More Complications Articles

peri-implant bone loss

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.

pumpkin on a toothpick by 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.

Jonathan Ford, DMD

Dentist-induced peri-implantitis

The restoring dentist directly controls one of the risk factors of peri-implant mucositis and peri-implantitis: residual cement. Dr. Jonathan Ford discusses a recent clinical case he encountered and stresses the need to be extremely diligent when cementing any type of restoration on implants.

Guillaume Gardon-Mollard, DDS

Dental implant therapy in the future

Contrary to a common belief of patients and even of some dentists, dental implant therapies are not everlasting. Guillaume Gardon-Mollard, DDS, goes through a case of a 61-year-old woman, with no particular health problem who comes to his practice, seeking help to escape from an implant rehabilitation dead end.

peri-implantitis dental

Literature review: Peri-implant disease

Surgical-Restorative Resource™ Co-Editor Chris Salierno, DDS, cites key literature references as he focuses on the subject of peri-implant disease, which can be divided into peri-implant mucositis and peri-implantitis.

Albert Yoo, DDS

'My implant is too shallow and now I'm getting food stuck between my teeth'

Proper embrasure form between teeth and restoration is critical for both proper papilla formation as well as hygiene/cleanability. Successful rehabilitation with dental implants includes stability of bone level, function, esthetics, and overall patient satisfaction. Here, Dr. Albert Yoo goes through a case study and assessment.

Gregory J. Tarantola, DDS

What makes a clinical dental case complex?

Dr. Gregory Tarantola suggests discussing the complex issues involved in clinical dentistry cases with patients before beginning treatment. He says, “When issues are discussed ahead of time, it is a diagnosis. When they are discussed after the fact, it tends to look like an excuse, which can erode the trust we have worked so hard to build.”

Surgical-Restorative Resource

The top 10 Surgical-Restorative Resource articles in 2012 for clinical dentistry

Here is a readers' compilation of the top 10 clinical dentistry articles from Surgical-Restorative Resource™ in 2012.

Chris Salierno, DDS

The wrong way to restore an implant

How do you come along behind another dentist who improperly restored an implant and fix his or her mistakes? Surgical-Restorative Resource Co-Editor Dr. Chris Salierno goes through a case study on a new patient who presented with this problem and explains what he does to make it right.

endo retreatment

To retreat or not: a decision matrix

Drs. Joseph F. DiBernardo and Doreen Toskos analyze endodontic retreatment on a case-by-case consideration. The clinician’s job is to stack the odds in his or her favor and reduce the biological burden to hasten healing, while making sound decisions based on a variety of warning signs.

Chris Salierno, DDS

The platform is showing! Prosthetic management of implants placed too far coronally

Prosthetically driven implant placement requires respect of anatomical landmarks in all three dimensions. Dr. Chris Salierno, Surgical-Restorative Resource co-editor, considers two options for dealing with an implant that has been placed too shallow, and offers support for his preferred treatment modality.

Scott Froum, DDS

A protocol for follow-up visits post-implant placement

Dr. Scott Froum, co-editor of Surgical-Restorative Resource, wrote this article about implant maintenance and follow-up care due to the many requests he has received from dental professionals during his lectures.