Publications by authors named "Joshua A Akers"
Background: Probiotic bacterial supplementation has shown promising results in the treatment of periodontitis and the maintenance of periodontal health. The purpose of this investigation was to evaluate the influence of Lactobacillus reuteri or Bifidobacterium animalis subsp. lactis supplementation with and without prebiotic inulin on biofilm composition using an ex vivo biofilm model.
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- Clinicians must assess specific circumstances when considering dental implants at sites with high or mixed density osseous lesions to minimize risks.
- Some lesions may be safe for implant placement, while others could lead to significant complications.
- Optimal management involves advanced imaging, consultations with other specialists, and thorough informed consent to communicate potential risks and benefits to patients.
Focused Clinical Question: What factors identify the optimal surgical technique when a distal wedge procedure is indicated at a terminal maxillary or mandibular molar site?
Summary: Incision design for the distal wedge procedure is based primarily on the dental arch (maxilla or mandible), the distance from the terminal molar to the hamular notch or ascending ramus, and the dimensions of the attached gingiva.
Conclusions: In most situations, favorable clinical results are achievable irrespective of the chosen distal wedge method, and technique selection is based more on operator preference than evidence. However, anatomic limitations can render distal wedge procedures challenging in some cases, and procedural advantages of specific techniques can simplify treatment.
Rational Prophylactic Antibiotic Selection for Sinus Elevation Surgery.
Clin Adv Periodontics
March 2020
Focused Clinical Question: For a generally healthy patient with no risk indicators for postoperative infection, what is the most appropriate perioperative antibiotic regimen for sinus elevation surgery in terms of reducing postoperative infection risk and minimizing untoward effects?
Clinical Scenario: A 38-year-old female patient in good general and periodontal health presents missing tooth #14 (Fig. ). She reports no systemic conditions, no history of sinusitis, and no allergies.