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Surgical Articles

complex maxillary implant restoration

Interdisciplinary management of a complex maxillary implant restoration

Although implants enjoy a high success rate in the literature, the restorative challenge continues to be achieving a desirable result in the maxillary anterior segment. This challenge is further exacerbated by patients presenting with malocclusion, soft tissue loss, hard tissue loss, a high lip line, and/or high esthetic demands. A patient who exhibits all of these factors can only be managed through proper treatment planning. The following case discussion from Drs. Peter Mann and Scott Froum highlights the importance of proper treatment planning and communications that take place between the implant surgeon and restorative dentist.

cleft lip and palate

The genetics of cleft lip and palate

Cleft lip with or without cleft palate is a complex congenital anomaly that can be isolated or seen together with other malformations. It can also be part of the phenotype of a genetic syndrome. Here, Anya Revah, MS, senior genetic counselor, presents a review of the prevalence of cleft lip and palate, risks for recurrence, and risks for other congenital anomalies.

Scott Froum, DDS

Diagnosing between ailing and failing implants: The haste to remove salvageable implants

The replacement of hopeless or missing teeth can be predictably achieved with endosseous dental implants and has demonstrated high survival rates in the literature when restoring single teeth, multiple teeth, and/or completely edentulous cases. Failures, however, do occur and have been on the rise now that the term “implant success” has replaced the term “implant survival.” Periodontist Dr. Scott Froum presents a case report describing the use of the Er:YAG laser for implant surface decontamination and concomitant regenerative therapy to treat an implant with advanced peri-implantitis.

 

Restorative Articles

Peter Mann, DDS, FICOI, FAGD

Dental implants: The importance of patient compliance with immediate loading

Immediate placement and immediate loading have been buzzwords in implant dentistry for decades. Patient demand for immediate gratification has increased in the age of the I-generation. Implant dentistry has responded with immediate placement after extraction followed by immediate loading of the prosthesis — but while this technique has enjoyed success rates, it also requires higher patient compliance. Peter Mann, DDS, FICOI, FAGD, presents a case in which a patient is noncompliant after an immediate-loading protocol.

Nick Kephart, DDS - implant

Dental case study: E.max Maryland bridges

Dr. Nick Kephart presents a clinical case whereby he uses two ceramic (e.max) Maryland bridges to restore congenitally missing maxillary lateral incisors, bonding to both adjacent teeth.

complex maxillary implant restoration

Interdisciplinary management of a complex maxillary implant restoration

Although implants enjoy a high success rate in the literature, the restorative challenge continues to be achieving a desirable result in the maxillary anterior segment. This challenge is further exacerbated by patients presenting with malocclusion, soft tissue loss, hard tissue loss, a high lip line, and/or high esthetic demands. A patient who exhibits all of these factors can only be managed through proper treatment planning. The following case discussion from Drs. Peter Mann and Scott Froum highlights the importance of proper treatment planning and communications that take place between the implant surgeon and restorative dentist.

Legal and Financial

Jennifer Hirsch Doobrow, DMD

Retirement planning for dentists: Investing today for a better tomorrow

As dentists and specialists, we need to challenge ourselves not to only invest our time and energy into our patients’ lives but also our own. To live the lives we want to live in five, 10, or 30 years, we need to start planning, and we need to start doing it today. Dr. Jennifer Hirsch Doobrow says you work hard to make sure your patients and team members are happy; make sure you take care of the face in the mirror as well.

Thomas K. Broadbent, DDS

Pulling or being towed: Who is towing your line to the summit of production success?

In the early years of dental practice, Dr. Thomas K. Broadbent found that staff-related issues caused him internal strife. He and his partner-to-be decided to change course. Here, he speaks from personal experience as he shares how he identified the correct goal or summit for each team member and implemented strategies to define the reward and empower the entire team to "tow the line." 

Kyle L. Summerford, BS

Case acceptance: mastering the 'Art of Persuasion in Dentistry' by mastering the art of compassion

There are many key factors involved in successful case presentation, but an extremely important one that is often overlooked is compassion. Kyle Summerford, BS, explores five simple ways to become familiar with in displaying acts of compassion that will increase your case acceptance and contribute to a winning relationship between you and your patients.

The SRR Mission Statement

Surgical-Restorative Resource™  will explore the importance of working as a team when it comes to advanced clinical dentistry.

Drs. Scott Froum and Chris Salierno bring a fresh and unique perspective to the world of implants, restorations, and other dental-surgical procedures. We will explore the interdisciplinary relationships of different specialties when working on advanced cases, as well as delve into the restorative-dental lab relationship.

You will get an insider's look at treatment planning, case studies, product training, continuing-education courses, news, and interviews with top clinicians in the dental profession.

  Contact the SRR Editors
 
 

Scott Froum, DDS, co-editor
   

Chris Salierno, DDS, co-editor
   

Team Treatment Planning Articles

Brian McCormack, DDS

Nonsurgical endodontic retreatment with the aid of cone beam (CBCT) imaging

Endodontic therapy under current treatment protocol shows long-term clinical success rates of 86% to 92%. Even with the high clinical success rate of initial endodontic treatment, it’s obvious to see this leaves clinicians with a 14% incidence (on the high side) of encountering post-treatment disease. Dr. Brian McCormack presents a case that was treated with the aid of CBCT imaging and a surgical operating microscope. 

Iman Sadri, DDS

Are you screening for sleep apnea when treatment planning occlusal guards?

There has been much buzz recently about the dentist’s role in the treatment of obstructive sleep apnea (OSA). Most of the attention has centered around oral appliance therapy as a treatment modality to replace the CPAP in the absence of severe OSA. Dr. Iman Sadri says, “Treatment planning an occlusal guard to treat the bruxism that is a result of OSA is not addressing the source of the pathology. If left untreated, sleep apnea can lead to significant health problems in patients.”

 

sedation chart for Dr. Bertrand Bonnick and Hayden Piersol arrticle

Sedation patients are not your average patients: How they leave the dental practice

There is no denying that many patients face dental anxiety and severe dental phobia. Millions of Americans avoid seeing the dentist due to some level of dental fear. No matter how minor the fear, some patients will attempt to avoid any contact with the dentist, even if that means sacrificing their oral health. Dr. Bertrand Bonnick and Hayden Piersol noticed a trend in their dental office and decided to conduct a survey to find out why sedation patients were leaving their office.

Hygiene Articles >

Colleen M. Olson, RDH

In case you missed it: Three lecture summaries from the 2014 AAP Dental Hygiene Symposium

Colleen M. Olson, RDH, attended the 100th Annual American Academy of Periodontology Meeting in San Francisco in late September, during which the California Society of Periodontists hosted a Dental Hygiene Symposium. In this article, Olson summarizes the lectures of the three presenters.

Colleen M. Olson, RDH

You graduated from dental hygiene school! Now what?

You survived embryology and histology, radiography, oral pathology, pharmacology, hours upon hours of clinic, and board exams! What now? How do you go about finding a job that you’ll love? Colleen M. Olson, RDH, gives you five tips from her own recent postgraduation job search to help get you on your way to an exciting career in dental hygiene!

Colleen M. Olson, RDH

Strategies to help the teenage patient achieve greater success with oral hygiene

Teenage patients in a dental practice can be some of the hardest to work with. They typically have poor oral hygiene, may be in full orthodontics, and can be generally resistant to being told what to do. Though each teenager and situation is different, Colleen M. Olson, RDH, suggests a few strategies that apply across the board that can help you work with these patients more easily and help them achieve greater success with their oral hygiene.

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Complications Articles >

Stacey Simmons, DDS

Pumpkin on a toothpick

Should mini implants be used for crown and bridge restorations on implants? Dr. Stacey Simmons shares a case study and discusses why these clinical situations should probably be left to regular diameter implants.

Tina Beck, DDS

A periodontist's protocols to avoid dental implant complications: Part 1

Dental implants are becoming increasingly common with greater long-term success rates. However, there are some basic principles and guidelines clinicians should follow to achieve high predictability and long-term stability. Dr. Tina Beck shares her office’s protocol, which has improved patient case acceptance, understanding of treatment timelines, compliance with postoperative instructions and multiple appointments, predictable restorative outcomes, healthy peri-implant tissues, and stable long-term results.

Chris Salierno, DDS

3 patients who may not be candidates for complex dental care

Dr. Chris Salierno, co-editor of Surgical-Restorative Resource, says complex care cases take a great multidisciplinary team — the restorative dentist, specialists, laboratory technicians, and hygienist — who work together to effectively plan, execute, and maintain advanced dental therapy. But one critical member of the team that we often forget is the patient. All of the academic and technical skill in the world won’t help a patient who isn’t ready to be helped.