A Multidisciplinary Approach to Single-Tooth Replacement
Sergio Rubinstein, DDS;Alan J. Nidetz, DDS, Masayuki Hoshi, RDT
Over the last several decades, dentistry has focused on more conservative treatment modalities and preventive techniques. This has been possible not only because of improved techniques and materials, but also because of the understanding that tooth preparation, regardless of how conservative it may be, is an irreversible procedure.
A missing tooth in the anterior region is not only a physical loss, but also may be an emotional experience for the patient as well. To remove healthy tooth structure of adjacent teeth to replace a congenitally missing tooth or a tooth lost to decay, trauma, root fracture, failed root canal treatment, or pathology is, for some patients and dentists, a very aggressive treatment option. Infection in any of these situations creates an environment in the hard and soft tissues that makes regeneration procedures more difficult, thereby complicating the ability to create a natural appearance in the definitive restoration.
While a conventional three-unit fixed partial denture is a predictable technique to replace a missing tooth, the invasive nature of the treatment can lead to other complications throughout the life of the restoration. Complications may include mechanical overload of the abutment teeth with weakening or fracture, risk of endodontic treatment, periodontal problems, decay, and cement failure. If any of these complications occurs on one of the abutment teeth, the entire prosthesis will fail. Splinting teeth can overload the supporting structures because teeth function individually, and oral hygiene techniques become more cumbersome.
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This article describes an interdisciplinary approach to the diagnosis and management of anterior dental esthetics.
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In order to develop a normal physiologic relationship
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surgical correction of the patient’s excessive gingival display was required.
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Dr. Maurice Salama takes you through his routine for evaluating and testing patients who present with a airway related sleep disorder.
The Interaction of Esthetics and Occlusion In Long Term Success - Part 1
Predictable longevity is achieved by a practical understanding of occlusal principles and a knowledge of how to manage the forces that exist in each individual patient and for the restorations that are envisioned.
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This webinar will look at the science behind bonding to dentin and review the risks and benefits of different clinical techniques.
Multidisciplinary Crowns & Bridges
A 5 part course worth 1 CEU.
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Dr. Aldo Leopardi presents a complete denture case, from initial patient consultation to final try-in and fitting.
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