More Complications Articles

canker sores, aphthous ulcers

Canker sores: An old enemy facing new treatment

Initial onset of aphthous ulcers, also called canker sores, usually occurs in childhood or early adulthood. Canker sores affect women more than men, are self-limiting, and are disproportionately painful relative to the size of the lesion. Perio-Implant Advisory's Editorial Director Dr. Scott Froum discusses the etiology, types, diagnosis and associated systemic disorders, as well as the most effective new treatment for these ulcers that plague many.

implants, short dental implants, short implants

Saving T-I-M-E with short dental implants

Short implants may seem to be an obvious alternative where conventional implants are not an option without additional surgical procedures to compensate for tissue deficiencies in posterior regions. However, the question remains: Are survival rates for short implants the same as conventional dental implants? Dr. Scott Froum and Don Rothenberg discuss the benefits of using short implants in certain situations as a method to avoid having to do more invasive grafting.

dental implants, implant

Replacement dental implants: 3 clinical methods to increase survival rates after initial implant failure

While dental implants traditionally are successful tooth-replacement options, complications can occur. Replacement with another implant is an option, but survival rates vary and have been reported to be in the range of 69% to 91%. Dr. Scott Froum, editorial director of Perio-Implant Advisory, discusses three clinical methods he uses to improve the survival rate of replacement dental implants following initial implant failure.

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.

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