More Complications Articles

implant, dental implant, tooth decay, decay caries

Implant-induced decay: A problem bigger than you think

Although dental implants have a high survival rate, complications can occur. One of those is the migration of natural teeth adjacent to an ankylosed implant, causing interproximal contact loss (ICL) or an open contact. Because ICL between a dental implant restoration and an adjacent tooth has been highly correlated with the development of dental caries, health-care professionals must be aware of the factors that contribute to implant-induced tooth decay and predispose patients to open contacts.

implants, safety, litigation, dental implants

5 seconds of implant safety that can save 5 years of litigation

Although dental implants enjoy a high survival rate, complications happen. On occasion, a patient may digest or aspirate an implant component, requiring a trip to the hospital for radiographs. Dr. Scott Froum discusses an easy-to-use device that for just five seconds of diligence to promote implant safety can prevent five years of agonizing litigation should the unexpected occur.

zirconia, dental implant, full-arch implant-supported restoration, fracture

Avoid a 'crack of shame': Consequence of unidentified inaccuracy during lab workflow for a full-arch implant-supported restoration

A full-arch dental implant-supported restoration requires a perfectly accurate impression and model fabrication workflow. Any slight discrepancy between the mouth and model can have disastrous effects on the integrity and fit of the final restoration. Drs. Daniel Gober and Markus Weitz present a case illustrating the consequence of an inaccuracy that went unnoticed during laboratory workflow in the verification stage for a zironia restoration.

crown lengthening, crown and veneer restorations, laser

Functional crown lengthening around bleeding crown and veneer restorations

In this video, Dr. Scott Froum, editorial director of Perio-Implant Advisory, demonstrates how he recreates space around crown and veneer restorations that have violated the biologic width, resulting in inflammation and bleeding, through functional crown lengthening using a 9.3-micron CO2 laser.

Surgical solutions to implant soft-tissue deficiencies in the esthetic zone

Dr. Paul P. Lin offers a preview of his presentation for the upcoming Academy of Osseointegration's Annual Meeting in Los Angeles later this month on surgical solutions to correct soft-tissue deficiencies surrounding dental implants, focusing on implants placed too far buccally. He will also discuss surgical management for complications involving poor implant positioning and the presence of infection.

do-it-yourself, dentistry, DIY dentistry, orthodontics

The perils of do-it-yourself dentistry: A case study

Under the guise of affordable dental care, the public is being duped into thinking do-it-yourself (DIY) dentistry for half price is safe. Dr. Scott Froum, Perio-Implant Advisory's editorial director, and Dr. Zackary Faber discuss the dangers of DIY dentistry as they present the case of a 22-year-old who tried gap banding and ended up needing an interdisciplinary treatment plan.

peri-implantitis, bone loss, lasers, dental implant complication

Which is most effective for the treatment of peri-implantitis: Mechanical, chemical, or laser?

Treatment of peri-implantitis—a biological dental implant complication stemming from an inflammatory disease of the soft tissues surrounding a dental implant, accompanied by destructive bone loss—varies widely. But which treatment is most effective for this insidious disease: mechanical, chemical, lasers, or a combination? Ask Dr. Stuart J. Froum.

sinus, sinus grafting, sinus augmentation, maxillary sinus

Sinus grafting: How to manage complications involving the maxillary sinus

Sinus grafting has become one of the best documented techniques to improve bone volumes in the posterior edentulous maxilla when existing bone is insufficient to support dental implants due to sinus expansion and/or alveolar ridge atrophy. However, when complicated anatomical or clinical issues present, sinus augmentation becomes more problematic. Dr. Matteo Chiapasco offers tips on how to perform predictable sinus grafting under unfavorable conditions.

ectodermal dysplasia, prosthetic, treatment planning, multidisciplinary

Treating young patients with ectodermal dysplasia: A prosthetic dilemma

Prosthodontist Kim Daxon, DDS, is used to treating children and adolescents who desperately need the expertise of a multidisciplinary specialist team for their dental care. Her new patient—a referral from a local pediatric dentist—is nine years old and has ectodermal dysplasia. Follow along to see how Dr. Daxon approaches the challenge of treatment planning for this multifaceted case.

soft-tissue grafting, gingival recession, tissue grafting, dental implants

A new coronally advanced, noninvasive, soft-tissue grafting technique: Bernotti V-Y Flap

Ana Luisa Bernotti, DDS, discusses a new noninvasive soft-tissue grafting technique—the Bernotti V-Y Flap—that can be used with or without autogenous allograft and xenograft collagen membranes. A “V-Y’’ flap design and microsurgical instruments are used to treat gingival recession defects, soft-tissue dehiscence, and keratinized tissue defects around teeth and dental implants. You'll see a video showing how this technique allows for coronal movement of the marginal tissue with no tension from the suture.

opioid epidemic, opiates, pain medication, opioids

Facts and figures behind the opioid epidemic: 3 clinical methods to alleviate pain and decrease the need for opiates

Scott Froum, DDS, editorial director of Perio-Implant Advisory, discusses the CCDAOC white paper recently sent to the president outlining propositions to combat the opioid epidemic and the direct effects they will have on dental providers. He also shares three clinical techniques to reduce the need for prescription pain medication for postsurgical procedures.

Pinhole Surgical Technique, gingival grafting, soft-tissue grafting, gingival recession

Pinhole Surgical Technique: The rebirth of the noninvasive soft-tissue graft

The main goal when restoring health, function, and esthetics of lost tissue due to gingival recession is to accomplish surgery the most efficiently with the fewest postoperative complications. Scott Froum, DDS, Perio-Implant Advisory's editorial director, reviews the history of noninvasive soft-tissue grafting and describes a new surgical protocol—the Pinhole Surgical Technique—that has taken soft-tissue grafting awareness to a new level.

dental implants, teeth

Top 5 anatomical differences between dental implants and teeth that influence treatment outcomes

Because of the anatomical differences between teeth and dental implants, therapies that are successful in treating natural teeth may not enjoy the same success rate when used on diseased implants. Scott Froum, DDS, and Gregori M. Kurtzman, DDS, MAGD, focus on five of the dissimilarities between teeth and implants, and describe how those five factors can influence diagnosis and treatment.

dental implants, dental

Narrow-diameter implants: A solution for replacing single missing lower incisors

Most dentists dread having to replace single missing mandibular incisors due to the numerous challenges involved. Peter Mann, DDS, FICOI, FAGD, presents two case studies demonstrating the successful use of narrow-diameter implants (mini-implants) for patients who "don't want a bridge" and those who were told they are not candidates for conventional dental implants.

dental implant, dental implant screws, how to remove a stripped screw

A solution for stripped dental implant screws

With so many different dental implant systems and restorative components available, the use of correct drivers when seating abutments becomes critical to avoid the risk of stripped dental implant screws and complicating easy retrieval of restorative components. In this case study, Daniel D. Gober, DDS, and Markus L. Weitz, DDS, explain how to remove a stripped screw in a multiunit abutment with a creative, yet simple, technique.

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