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CBCT in Endodontics: Changing the Landscape of Diagnosis and Clinical Treatment Premium Member Content

CBCT in Endodontics: Changing the Landscape of Diagnosis and Clinical Treatment
Radiographic imaging is essential in the diagnosis, treatment planning and follow-up in endodontics. The interpretation of an image can be confounded by a number of factors, including the regional anatomy as well as superimposition of both the teeth and surrounding dento-alveolar structures. As a result of superimposition, periapical radiographs reveal only limited aspects, a 2-dimensional view, of the true three dimensional anatomy. Additionally, there is often geometric distortion of the anatomical structures being imaged with conventional radiographic methods. These problems can be overcome by utilizing small or limited volume cone beam computed tomography (CBCT) imaging techniques which produce accurate 3-dimensional images of the teeth and surrounding dento-alveolar structures. This presentation will highlight the indications, advantages and considerations of the use of CBCT in endodontics.

Presented By:: Frederic Barnett, DMD
Presentation Style: Video
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Prevention and Management of Separated Instruments Premium Member Content

Prevention and Management of Separated Instruments
Broken, separated, or “disarticulated” instruments can occur during the day-to-day practice of endodontics. No dentist should have a particular tolerance for broken instruments; however, it is important to know how to prevent and treat these incidents and how to explain the situation to the patient. Guidelines for prevention and management of intracanal separated instruments including Microsonic and Bypassing techniques have been explained in details here with different technical tips to help the dentist to increase the chance of saving tooth in the event of the breakage.

Presented By:: Moh'd Hammo, BDS, DESE
Presentation Style: Video
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Communication Protocols with Photography Premium Member Content

Communication Protocols with Photography
Digital photography is a very important subject in dentistry. It is hard to know where to start, especially when applying to dentistry. This lecture serves as an ad aid for the clinician and technician during the process of approaching the patient from treatment planning presentation to the process of integration digital photography into the color-matching procedure.

Presented By:: Johan Figueira, DDS
Presentation Style: Video
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What Every Dentist Needs to Know About TM Disorders Premium Member Content

What Every Dentist Needs to Know About TM Disorders
Temporomandibular disorders (TMD) are a group of musculoskeletal disorders of the masticatory system. These disorders are common and dentists are the primary care providers. Therefore every dentist should have a sound understanding of TMD so that the most appropriate care will be selected for the patient. This presentation will overview of the role of dentists in the diagnosis and management of TMD.

Presented By:: Jeffrey P. Okeson, DMD
Presentation Style: Video
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General Articles
Effectiveness of a Super-Pulsed CO2 Laser For Removal of Biofilm From Three Different Types of Implant Surfaces: An In Vitro Study

Effectiveness of a Super-Pulsed CO2 Laser For Removal of Biofilm From Three Different Types of Implant Surfaces: An In Vitro Study
As dental implants become a routine part of dental practice, so too will the prevalence of peri-implant diseases. Inherent to the treatment of peri-implant disease is the removal of microbial biofilms from the implant surface. Currently, there is no standardized protocol for application of any treatment modality directed at implant surface decontamination. In this in vitro study, we report on the effectiveness of a super-pulsed CO2 laser, delivering an average fluence of 6.3 to 113 J/cm2, to remove biofilm from three different types of implant surface topographies. Biofilms ranged in thickness from 5 to 15 μm. An average fluence of 19 J/cm2 was sufficient to achieve 100% ablation of the biofilm on hydrophilic sandblasted and acidetched surface specimens (SA). However, to achieve 100% ablation of biofilm on HA and highly crystalline, phosphate enriched titanium oxide (PTO) surfaced implants required an average fluence of 38 J/cm2.

Author(s): Peter Vitruk, PhD;Charles M. Cobb, DDS, MS, PhD
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A Cone Beam Tomographic Evaluation of Hard Tissue Alterations at Immediate Implants: A Clinical Prospective Study

A Cone Beam Tomographic Evaluation of Hard Tissue Alterations at Immediate Implants: A Clinical Prospective Study
The aim on this study was to investigate the hard tissue alterations of the alveolar bone crest following tooth extraction and immediate implant placement using cone beam computed tomography. Twelve consecutive patients in need of an immediate dental implant were included in the study. An implant of proper length was placed in the extraction socket wit the coronal margin of the rough surface generally flush with or deeper than the buccal alveolar bone crest. The results should be viewed with caution because of the small number of cases examined.

Author(s): Fabio Rossi, DDS, PhD; Piero Romanelli, DDS; Emanuele Ricci, DDS, PhD; Claudio Marchetti, MD, DDS; Daniele Botticelli, DDS, PHD
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Innovative Approach to Computer-Guided Surgery and Fixed Provisionalization Assisted by Screw-Retained Transitional Implants

Innovative Approach to Computer-Guided Surgery and Fixed Provisionalization Assisted by Screw-Retained Transitional Implants
The objectives of this case series are to describe a novel clinical approach to treat completely edentulous patients and determine its viability. Computer-guided implant planning was used to create a screw-retained surgical template (ST) supported by transitional implants and a fixed screw-retained provisional prosthesis supported by the transitional implants at the time of definitive implant placement.

Author(s): German Gallucci, DMD, PhD, Dr. med. dent.;Gary Finelle, DMD; Dimitrios E. V. Papadimitriou, DMD, Sang J. Lee, DMD, MMSc
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Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra

Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra
The key to the success of soft tissue lasers is their ability to cut and coagulate the soft tissue at the same time. Present work is aimed to derive the wavelength-dependent differences in photo-thermal ablation and coagulation efficiencies for oral soft tissue pulsed dental Near-IR Diode, Mid-IR Erbium and IR CO2 lasers. Even though the soft tissue photothermal ablation has been extensively studied, there remains a discrepancy between (a) the widely proliferated notion about efficient Near-IR 800-1,100 nm laser ablation of the oral soft tissue, and (b) studies reporting the inefficient soft tissue Near-IR absorption/ablation. Indeed, the notions about “the key to the usefulness of the Nd:YAG is that this wavelength is highly absorbed in oral soft tissue”, and “all currently available dental laser instruments and their emission wavelengths have indications for use for incising, excising... oral soft tissue surgery”, contradict an observation illustrated here...

Author(s): Peter Vitruk, PhD
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General Courses
CBCT in Endodontics: Changing the Landscape of Diagnosis and Clinical Treatment Premium Member Content

CBCT in Endodontics: Changing the Landscape of Diagnosis and Clinical Treatment
Radiographic imaging is essential in the diagnosis, treatment planning and follow-up in endodontics. The interpretation of an image can be confounded by a number of factors, including the regional anatomy as well as superimposition of both the teeth and surrounding dento-alveolar structures. As a result of superimposition, periapical radiographs reveal only limited aspects, a 2-dimensional view, of the true three dimensional anatomy. Additionally, there is often geometric distortion of the anatomical structures being imaged with conventional radiographic methods. These problems can be overcome by utilizing small or limited volume cone beam computed tomography (CBCT) imaging techniques which produce accurate 3-dimensional images of the teeth and surrounding dento-alveolar structures. This presentation will highlight the indications, advantages and considerations of the use of CBCT in endodontics.

Presented By:: Frederic Barnett, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Prevention and Management of Separated Instruments Premium Member Content

Prevention and Management of Separated Instruments
Broken, separated, or “disarticulated” instruments can occur during the day-to-day practice of endodontics. No dentist should have a particular tolerance for broken instruments; however, it is important to know how to prevent and treat these incidents and how to explain the situation to the patient. Guidelines for prevention and management of intracanal separated instruments including Microsonic and Bypassing techniques have been explained in details here with different technical tips to help the dentist to increase the chance of saving tooth in the event of the breakage.

Presented By:: Moh'd Hammo, BDS, DESE
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Communication Protocols with Photography Premium Member Content

Communication Protocols with Photography
Digital photography is a very important subject in dentistry. It is hard to know where to start, especially when applying to dentistry. This lecture serves as an ad aid for the clinician and technician during the process of approaching the patient from treatment planning presentation to the process of integration digital photography into the color-matching procedure.

Presented By:: Johan Figueira, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Organizing Dental Images Using Adobe Lightroom; A Step-by-Step Guide Premium Member Content

Organizing Dental Images Using Adobe Lightroom; A Step-by-Step Guide
This presentation will detail the steps required to set up a dental digital workflow using Adobe Lightroom software. Once setup the user will easily be able to organize, sort, find and share their dental images.

Presented By:: Steven H. Goldstein, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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