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

Maxillary sinus window design is an important factor in sinus augmentation procedures, playing a key role in managing maxillary sinus elevation complications, avoiding the sinus septum, and providing lateral support for the graft material. A less-invasive window design in comparison to conventional maxillary sinus windows was introduced with an "I"-shaped window for single implant placement. However, drawbacks of this window design have included limited instrument accessibility to the anterior sinus and incomplete membrane elevation. The purpose of this case report is to demonstrate a step-by-step surgical procedure for lateral wall maxillary sinus augmentation with a novel "J"-shaped window design for single implants.

In cases of extreme worn dentition, being able to complete treatment over a series of phases can not only allow patients to move forward with treatment that fits into their budgetary and time constraints, but may also enable them to consider more comprehensive treatment options. In the case presented, the patient at presentation was well aware of his dental problems but overwhelmed by the scope and potential cost of comprehensive treatment. This case report illustrates the correction of the patient's severe occlusal cant and restoration of his worn dentition using phased digital treatment planning and a step-by-step management system. Among the challenges of the case, which was carried out over the course of five phases, was establishing an appropriate occlusal cant and incisal edge position while maintaining function.

Providing care to service members and veterans as an active duty United States Air Force (USAF) dentist is a unique and rewarding experience that can be quite different from the private sector. As a USAF officer, I balance military and dental responsibilities, which has taught me to be flexible and adaptive. Virtually every dentist in the dental corps (DC), unless they are a resident, holds some form of a leadership position, whether that be overseeing clinic operations, the laboratory, an infection control program, or so on. The USAF doesn't just build clinicians, it builds leaders.

Often, clinicians consider lasers in dentistry only as a tool for doing frenectomies. Unfortunately, despite the dental laser having more than 30 years of clinical application, many practitioners and educators may lack an extensive understanding of this valuable instrument. This article highlights the scientific basis and indications for the use of lasers in dentistry.

A strong body of scientific evidence indicates that a four dental implant-supported prosthesis is well suited for a full-arch rehabilitation. Yet, countless edentulous patients who could benefit from this established concept are left untreated because of high costs. This article describes a novel workflow that enables the fabrication of a metal-resin fixed hybrid prosthesis supported on four implants, with a variable cost for parts and material of around $400 and a (laboratory) production time of approximately 4 hours. This approach allows for the possibility of delivering a final or long-term provisional restoration on the day of implant placement. Because of the relatively low cost and the feasibility of in-house production, this workflow can potentially allow more patients to access high-quality full-arch implant care.

Despite garnering considerable attention in recent years, the opioid epidemic in the United States has remained a challenge. Oral healthcare practitioners have been urged to take a leadership role in the face of this epidemic and consider carrying naloxone in dental offices. The US Food and Drug Administration recently deregulated naloxone 4-mg nasal spray to nonprescription status to increase its availability and access. This article, therefore, is intended to serve as a primer for dentists on the history, pharmacology, appropriate use, and administration of this critical, potentially lifesaving medication.

The authors assessed the literature regarding bone-to-implant contact (BIC). A wide range of mean BIC percentages was observed with respect to different commercially inserted implants. Higher BIC related to mandibular implants was found compared to maxillary fixtures and with respect to anterior versus posterior implants. Higher bone density is associated with better implant stability and BIC, while rough implant surfaces provide increased BIC versus smooth surfaces. This article discusses how to determine the percentage of BIC and describes factors that affect its values.

The Alpha Omega Foundation US is the US philanthropic arm of the oldest international dental organization, the Alpha Omega International Dental Society, which has student and alumni chapters in more than 20 countries. From its beginning, the foundation has endeavored to raise funds supporting oral health programs that provide care to children and adults who lack accessibility to oral health services while training dental professionals to care for the most vulnerable populations. Today, in light of recent violence and human rights abuses that have taken place in Israel, the work of the foundation is more important than ever.

Proper occlusion is a foundational element of dentistry that affects various aspects of dental health, including a patient's oral function, structure, and esthetics. Among the tools dentists use to gauge a patient's occlusion are articulating paper and shimstock. A new system that combines both traditional and digital registration of the pressure distribution on occlusal surfaces can aid clinicians in further analyzing a patient's occlusion and more precisely diagnosing anomalies. In this article, three clinical cases are presented in which the OccluSense® system was used to address occlusion issues in restorative dentistry, orthodontics, and prosthodontics.

Technical advances in such fields as optical magnification (eg, loupes, microscopes), microsurgical instruments, bone and soft-tissue grafting materials, and digital dentistry have paved the way for dentists to be able to provide all the necessary specialties for a state-of-art single-tooth replacement treatment under one roof in their clinics, without having to involve a technical laboratory. This case report demonstrates a routine complete chairside digital workflow using minimally invasive and microscopic techniques in every stage of treatment, from tooth extraction and socket preservation, to implant insertion and soft-tissue management, to delivery of the final chairside digital zirconia full-anatomic supraconstruction. In addition to describing the intent of minimally invasive tooth extraction and socket preservation, this article illustrates how to perform a vestibular split rolling flap procedure and discusses its benefits. The goal of this digitally driven single-implant treatment was to achieve restoration as close as possible to the original condition.