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Surgical Articles

Journal of Oral Implantology release about bone regrowth after socket grafting

Barrier aids bone regrowth after socket grafting

A study in the current issue of the Journal of Oral Implantology looks at a new type of barrier membrane, known as porcine collagen, that has been recently introduced in the United States. The intent was to find out how quickly a bone graft can develop when porcine collagen is placed over the grafted tooth socket.

oral pain - cranial rhythm - Dreamstime photo

How a perfect, implant-retained anterior bridge can cause facial pain

Dr. Lee N. Sheldon discusses a problem your patients may experience called an interference with the cranial rhythm. But if you don’t know the symptoms, you’ll dismiss their concerns. We were never taught about it in dental school, and it isn't often recognized in traditional dentistry or medicine. The whole issue begins with the “perfect” implant case.

Enhancing periodontal regeneration with the use of biologics by Gregory A. Pette, DMD, MS

Enhancing periodontal regeneration with the use of biologics

In the last decade, the regenerative potential of periodontal and furcation defects have become both more predictable and successful, largely due to the adjunctive use of biologic modifiers such as purified human platelet-derived growth factor-BB (PDGF-BB) in combination with beta-tricalcium phosphate or freeze-dried bone allograft. The advent of dental implants has dramatically changed the field of dentistry, but we must not forget that many teeth with periodontal defects can be saved and treated predictably with proper diagnosis and treatment. Dr. Gregory Pette shares his keys to success with periodontal regeneration as he takes readers through one of his cases.

Restorative Articles

oral pain - cranial rhythm - Dreamstime photo

How a perfect, implant-retained anterior bridge can cause facial pain

Dr. Lee N. Sheldon discusses a problem your patients may experience called an interference with the cranial rhythm. But if you don’t know the symptoms, you’ll dismiss their concerns. We were never taught about it in dental school, and it isn't often recognized in traditional dentistry or medicine. The whole issue begins with the “perfect” implant case.

A unique method of debriding a full-arch maxillary prosthesis supported by dental implants by Kavit N. Shah, BDS, MFDS.RCS, M.Clin.Dent, MRD.RCS

A unique method of debriding a full-arch, maxillary prosthesis supported by dental implants

The role of endosseous dental implants in restorative dentistry has evolved dramatically since original treatment concepts of the early 1970s. Dr. Kavit N. Shah, a prosthodontist in London, shares with colleagues a way to rotate patients’ prostheses on a two- to three-year basis so that they can be thoroughly and effectively debrided, disinfected, and refurbished where required, effectively offering a cost-effective and time-efficient solution through the use of a “spare” prosthesis.

Enhancing periodontal regeneration with the use of biologics by Gregory A. Pette, DMD, MS

Enhancing periodontal regeneration with the use of biologics

In the last decade, the regenerative potential of periodontal and furcation defects have become both more predictable and successful, largely due to the adjunctive use of biologic modifiers such as purified human platelet-derived growth factor-BB (PDGF-BB) in combination with beta-tricalcium phosphate or freeze-dried bone allograft. The advent of dental implants has dramatically changed the field of dentistry, but we must not forget that many teeth with periodontal defects can be saved and treated predictably with proper diagnosis and treatment. Dr. Gregory Pette shares his keys to success with periodontal regeneration as he takes readers through one of his cases.

Legal and Financial

cloud computing Dreamstime.com

Are you illegally sharing dental patient data with your colleagues?

The cloud is bringing dramatic changes to dentistry, making collaboration possible from anywhere, critical patient information available anytime anywhere, and second opinions from anyone anytime. However, amid this change, there’s still one constant at the heart of delivering quality care: patient trust. Asaf Cidon teaches you how to use the cloud in a HIPAA-compliant way.

dental podcasts Dreamstime.com

Dental podcasts: Eliminate costly staff training

Kyle L. Summerford explains how five-minute podcasts can be integrated into your weekly dental office meetings to help build your practice and generate more revenue … and most importantly, train your staff. He talks about what you need to use podcasts in your practice and how they can turn unproductive staff meetings into interactive, open-discussion training sessions.

building a website Dreamstime.com

5 important things to be aware of before signing a dental website design contract

If you have never had a website and want to increase traffic to your site, you can kick-start this project with a paid advertising campaign template website and then move on from there. Kyle L. Summerford goes through a list of five critical things you need to be aware of before you commit to a website design contract, whether you are interested in using a custom design or an existing template.

Something new just for you: A chairside resource for the entire dental team

The newsletter and website formerly known as Surgical-Restorative Resource has changed its name to Perio-Implant Advisory. We believe this change better reflects our editorial direction.

As such, we will focus on issues relating to periodontal and implant medicine. You can expect continued peer-reviewed, unbiased, clinical content with exceptional delivery.

Editorial Director Scott Froum, DDS, brings a clinical and academic perspective to the world of implants, periodontics, restorative, and practice management dentistry. You will be receiving the same great content as it relates to complex care with interdisciplinary management, but this change will allow the newsletter to be more focused on periodontal and implant-related issues. The intent is to make Perio-Implant Advisory a chairside resource for the entire dental team.

We appreciate your support and continuing readership!

  Contact the Editor
 
 

Scott Froum, DDS, editorial director
   

   

 

PIA Videos

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 >

10 steps to perform an oral cancer screening by Scott Froum, DDS

10 steps to perform an oral cancer screening

Squamous cell carcinoma of the oral cavity and throat account for about 45,000 cases each year in the United States, resulting in approximately 8,000 deaths per year. Studies show that successful treatment is highly dependent upon diagnosis and treatment of this disease in its early stages. Although there have been advances in surgical, chemotherapy, and radiation treatment, five-year survival rates of patients with moderate to advanced cases of oral cancer are less than 60%. Patients who do survive typically have trouble chewing, speaking, eating, and smiling after treatment thus it is extremely important to diagnose OC before it becomes advanced, since treatment for early cancer is not as severe. Editorial Director Dr. Scott Froum offers steps to use as you screen patients in your office.

Increasing dental case acceptance through the use of salivary diagnostics by Michael A. Scialabba, DDS

Increasing dental case acceptance through the use of salivary diagnostics

A tremendous amount of literature supports the correlations between gingivitis and/or periodontitis and systemic health. Reports and research continue to find correlations between inflammation of the oral cavity and other inflammatory disease processes, especially cardiovascular disease and diabetes. Educating patients about these links and encouraging oral health awareness has always been a challenge. Dr. Michael Scialabba talks about how salivary testing along with personalized custom periodontal therapy can be a tool to help patients improve not only their oral health but also their overall health.

Manage, repair, or regenerate periodontal disease? by Susan Wingrove, RDH

Manage, repair, or regenerate periodontal disease?

The American Academy of Periodontology warns of a significant public health problem: One out of every two American adults 30 years and older has periodontal disease. (1) As dental professionals, we need to step up to this challenge and change the way we evaluate and treat mucosal oral infections. The research, tools, and biologic products are now available to regenerate bone and tissue—not simply “manage or repair”! Susan Wingrove, RDH, says our role as dental professionals is to identify the optimal time for regenerative periodontal therapy.

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Complications Articles >

Understanding and managing peri-implant bone loss by Stuart J. Froum, DDS

Understanding and managing peri-implant bone loss

Although a high survival rate of implants has been documented in numerous long-term studies, peri-implant bone loss presents a problem that can compromise—or even result in the loss of—a successful dental implant restoration. Dr. Stuart J. Froum offers an in-depth look at how the dental professional can diagnose and prevent bone loss, and maintain a successful implant restoration.

Don't use permanent cement for implants by Chris Salierno, DDS

For the love of everything holy, don't use permanent cement for implants

Whether you prefer screw-retention or cement retention, I think we can all agree that the ability to retrieve the restoration is very important. If there is a fracture of restorative material, such as porcelain or acrylic, then it’s nice to be able to remove the thing and have the lab fix it. I would also urge you to consider how certain contours of the prosthesis can hinder hygienic access, so periodically removing some restorations can significantly aid peri-implant maintenance procedures. But when it comes down to the bitter end, let’s all make a pact together: no more permanent cement for implant restorations.

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.