More Complications Articles

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.

apicocoronal implant maintenance

Effective implant maintenance and cleaning protocols

There is a significant body of work regarding the complexities of dental implants and their maintenance. Dr. Robert Gottlieb and Suzanne Newkirk, RDH, provide a brief overview of the implant protocols they have found to be most effective in their practice.

endo vs. implant

Endodontic therapy vs. implant maintenance: an evidence-based review

When giving patients options for their restorations, Drs. Doreen Toskos and Joseph DiBernardo say that implant surgeons must address the possibility of endodontic therapy, and general dentists/endodontists must discuss the ramifications of implant therapy. As dentists, we are trained to preserve the natural dentition for our patients, and it is our ethical responsibility to do so whenever possible.

Scott Froum, DDS

Review of the treatment protocols for peri-implantitis

Surgical-Restorative Resource co-editor Dr. Scott Froum defines peri-implantitis, discusses various treatment modalities, and assesses the latest scientific studies. He concludes that new treatment modalities need to be evaluated using long-term randomized-controlled studies to identify predictable and successful treatment of peri-implantitis.

Valerie Sternberg Smith, RDH

Detecting cement in the peri-implant sulcus

Retained cement around an implant can lead to peri-implantitis, and in some cases implant failure. Valerie Sternberg Smith, RDH, BS, suggests when and how to remove cement from implant restorations.

Amanda Seay, DDS

Prosthetic management of surgical complications using e.max

This case study discusses the esthetic challenges of a bone graft/implant gone bad. Dr. Amanda Seay restores with e.max and pink porcelain.

Stuart J. Froum, DDS

My patient's implant is bleeding; what do I do?

Dr. Stuart Froum discusses the two disease entities accompanied by inflammation of the soft tissue around a dental implant: mucositis and peri-implantitis. He describes the manifestations, risk factors, and complications.

Maureen Tsokris, RDH, EdD

Dental implant maintenance: a team effort

As more and more implants are placed, the dental team will encounter great variations in patient needs and potential complications. Maureen Tsokris, RDH, EdD, explains how imperative it is that all dental team members are equipped to provide proper assessment and maintenance of dental implants to ensure long-term success.