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More Surgical Articles

Scott Froum, DDS

Diagnosing between ailing and failing implants: The haste to remove salvageable implants

The replacement of hopeless or missing teeth can be predictably achieved with endosseous dental implants and has demonstrated high survival rates in the literature when restoring single teeth, multiple teeth, and/or completely edentulous cases. Failures, however, do occur and have been on the rise now that the term “implant success” has replaced the term “implant survival.” Periodontist Dr. Scott Froum presents a case report describing the use of the Er:YAG laser for implant surface decontamination and concomitant regenerative therapy to treat an implant with advanced peri-implantitis.

 

Adam Bear, DDS

Clinical dental advantages of the apically positioned flap

The apically positioned flap is a commonly used surgical approach to achieve pocket elimination. This technique is important for maintaining an adequate zone of keratinized tissue, as opposed to the gingivectomy technique, where soft tissue is resected. Dr. Adam Bear discusses the advantages this procedure has for surgical crown-lengthening procedures.

Joseph Gian-Grasso, DMD

Standards of care for implant dentistry: an interview with Dr. Joseph Gian-Grasso, president of the Academy of Osseointegration

Who sets the standards of care for implant dentistry, and how is it done? Surgical-Restorative Resource Co-Editor Dr. Chris Salierno talks with Dr. Joseph Gian-Grasso, president of the Academy of Osseointegration, about the answers to these questions and more in light of the new guidelines for implant dentistry that the AO recently published.

Scott Froum, DDS

Restoration of a damaged dental implant due to removal of a fractured screw: thinking outside the box

Dental implant success has been well documented in the literature; however, failure does occur. Typically, failure can be categorized as either early or late. Dr. Scott Froum, co-editor of Surgical-Restorative Resource, presents a case that highlights a unique method of implant restoration when damage occurs to the implant fixture due to the attempted removal of a fractured screw.

free gingival graft - Albert Yoo, DDS, and Adam Bear, DDS

Attached gingiva and dental implants

The free gingival graft is an age-old periodontal procedure that has long been the gold standard for increasing attached gingiva around the natural dentition. Connective tissue grafting provides many of the same benefits along with root coverage, without the accompanying discomfort from the donor site. Here, Drs. Albert Yoo and Adam Bear discuss the advantages of the free gingival graft procedure over connective tissue grafting for both the natural dentition and, more recently, dental implants.

Neil Gottehrer, DDS

Advanced salivary diagnostics' impact on the reduction of oral cancer mortality rates

The PeriRx salivary diagnostic test for oral squamous cell carcinoma (OSCC) has the distinction of being the first of its kind of assay in the world to aid in the identification and early detection of oral lesions and abnormalities at the highest risk for cancer. Dr. Neil Gottehrer talks about how this test improves the accuracy of a visual oral cancer exam — whereas the clinician may visually identify an area of concern, this salivary test for OSCC will help quantify whether or not that concern is warranted.

Scott Froum, DDS

Human papillomavirus and oral cancer

Head, neck, and oral squamous cell carcinoma (OSCC) is a disease that is thought to be mostly associated with tobacco use and alcohol consumption. The recent announcement, however, by actor Michael Douglas that his esophageal cancer was caused by oral sex and specifically the human papillomavirus (HPV) has brought nonenvironmental etiologies into the spotlight. Dr. Scott Froum talks about what we know now about human papillomavirus and oral cancer, and what we can do as dental professionals to protect our patients.

Jennifer Hirsch Doobrow, DMD

Biomimetic technology: putting the tooth fairy out of business

As a dental practitioner, how many times has a patient said to you during the course of fabricating a treatment plan, “Well, if this were your mouth and your tooth, what would you do?” Dr. Jennifer Hirsch Doobrow goes through a case study of a patient who presented with an ailing implant No. 5 diagnosed with advanced peri-implantitis and tooth No. 6 with severe periodontitis. She shows how with new, improved biomimetic technology, both the implant and the tooth were saved.

Naomi Ramer, DDS

Hyperparathyroidism-jaw tumor syndrome (HPT-JT): report of a family

The hyperparathyroidism-jaw tumor syndrome (HPT-JT) is an autosomal dominantly inherited disorder whose principal features are neoplastic and/or cystic lesions in three main organs: the parathyroid glands, the jaws, and the kidneys. Correctly diagnosing HPT-JT syndrome is essential because of the possible involvement of other family members and risk of malignant disease. Dr. Naomi Ramer goes through a pediatric dental case study involving a child and his mother.

Initial radiograph of a traumatized tooth No. 8 in a female patient too young for dental implants - Joseph F. DiBernardo, DDS, and Doreen Toskos, DMD

Dismay with kid decay: treatment options for broken down permanent teeth in the mixed dentition

Management of cariously involved and traumatized permanent teeth in the mixed dentition depends on many factors. In this article, Drs. Joseph F. DiBernardo and Doreen Toskos will seek to identify the factors involved in the treatment planning of permanent dentition that require root canal therapy due to trauma or caries.

Zackary T. Faber, DDS, MS

To extract or not: In today's orthodontics why are we extracting premolars?

Since the Angle-Case debate of the early 20th century, orthodontists have been arguing about nonextraction therapies vs. extraction treatment plans. Although the debate continues, there are some very real reasons why today’s orthodontists still recommend the extraction of teeth. Dr. Zackary T. Faber, DDS, MS, says most orthodontists pursue nonextraction treatment plans for patients first, and then extract only when confronted with these four clinical problems.

Scott Froum, DDS

Periodontal tissue differentiation of stem cells expected to enhance axonal growth for nerve injury repair

Dr. Scott Froum, co-editor of Surgical-Restorative Resource, talks about the great advance forward that is occurring in regenerative technologies with the concept of stem cells having the same ability as Schwann cells to enhance axonal growth for nerve injury repair.

Brandon G. Katz, DDS

Guided tissue regeneration: background to current indications and applications

Guided tissue regeneration is a topic that has a long history. Brandon G. Katz, DDS, defines and discusses the background of GTR and its current indications and applications. He says with the continuation of periodontal research and corporate alliance, one day we as a profession hope to have the ability to actually “regenerate” the periodontal apparatus including a functional periodontal ligament.

Rebekah A. Florez, RDH

Stem cell opportunities for the dental hygienist

Abundant opportunities for dental hygienists are available in the field of dental research, and one of those is stem cell technology. Tremendous growth potential is occurring with mesenchymal stem cells, and Rebekah Florez, RDH, sees dental hygienists becoming an important facet of this research with their direct patient contact and ability to discuss new methods with patients who may be unfamiliar with the potential of stem cells.

Stacey Simmons, DDS

All-On-4 treatment option: a case report

Dr. Stacey Simmons presents a case using the All-On-4 technique as an exceptional way to restore a patient’s dentition without the hassle for which removable prostheses are famous. The doctor, oral surgeon, and lab technician all need to be intimately involved with the treatment planning process in order to deliver a final prosthesis that will function and service the patient for life. What makes this option ideal is that the surgery and restoration are completed on the same day.

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