More Restorative Articles

diastemas, porcelain veneers zqzdtwybbeyaurswytbq

When orthodontics falls short: Managing diastemas with porcelain veneers

A patient presented to Dr. Michael Wei with diastemas, enamel defects, tooth-arch size discrepancies, and disproportional teeth. The patient's orthodontist had told her that the spaces between her teeth would never close completely. Enter interdisciplinary treatment planning and porcelain veneers. Exit a happy patient. Read the case study here.

dental implant, implant verification jig, framework

How to use a dental implant verification jig to ensure an accurate final framework every time

So, your screw-retained restoration framework fits on the model, but how can you make sure it fits in your patient's mouth too? Steven Pigliacelli, MDT, CDT, breaks it down into easy steps, beginning with a good impression and following up with how to use a dental implant verification jig to guarantee an accurate final frame every time.

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.

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.

implant dentistry, dental implant, dental

A conversation with the 'wise of implant dentistry': AO 2018 in Los Angeles

The Academy of Osseointegration's Annual Meeting is the perfect venue for specialists, general dentists, lab technicians, and hygienists to share their knowledge and best practices in the field of implant dentistry. AO President Dr. Michael Norton gives a preview of what you can expect from this premier scientific meeting February 28–March 3, 2018, in Los Angeles.

dental implants, radiographic guides, surgical guide stents, dental implant surgery

Radiographic guides and surgical guide stents for dental implants: Laboratory fabrication techniques

It is almost standard routine in treatment planning to use tomographic imaging with radiographic guides and surgical guide stents during placement of dental implants. David L. Brown, DDS, describes simple laboratory techniques to fabricate guide stents that can be used during imaging and then easily converted for use during dental implant surgery.

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.

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.

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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.

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