure to increase bone height in the posterior maxilla. This article provides a narrative overview of SFE techniques, including a modified localized management of sinus floor technique in fresh molar extraction sockets.

Systemic lupus erythematosus (SLE) is an autoimmune disorder that varies in clinical presentation and disease course. SLE has a strong female predilection and is more common in certain racial groups than others. There is no single set of universally accepted diagnostic criteria for SLE, which can make the disease challenging to diagnose. The disorder has the potential to affect nearly every organ system in the body, including the oral cavity. A complete understanding of the etiology and pathophysiology of SLE continues to evade the medical profession; however, advances in this area of research have drastically improved the quality of life of SLE patients. There currently is no cure for this condition, so present-day therapies aim to control patient symptoms and reduce SLE flare-ups. This article discusses the pathophysiology, diagnosis, oral and systemic manifestations, therapeutic interventions, and dental management of SLE patients.

A common condition found in many patients, gingival inflammation results from irritation from dental plaque and the bacteria contained in plaque. Although effective management of dental plaque and the resulting gingivitis through daily homecare continues to be heavily emphasized, the high prevalence of oral diseases globally suggests that most individuals do not achieve sufficient plaque removal with their manual toothbrushing routine. To help enhance a patient's homecare regimen, daily oral rinsing has been shown to improve oral hygiene. The simple use of mouthwash after toothbrushing optimizes plaque removal while leading to an improvement in gingival health. This article reviews a single-center, randomized, controlled, single-blind, 6-week study designed to evaluate the safety and efficacy of a professional chlorhexidine alternative oral care mouthrinse as an adjunct to toothbrushing with sodium fluoride toothpaste with regard to plaque removal and gingivitis reduction.

The high success rate of current dental implant protocols makes studies of catastrophic failures a rarity; however, this article presents a case study in which faulty medical intervention was the direct cause of traumatic implant failure. The patient, who had been treated with implants that successfully osseointegrated, ultimately experienced a life-threatening medical incident due to an ill-fitting definitive prosthesis. This case report includes a detailed narrative of how this patient, who began his dental journey with compromised and missing teeth, became edentulous and then, following an arduous recovery, was restored to full function with a meticulously planned revision treatment. Today, after enduring radical and perhaps unnecessary treatment and physical and mental trauma, the patient is tolerating osseointegrated implants with both maxillary and mandibular prostheses that are comfortable and well-functioning.

Chronic kidney disease (CKD) refers to any abnormalities in kidney structure or function that remain longer than 3 months and negatively impact health. Characterized by a loss of nephrons and a decline in the glomerular filtration rate, CKD can stem from various diseases, such as glomerular, vascular, and others, with treatment options including dialysis or kidney transplantation. Many patients with CKD go undetected because they exhibit no symptoms. Periodontal disease is an inflammatory reaction that results in destruction in the periodontium's connective tissues and alveolar bone, potentially leading to such clinical signs and symptoms as edema, erythema, bleeding on probing, suppuration, tooth mobility and migration, alveolar bone loss, and tooth loss. Recent studies point to a connection between periodontal disease and systemic conditions, including CKD. Periodontal disease severity and presence may correlate with the occurrence of CKD. While various bacteria can cause periodontal disease, specific ones, such as Gram-negative bacilli, are linked to the beginning and progression of CKD, especially in people with compromised immune systems. It is beneficial, therefore, for clinicians to understand the association between CKD and periodontal disease.

A patient presented desiring to improve her esthetics and reduce masseter muscle pain prior to her upcoming wedding. Although the patient had a full-mouth rehabilitation with porcelain restorations at age 16, she presented with extensive overjet, unbalanced occlusion, and lack of contact from premolar to premolar. The clinician was faced with the challenge of determining the best course of treatment. After completing thorough record-taking and a detailed analysis following a systematic approach, the clinician developed a facially driven treatment plan that was carried out over eight phases. The patient's existing crowns were replaced at a reduced vertical dimension of occlusion, esthetics were enhanced, muscle pain was relieved, and her goals were achieved.

Nutrition has been recognized as a foundation for good oral health and general health, with a bidirectional relationship having been established between nutrition and oral and overall health.1 Various specific macro- and micronutrients from the intake of food serve as fuel for a person's body to grow and function.1 The oral cavity plays the unique role of gatekeeper, providing the pathway of nutrition to the body. Because of the rapid cell turnover of oral mucosa, the oral cavity also may manifest early signs of nutrient deficiencies as well as other indicators of systemic disease.2 As a result, problems in the oral cavity can profoundly affect one's appetite, desire and ability to eat, and, consequently, nutritional status and overall health.1.

The treatment of edentulism with dental implants is often combined with hard- and soft-tissue grafting procedures as a means to improve marginal bone stability and esthetic outcomes. One such method of hard-tissue grafting involves the utilization of a titanium membrane as a space maintenance device to contain the graft material and support the soft tissue. These membranes, however, are typically limited in their ability to be customized and, therefore, are often unsuitable for varying clinical situations. This case report presents a simplified prototype design of an abutment-associated titanium membrane. This design enables a greater level of customization and demonstrates stable clinical and radiographic results after 2 years of follow-up.