More Surgical Articles

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Dental pain: Predicting postoperative pain prior to the procedure

While one cannot predict which dental patients will experience postoperative pain and which will not, Dr. Scott Froum distills the top five preoperative factors and patient characteristics that lead to postprocedural pain and the need for analgesics so you can better anticipate various dental pain levels and respond proactively.

Are narrow implants a reliable solution?

Can narrow implants be used in the posterior maxillary and mandibular regions to replace premolars and molars? Can the use of narrow implants eliminate the need for grafting in certain circumstances? Drs. Patrick Palacci and Giulia Mancardi examine the literature to answer these questions and more to determine exactly where small-diameter dental implants can be used and whether they are a predictable treatment option.

Do root canals cause cancer?

The recent documentary on Netflix, Root Cause, is causing quite a stir. Many are questioning the safety and validity of root canals and their possible connection to the "c" word—yes, cancer. Periodontist Dr. Scott Froum and Endodontist Dr. Omar Ikram debunk accusations made in the documentary on three levels so that you can begin to have intelligent conversations with your dental patients.

To splint or not to splint adjacent implants: A 10-year retrospective analysis

Dr. Terry Walton looks at the long-term effects of splinting adjacent dental implants in segmental tooth replacement.

Maxillary sinus grafting: Prevention and management of complications

Dr. Pascal Valentini looks at how to avoid maxillary sinus grafting complications that can influence long-term implant survival.

Saving teeth: Changing the hopeless prognosis with new technology

Classically, a tooth that was affected with greater than 50% bone loss was given a questionable to hopeless prognosis. Dr. Scott Froum explains how new developments in laser and osteoblastic promotive technologies have surmounted historical restrictions of tissue repair/regeneration around diseased teeth and changed expected outcomes in periodontal treatment for patients interested in preserving their natural dentition.

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.

Saving your sanity while saving teeth: 3 ways to make dental insurance approval easier for periodontal therapy

With the advent of new technology, teeth that previously were considered hopeless can now be saved through periodontal therapy. However, sometimes an obstacle arises and it's not the patient or the disease—it's the dental insurance company. Kyle L. Summerford shares three time-tested ways he uses to ease the insurance approval process for periodontal regeneration therapy.

Saving teeth with periodontal-endodontic therapy

Dr. Zev Lazarus presents a case study demonstrating how proper periodontal-endodontic therapy is able to save teeth that have a guarded prognosis, thus eliminating the need for extraction. Treatment consists of concomitant cyst enucleation and bone grafting to correct a periodontal defect, along with subepithelial connective tissue grafting to correct Miller Class III gingival recession.

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.

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.

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.

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.

Alternative to suturing reduces surgical time for dental procedures

Suturing postsurgically is a common technique in the field of dental medicine, particularly after surgical incisions and dental extractions, as the sutures act to secure tissue edges to promote healing. However, suturing can have its disadvantages, too, which is why Dr. Scott Froum uses what is known as "superglue for soft tissue" for dental surgery in his practice.

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