Surgical Articles

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.

 

Adam Bear, DDS

Clinical dental advantages of the apically positioned flap

The apically positioned flap is a commonly used surgical approach to achieve pocket elimination. This technique is important for maintaining an adequate zone of keratinized tissue, as opposed to the gingivectomy technique, where soft tissue is resected. Dr. Adam Bear discusses the advantages this procedure has for surgical crown-lengthening procedures.

Restorative Articles

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.”

 

Eric Schiffman, DDS, MS

The restful jaw: helping take the fear out of dental appointments for TMJ/TMD patients

Dr. Eric Schiffman says patient jaw pain is a real problem in dentistry and needs to be addressed to help individuals with and without TMD and orofacial pain have a more pleasant dental experience. As such, he created Restful Jaw, an external jaw support device that supports and stabilizes the jaw so patients no longer have to tense their jaw muscles while open to counter the downward forces from your hand on their jaw.

David R. Rice, DDS

Cost per application: the hidden overhead of dental bonding

As a dental professional, there are a few things I know. First, I like what I like. When my materials and techniques are working well, why change? Second, if I’m going to make a change, I’d better have great reasons to do so. Dr. David R. Rice evaluates Adhese Universal VivaPen and gives his professional opinion on how it measures up.

Legal and Financial

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.

Joseph Gian-Grasso, DMD

Standards of care for implant dentistry: an interview with Dr. Joseph Gian-Grasso, president of the Academy of Osseointegration

Who sets the standards of care for implant dentistry, and how is it done? Surgical-Restorative Resource Co-Editor Dr. Chris Salierno talks with Dr. Joseph Gian-Grasso, president of the Academy of Osseointegration, about the answers to these questions and more in light of the new guidelines for implant dentistry that the AO recently published.

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

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.

Sherri Lukes, RDH, MS, FAADH

Treating the geriatric dental patient

As our country experiences this dramatic increase in the older adult population, it would behoove the dental community to learn as much as possible about this complex population. The oral-systemic link has been well documented and will be even more important as we deliver comprehensive oral care to a large population of senior adults in the 21st century. Sherri Lukes, RDH, MS, FAADH, discusses what you need to know to take care of this growing segment of patients.

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.