More Editor's Picks

Manage, repair, or regenerate periodontal disease?

The American Academy of Periodontology warns of a significant public health problem: One out of every two American adults 30 years and older has periodontal disease. (1) As dental professionals, we need to step up to this challenge and change the way we evaluate and treat mucosal oral infections. The research, tools, and biologic products are now available to regenerate bone and tissue—not simply “manage or repair”! Susan Wingrove, RDH, says our role as dental professionals is to identify the optimal time for regenerative periodontal therapy.

Does your dental extraction socket need a bone graft by Scott Froum, DDS

Does your dental extraction socket need a bone graft: A decision matrix

Because of the alveolar resorptive pattern after tooth extraction, the advent of bone grafting the extraction socket has become a solution that attempts to limit the amount of hard- and soft-tissue loss. Many studies have looked at the results of ridge dimension following extraction after the use of an intrasocket graft with either an absorbable or nonabsorbable membrane, compared to extraction alone without grafting. Here, Dr. Scott Froum, co-editor of Surgical-Restorative Resource, shares the protocol he uses for deciding when and when not to graft after tooth extraction.

Atypically prolonged pain after dentoalveolar surgery: A study of tricyclic antidepressants - pain pills - Dreamstime.com

Atypically prolonged pain after dentoalveolar surgery: A study of tricyclic antidepressants

A patient’s perception of prolonged pain, which is not resolved by antibiotics, anti-inflammatory agents, or analgesics becomes grounds for patient and practitioner frustration … and possibly later even a playground for attorneys to investigate. In this paper, Alphonse V. Gargiulo, DDS, MS; Salvatore Termini, DDS; and Thomas G. Manos, DDS, MS, bring to the forefront the use of tricyclic antidepressants (TCA) to aid both practitioner and patient as a potential resolution for the atypical, peripheral chronic pain issue particularly for those undergoing dentoalveolar surgical trauma.

complex maxillary implant restoration

Interdisciplinary management of a complex maxillary implant restoration

Although implants enjoy a high success rate in the literature, the restorative challenge continues to be achieving a desirable result in the maxillary anterior segment. This challenge is further exacerbated by patients presenting with malocclusion, soft tissue loss, hard tissue loss, a high lip line, and/or high esthetic demands. A patient who exhibits all of these factors can only be managed through proper treatment planning. The following case discussion from Drs. Peter Mann and Scott Froum highlights the importance of proper treatment planning and communications that take place between the implant surgeon and restorative dentist.