In the event of moderate to severe mandibular bone resorption posterior to the mental foramen, repositioning of the inferior alveolar nerve provides a greater amount of available bone for implant placement and reduces the risk of nerve injury. While neural paresthesia may initially occur, this altered sensation generally resolves spontaneously. Alveolar nerve repositioning may be possible in cases in which other procedures cannot be performed due to the extent of atrophy of the posterior mandibular alveolar crest. This article presents the surgical technique to achieve this objective.
{"title":"Lateralization of the inferior alveolar nerve with simultaneous implant placement: surgical techniques.","authors":"A K Garg, M J Morales","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the event of moderate to severe mandibular bone resorption posterior to the mental foramen, repositioning of the inferior alveolar nerve provides a greater amount of available bone for implant placement and reduces the risk of nerve injury. While neural paresthesia may initially occur, this altered sensation generally resolves spontaneously. Alveolar nerve repositioning may be possible in cases in which other procedures cannot be performed due to the extent of atrophy of the posterior mandibular alveolar crest. This article presents the surgical technique to achieve this objective.</p>","PeriodicalId":77327,"journal":{"name":"Practical periodontics and aesthetic dentistry : PPAD","volume":"10 9","pages":"1197-204; quiz 1206"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20965705","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}
Success in implant dentistry has evolved to include aesthetic excellence as well as functional longevity. Site development for optimal aesthetics is generally accomplished by surgical augmentation of hard and soft tissues. The results of osseous or gingival enhancement procedures are not always ideal, however, and some patients are unwilling to undergo additional surgical treatment. Use of tissue-colored porcelain is a nonsurgical option of hard and soft tissue replacement that provides lip support, restores symmetrical gingival architecture, and replaces lost papillae. The resulting prostheses can achieve or exceed the aesthetic expectations of these patients.
{"title":"Gingival-colored porcelain for implant-supported prostheses in the aesthetic zone.","authors":"G F Priest, L Lindke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Success in implant dentistry has evolved to include aesthetic excellence as well as functional longevity. Site development for optimal aesthetics is generally accomplished by surgical augmentation of hard and soft tissues. The results of osseous or gingival enhancement procedures are not always ideal, however, and some patients are unwilling to undergo additional surgical treatment. Use of tissue-colored porcelain is a nonsurgical option of hard and soft tissue replacement that provides lip support, restores symmetrical gingival architecture, and replaces lost papillae. The resulting prostheses can achieve or exceed the aesthetic expectations of these patients.</p>","PeriodicalId":77327,"journal":{"name":"Practical periodontics and aesthetic dentistry : PPAD","volume":"10 9","pages":"1231-40; quiz 1242"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20965702","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}
The concept of osseointegration has been the subject of numerous investigations since it was originally introduced by Brånemark. Researchers have attempted to further define and modify the surgical protocol for implant therapy, and have altered the length of healing, implant design, and the time of fixture placement in attempts to improve the efficacy and predictability of this restorative modality. This article demonstrates the use of an immediate placement procedure for restoring single teeth in the aesthetic zone, focusing on the maintenance of the hard and soft tissues in the region.
{"title":"Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen consecutive case reports.","authors":"P S Wöhrle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The concept of osseointegration has been the subject of numerous investigations since it was originally introduced by Brånemark. Researchers have attempted to further define and modify the surgical protocol for implant therapy, and have altered the length of healing, implant design, and the time of fixture placement in attempts to improve the efficacy and predictability of this restorative modality. This article demonstrates the use of an immediate placement procedure for restoring single teeth in the aesthetic zone, focusing on the maintenance of the hard and soft tissues in the region.</p>","PeriodicalId":77327,"journal":{"name":"Practical periodontics and aesthetic dentistry : PPAD","volume":"10 9","pages":"1107-14; quiz 1116"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20966435","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}
Enhanced aesthetic objectives can be achieved with precision and predictability due to recent advances in restorative materials and procedures. Although these developments have expanded the therapeutic options available to practitioners and their patients, anterior hard and soft tissue deformities in the aesthetic zone continue to represent a significant technical challenge to the reconstructive team. The objective of this article is to present diagnostic and prognostic criteria that emphasize the osseous-gingival relationship as a means to achieve predictable aesthetic results in the anterior segment with conventional or implant-supported restorations.
{"title":"The interproximal height of bone: a guidepost to predictable aesthetic strategies and soft tissue contours in anterior tooth replacement.","authors":"H Salama, M A Salama, D Garber, P Adar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Enhanced aesthetic objectives can be achieved with precision and predictability due to recent advances in restorative materials and procedures. Although these developments have expanded the therapeutic options available to practitioners and their patients, anterior hard and soft tissue deformities in the aesthetic zone continue to represent a significant technical challenge to the reconstructive team. The objective of this article is to present diagnostic and prognostic criteria that emphasize the osseous-gingival relationship as a means to achieve predictable aesthetic results in the anterior segment with conventional or implant-supported restorations.</p>","PeriodicalId":77327,"journal":{"name":"Practical periodontics and aesthetic dentistry : PPAD","volume":"10 9","pages":"1131-41; quiz 1142"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20966437","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}
{"title":"An advancement in the delivery of local anesthesia.","authors":"A D Lackey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77327,"journal":{"name":"Practical periodontics and aesthetic dentistry : PPAD","volume":"10 9","pages":"1191-4"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20966442","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}
P McCullagh, D J Setchell, M Nesbit, P A Biagioni, P J Lamey
{"title":"Infrared thermographic analysis of temperature rise on implant surfaces: a pilot study on abutment preparation.","authors":"P McCullagh, D J Setchell, M Nesbit, P A Biagioni, P J Lamey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77327,"journal":{"name":"Practical periodontics and aesthetic dentistry : PPAD","volume":"10 9","pages":"1163-6, 1167"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20965698","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}
This in vitro study assessed the efficacy of 10% carbamide peroxide to internally bleach discolored teeth. Following pulp removal, 38 tooth crowns were stained with erythrocytes and bleached 3 times over 14 days using either 10% carbamide peroxide or 30% H2O2 and sodium perborate. The pulp chambers were subsequently filled, and the tooth crowns stored for 3 months. The shades of the crowns were measured using reflectance spectroscopy prior to and at several time points following bleaching. Using statistical analysis, the authors determined that both materials significantly improved the shade of the crowns, and that 10% carbamide peroxide could be utilized clinically to internally bleach nonvital discolored teeth.
{"title":"Internal bleaching with 10% carbamide peroxide in vitro.","authors":"C Vachon, P Vanek, S Friedman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This in vitro study assessed the efficacy of 10% carbamide peroxide to internally bleach discolored teeth. Following pulp removal, 38 tooth crowns were stained with erythrocytes and bleached 3 times over 14 days using either 10% carbamide peroxide or 30% H2O2 and sodium perborate. The pulp chambers were subsequently filled, and the tooth crowns stored for 3 months. The shades of the crowns were measured using reflectance spectroscopy prior to and at several time points following bleaching. Using statistical analysis, the authors determined that both materials significantly improved the shade of the crowns, and that 10% carbamide peroxide could be utilized clinically to internally bleach nonvital discolored teeth.</p>","PeriodicalId":77327,"journal":{"name":"Practical periodontics and aesthetic dentistry : PPAD","volume":"10 9","pages":"1145-8, 1150, 1152 passim"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20966439","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}
{"title":"Improved communication benefits provided by intraoral camera systems.","authors":"B Touati","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77327,"journal":{"name":"Practical periodontics and aesthetic dentistry : PPAD","volume":"10 9","pages":"1244, 1246"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20965700","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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