More Restorative Articles

temporaries, provisionals, dental restorations

Temporaries versus provisionals: An important distinction

Dr. Michael W. Herndon says the terms temporaries (or temporary crowns/bridges) and provisionals are often interchanged and thus used incorrectly. In this article, he explains why the distinctions between the two types of interim dental restorations are so important by detailing the characteristics and goals of each.

dental implants, oral hygiene, tooth decay

Implant-induced decay or just poor oral hygiene?

When discussing pros and cons of dental implants, many dentists claim that implants are impervious to tooth decay as a treatment benefit. But they often don't discuss the possibility of adjacent teeth getting decay from poor oral hygiene. Dr. Jonathan Ford stresses that each case has different contributing factors and thus warrants different treatment options.

gingival contouring, dental implant, provisional restorations

Gingival contouring using dental implant provisional restorations in the esthetic zone

Achieving appropriate gingival contouring in the smile zone is important in creating an esthetically pleasing smile. Dr. V. Landon Blatter presents a case study to demonstrate how immediate nonocclusal load and occlusal load provisionals can be used to restore gingival contouring for dental implants placed in the challenging areas of congenitally missing maxillary lateral incisor sites.

AO 2017 Annual Meeting Opening Symposium: 30 years of advancements in implant dentistry

Dr. Jeffrey Ganeles, the 2017 Academy of Osseointegration’s Annual Meeting Program Committee chair, details what you can expect to learn from the Opening Symposium at the upcoming meeting. Find out more about the presentations in the field of implant dentistry you’ll get to experience—from the concept of beauty and esthetics to regenerative dental medicine to craniofacial reconstruction and more.

dental implants, craniofacial growth, fixed partial denture

The ideal esthetic dental implant restoration: Will it still look like that in 10 years?

Craniofacial growth continues for humans even into adulthood. Because the tissues and teeth continue to move around a fixed, osseointegrated implant, restorations placed as many as five to 20 years ago can look vastly different from when they were first inserted. Thus ideal placement for dental implants and restorations may not continue to be ideal as the years progress. Perio-Implant Advisory Editorial Director Scott Froum, DDS, explains the implications craniofacial growth has on the position of dental implants and the types of patients who are at the highest risk for craniofacial growth that will impact dental implant positioning in future years.

dental implants, dental restorations, peri-implantitis, dental crowns

Prosthetic screw loosening: An innovative technique to manage a common complication with dental implants

When abutment screw loosening occurs with a cement-retained crown, the clinician is faced with a difficult challenge, often requiring the dentist to send the crown to the lab to be “uncemented” from the abutment. The patient is left without a crown for several days until it comes back from the lab separated from the abutment. Daniel D. Gober, DDS, and Markus L. Weitz, DDS, illustrate a technique to reseat a cement-retained crown-abutment unit that loosened from the implant by converting a cement-retained crown into a screw-retained crown at the very same appointment.

malpositioned dental implants, Steven Pigliacelli, CDT, MDT - dental implant prosthetics

Correcting malpositioned dental implants: Where do we go from here?

An unfortunate occurrence in dental implant prosthetics is malpositioned implant placement. Steven Pigliacelli, CDT, MDT, offers insight into the various restorative options available as well as their drawbacks. He says, “The team concept of oral surgeon, restoring dentist, and lab technicians is most crucial at the planning stages rather than the final restoration stage. By using scans and implant placement software, we can preplan the final restoration and carry out our plan with no late surprises to the patient or restoring doctor as far as lab fees or final esthetics.”

surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD

A cost-effective method of creating a dental implant surgical guide for ridge augmentation

Peter Mann, DDS, FICOI, FAGD, says, “Building the ideal ridge form via hard- and soft-tissue ridge augmentation makes ideal implant placement possible. However, creating surgical guides for ridge augmentation—even though it is just as important as implant surgical guides—is not usual practice.” Study his step-by-step technique that describes a cost-effective, easy-to-manufacture surgical guide for ridge augmentation that you can easily implement into your practice.

Perio-Implant Advisory ‘JOMI Clinical Pearls’: Discussions on zirconia versus titanium implants, peri-implantitis, and dental implant geometry by Joan Pi-Anfruns, DMD

Perio-Implant Advisory JOMI Clinical Pearls: Discussions on zirconia versus titanium implants, peri-implantitis, and dental implant geometry

Dr. Joan Pi-Anfruns authors this JOMI Clinical Pearls column in Perio-Implant Advisory, where he discusses three articles from The International Journal of Oral and Maxillofacial Implants (JOMI)—the official journal of the Academy of Osseointegration (AO)—as reviewed by a member of the Academy’s Young Clinicians Committee (YCC). Topics cover zirconia versus titanium implants, peri-implantitis, and dental implant geometry.

Step-by-step procedure to simplified and efficient root canal techniques by Peter Mann, DDS, FICOI, FAGD

Step-by-step procedure to simplified and efficient root canal techniques

Manhattan dentist Dr. Peter Mann says, “There are many dentists I’ve met who are great and efficient at performing root canals daily in their practices. However, many more dentists shy away from performing root canals, refer out all molar cases, and don’t see the procedure as being profitable for their practices at all. I’m a general dentist, and root canals are one of the procedures I enjoy performing the most. Root canals have become a predictable and efficient part of my practice. Let me explain.”

This month’s clinical tip from the editor: ‘The implant you put in my mouth is now bleeding; what should I do?’ by Scott Froum, DDS

This month's clinical tip from the editor: 'The implant you put in my mouth is now bleeding; what should I do?'

A dreaded phone call that every dental office involved in dental implant therapy may encounter is when a patient calls and says, “Hey Doc, the implant you put in my mouth a few days (or months or years) ago started to bleed.” Most often patients will claim that the problem started “out of the blue” and they tried rinsing their mouths with various medicaments all to no avail. Perio-Implant Advisory Editorial Director Scott Froum, DDS, shares his advice and gives the top five reasons why implant restorations can bleed in his clinical tip of the month.

Etiology, prevention, and treatment of screw loosening and fracture by Andrew Mackie, BDS, DClinDent, MFGDP, RCS, MRACDS

Etiology, prevention, and treatment of screw loosening and fracture

Prosthodontist Andrew Mackie, BDS, DClinDent, from New Zealand explains the etiology, prevention, and treatment of loose screws and screw fracture of dental implants. He explains often-misunderstood, important concepts such as the physics and technique.

healing abutment Scott Froum, DDS

This month's clinical tip from the editor: 'Help! My implant fell out!'

When a patient calls your dental office saying, “The implant you put in my mouth fell out. What should I do?” Dr. Scott Froum, editorial director of Perio-Implant Advisory, suggests you tell the patient to send you a picture via text of the “implant that has fallen out.” Nine times out of 10 it will be a healing abutment usually caused by noncompliance with postop instructions to have a soft food diet rather than the implant.

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.