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This month's clinical tip from the editor: 'Help! My implant fell out!'

When a patient calls your dental office saying, “The implant you put in my mouth fell out. What should I do?” Dr. Scott Froum, editorial director of Perio-Implant Advisory, suggests you tell the patient to send you a picture via text of the “implant that has fallen out.” Nine times out of 10 it will be a healing abutment usually caused by noncompliance with postop instructions to have a soft food diet rather than the implant.

Barrier aids bone regrowth after socket grafting

A study in the current issue of the Journal of Oral Implantology looks at a new type of barrier membrane, known as porcine collagen, that has been recently introduced in the United States. The intent was to find out how quickly a bone graft can develop when porcine collagen is placed over the grafted tooth socket.

How a perfect, implant-retained anterior bridge can cause facial pain

Dr. Lee N. Sheldon discusses a problem your patients may experience called an interference with the cranial rhythm. But if you don’t know the symptoms, you’ll dismiss their concerns. We were never taught about it in dental school, and it isn't often recognized in traditional dentistry or medicine. The whole issue begins with the “perfect” implant case.

Enhancing periodontal regeneration with the use of biologics

In the last decade, the regenerative potential of periodontal and furcation defects have become both more predictable and successful, largely due to the adjunctive use of biologic modifiers such as purified human platelet-derived growth factor-BB (PDGF-BB) in combination with beta-tricalcium phosphate or freeze-dried bone allograft. The advent of dental implants has dramatically changed the field of dentistry, but we must not forget that many teeth with periodontal defects can be saved and treated predictably with proper diagnosis and treatment. Dr. Gregory Pette shares his keys to success with periodontal regeneration as he takes readers through one of his cases.

American Academy of Periodontology to host technology-focused conference in Chicago

Dental team collaboration and shared learning are among event highlights

Practical applications for periodontal regenerative therapies

Five practical application papers that translate the findings from the American Academy of Periodontology’s 2014 Workshop on Regeneration into clinical practice.

Periodontal regeneration

Periodontal regeneration: Back to the future

Dr. Scott Froum, co-editor of Surgical-Restorative Resource, introduces the papers that the American Academy of Periodontology provides on the topic of periodontal regeneration. The materials translate the AAP’s research into practical, take-home clinical applications for the dental office. Topics cover soft-tissue procedures for root coverage around areas of recession, as well as soft-tissue coverage to increase keratinized tissue for aid in oral hygiene. From regenerating furcation defects and intrabony defects around teeth with evidence-based decision matrices on which material is best to use in certain situations to new advances in regeneration, dental professionals receive valuable insight.

dental lasers Convergent Dental Lawrence Kotlow, DDS

So you want to invest in a dental laser

Dr. Lawrence Kotlow says investing in a laser for your dental practice involves a lot of thought and decision-making as to what you want your laser to do for your patients, your practice, and yourself. Here’s what you need to consider before you take the plunge.

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.

SRR ‘Spotlight on JOMI’: A diverse perspective on dental implant therapy

SRR 'Spotlight on JOMI': A diverse perspective on dental implant therapy

In SRR’s continuing “Spotlight on JOMI” series, Dr. Lauren Brownfield talks about the concept of micromotion in implant-abutment combinations. She reviews several techniques and philosophies, focusing on the diverse perspective of dental implant therapy that she has gained from her involvement in the Academy of Osseointegration.

Scaneez radiopaque markers with Stick ’n Scan technology from Suremark - radiographic guides for dentures

STOP duplicating dentures for radiographic guides

Finally, there is a product that makes radiographic guide creation instant and very inexpensive. Best of all, it creates precise data points. Dr. Robert Sicurelli talks about how this new technology converts the patient’s existing denture to an instant radiographic guide in seconds — in just one visit … with no lab bills.

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.

A novel non-narcotic approach to pain management: By the clock by P.K. Clark, DMD

A novel non-narcotic approach to pain management: By the clock

Dr. P.K. Clark says "as needed for pain" (P.R.N) was all he was exposed to in his training years, but he has not always been satisfied with that approach. He has since been introduced to a better way: by the clock. Rather than wait for the pain to spike, the by the clock approach instructs the patient to take his or her medications at a preappointed time. Here, he explains how this non-narcotic approach to pain management has been a solid addition to postoperative pain control for his patients.

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.

cleft lip and palate

The genetics of cleft lip and palate

Cleft lip with or without cleft palate is a complex congenital anomaly that can be isolated or seen together with other malformations. It can also be part of the phenotype of a genetic syndrome. Here, Anya Revah, MS, senior genetic counselor, presents a review of the prevalence of cleft lip and palate, risks for recurrence, and risks for other congenital anomalies.

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