A Clinical Guide for Treatment of Dental Cervical Lesions Through a Restorative, Surgical, or Combination Approach: A Proposed Evidence-Based Algorithm.

The incidence of dental cervical carious and noncarious lesions is common, and often these are treated with a restorative material without due attention paid to the amount of exposed cementum/enamel, level of interproximal bone, and final desired esthetic result. This article is intended to provide clinicians an evidence-based clinical decision tree for treating such lesions through a restorative, surgical, or combination approach such that the optimum functional and cosmetic result is achieved.

Outcome of Endodontic Treatment through Existing Full Coverage Restorations: An Endodontic Practice Case Series.

Introduction: This case series assessed the outcome of nonsurgical endodontic treatment completed through retained full coverage restorations (FCRs) in a board-certified endodontist private practice. The number of cases completed by the first author was 153.

Methods: All cases were performed following a standardized protocol for treatment and restoration depending on the type of FCR.

Short-Term Case Reports Demonstrating the Use of Volume-Stable Collagen Matrix.

A proper diagnostic and treatment planning process for dental implant rehabilitations should include a checklist of key factors to help clinicians avoid potential complications. Such a checklist should encompass evaluation of the soft- and hard-tissue volume buccal to each implant, as this has been shown to aid in maintaining marginal bone levels long-term. Thus, as part of surgical planning, a decision to augment the soft tissue should be considered.

Clinical Instructions for Using Silver Diamine Fluoride (SDF) in Dental Caries Management.

Unlabelled: Manufacturer instructions for 38% silver diamine fluoride (SDF) are limited to current FDA clearance for tooth desensitization. There is a need for instructions to provide best-practice recommendations for off-label use of SDF for caries prevention and arrest.

Methods: The authors considered existing clinical approaches to the use of 38% SDF at pH 10 for the prevention and arrest of active dental caries, in light of the best current evidence.

Application of the 10 Keys for Replacement of Multiple Teeth in the Esthetic Zone.

Ten keys for successful esthetic-zone single immediate implants encapsulate in an evidence-based manner the treatment planning and replacement of single hopeless teeth in the maxillary anterior sextant. These include two treatment-planning, five surgical, and three prosthetic keys, which, collectively, aim to minimize soft- and hard-tissue complications for an optimal esthetic implant restoration. The Straightforward, Advanced, and Complex (SAC) classification is designed to aid clinicians in the treatment planning of dental implant cases.

Immediate Implant Solution to Improve Long-Term Esthetics, Enhance Patient Satisfaction.

Fixed prostheses offer various advantages over conventional removable devices for immediate restoration of a fractured tooth in the esthetic zone. In this case report, a fixed solution is employed through the use of a same-day provisional restoration attached to an immediately placed dental implant. Utilizing biologics and an implant system that allows for excellent primary stability, this treatment modality offers a predictable method for achieving immediate implant placement and provisionalization.

Rehabilitation of an Esthetic Compromise in a Patient Previously Treated With Maxillary Anterior Implants.

Over time, patients treated in developmental stages of implantology may need additional treatment,as teeth adjacent to implants may fail and require replacement themselves with new implants. Blending newer implant rehabilitations into a dentition with existing implant-supported restorations can be challenging. The use of implants with a subcrestal angle correction (SAC) enables predictable screw-retained anchorage of temporary and definitive restorations.

Understanding the Lived Experience of North American Dental Patients With a Single-Tooth Implant in the Upper Front Region of the Mouth: Protocol for a Qualitative Study.

Background: Assessment of the subjective experiences of individuals with maxillary anterior (ie, the upper front region of the mouth) single-tooth implants is limited mainly to quantitative measurements of satisfaction with appearance. Interestingly, there is unexplained variability in the relationship between satisfaction and appearance.

Objective: This qualitative study protocol aims to explore and better understand the satisfaction with appearance and function in a Canadian population with maxillary anterior single-tooth implants treated at a postgraduate university clinic.

Treatment of Periodontal Diseases With Laser: Assessing the Evidence.

The treatment of the moderate to advanced resorbed edentulous maxilla with a fixed prosthesis is complicated due to the presence of pneumatized maxillary sinuses posteriorly and the nasal aperture in the premaxilla. To treat patients with this condition using endosseous implants to support a functional prosthesis, grafting procedures have been advocated. The multiple surgical steps involved in the reconstruction of the resorbed maxilla, however, can be a significant barrier to patient acceptance of grafting treatment protocols.

The Importance of Interdisciplinary Treatment in an Esthetically Challenging Case.

A single missing tooth is a common occurrence among young patients and impacts esthetics and long-term oral health in terms of compromised bone, gum tissue, and, if warranted, an implant and final prosthesis. In this case report, after years of poorly executed orthodontic therapy, the patient's dental growth complicated the development of an esthetically pleasing smile. An interdisciplinary approach was utilized comprising periodontal surgery, a second course of orthodontics, and prosthodontics to provide comprehensive patient care that included evaluation of occlusion and esthetics.

Factors influencing treatment efficiency.

Objectives: The purpose of this cohort study was to evaluate the effect of self-ligating brackets (SB) and other related factors that influence orthodontic treatment time.

Materials And Methods: This was a two-armed prospective study. Consecutively treated patients who were recruited from a private practice were enrolled and asked to choose between SB and conventional brackets (CB).

Potentialities and limitations of computer-aided design and manufacturing technology in the nonextraction treatment of Class I malocclusion.

Introduction: Computer-aided design and manufacturing (CAD-CAM) systems have assisted orthodontists to position brackets virtually. The purpose of this study was to evaluate if a CAD-CAM system could predict the orthodontic treatment outcome of patients with Angle Class I malocclusion with mild crowding or spacing and with no need for orthodontic extraction.

Methods: Using the American Board of Orthodontics Cast-Radiograph Evaluation (ABO-CRE) and color map superimposition, the treated occlusion was compared with the virtual final occlusion of 24 young adults with Class I occlusion.

Are Nongrafting Solutions Viable for Dental Implant Treatment in Limited Bone Volume?

Dental implant therapies must be planned and executed to meet both the immediate and longer-term expectations of patients. The early developmental success of dental implants was dependent on the quality and quantity of a patient's bone. Implants were commonly placed into the parasymphyseal mandibular and anterior maxillary bone.

Do Dental Implant Width and Length Matter?

Achieving predictable outcomes in implant dentistry requires not only an understanding of surgical and prosthetic protocols but also knowledge of bone biology. Regarding implant stability, a distinction exists between non-osseointegrated and osseointegrated implants. Primary or mechanical stability at implant placement is different than secondary or biological stability.

Fundamental Principles for Immediate Implant Stability and Loading.

A considerable number of studies in contemporary literature support the treatment of patients with edentulous arches using four or six implants with predictable outcome. As patients are increasingly being treated with full-arch implant-supported prostheses, clinicians need to understand the various fundamental principles for immediate implant placement and immediate loading. This article reviews these principles with regard to treatment planning, surgical execution, and prosthetic rehabilitation while describing a case of an edentulous patient seeking a fixed restorative option to re-establish form and function of her maxillary and mandibular dentition.

Evolution of Full-Arch Implant Prosthodontics: From Analog Protocols to Digital Workflows.

Ever since orthopedic research emanating from Sweden revealed that human bone could consistently fuse to titanium, forward-thinking prosthodontists have pursued the enormous possibilities for restoring patients with implant-supported prosthodontics. Applications for osseointegration in full-arch prosthetic dentistry have evolved, with the chronologic development of technique and technology progressing from multi-step complex analog procedures to streamlined digital production of immediately loaded prosthetic dentitions that predictably deliver restorative excellence. This article presents a historical perspective that describes how dental implant prosthodontic materials and methods have advanced and are effectively keeping pace with other medical disciplines while remaining entrenched in scientifically based methodology.

Cementation of Zirconia-Based Toothborne Restorations: A Clinical Review.

As the demand for esthetics in dentistry has increased over the years, zirconia-based restorations have been successfully used as alternatives to metal-ceramic restorations. A reliable marginal seal is among the factors that are vital to the clinical success of a dental restoration. One advantage of zirconia-based restorations is that the cementation process is generally simpler and more efficient compared to the delivery/cementation of other all-ceramic systems.

A Paradigm Change in Macro Implant Concept: Inverted Body-Shift Design for Extraction Sockets in the Esthetic Zone.

An innovative macro hybrid implant design is aimed at enhancing labial plate dimension and tooth-implant distance while achieving consistent esthetic outcomes. This unique "body-shift" concept in diameter and shape combines a tapered apical portion with a cylindrical coronal portion in a singular implant body design. The overall configuration of the implant is inverted and "convergent" in form toward the implant-abutment interface where bone is thinnest.

Prosthetic and Surgical Management of Atypical Space When Teeth Are Missing.

When a patient presents with congenitally missing teeth, early diagnosis and comprehensive treatment planning are critical to effective restorative management. Interdental space allocation must be identified to accommodate proper clinical crown proportion(s) through a surgical-prosthetic solution. This article, which presents two case reports describing situations that clinicians may commonly face, demonstrates the management of atypical tooth spacing caused by congenitally missing teeth.

Is Digital Guided Implant Surgery Accurate and Reliable?

The digital workflow for computer-aided implant surgery includes a range of steps leading to generation of a prosthetically driven, 3-dimensional virtual plan, which is transitioned into the patient's mouth by the surgical guide and protocol. Guided implant surgery is believed to be accurate and reliable compared with free-handed implant surgery. However, deviation between implant virtual plan and implant real position may occur as a result of accumulated errors throughout the digital workflow.