Periodontal-Prosthesis in Modern Dentistry – Part 1 of 2
Clinicians must be aware of patient expectations when planning dental treatment. When full mouth reconstruction is planned, it is very important to satisfy such expectations in order to provide successful treatment. Patients are often concerned about the cost and duration of treatment, and the pain, esthetics, comfort, and function after treatment. However, we cannot assure longevity unless the treatment has a scientific basis.
During reconstruction or restoration, we generally remove and replace the existing crowns. Secondary caries are mostly detected on removal of these. Due to the caries, the ferrule and tooth thickness are not adequate; and frequently, the condition may not be suitable for prosthetic treatment. In such cases, we choose to extract the tooth or perform crown lengthening to retain the tooth.Thse days many teeth that we could retain by crown lengthening procedure are replaced by implants. In this presentation, we describe some cases in which a crown lengthening proce
Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team.
This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.
Adhesive Dentistry: From Direct to Indirect Restorations
Restorative dentistry has changed in recent years. A good esthetic and functional rehabilitation starts from the proper clinical evaluation of the patient and of his problems, planning all the clinical and laboratory procedures in order to reduce the possibility of performing a subpar restoration.
It is very important to have a synergy between the clinician, the dental technician and the patient and to make the right use of the protocols and a flow chart to address all patient needs. The goal is to achieve the right balance between biology, esthetic and function by applying a minimally invasive approach.
Simplifying Complexity with "Shoulderless" Preparations: Are More Aggressive Tooth Preparation Techniques Needed?
CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions
Dental erosion is a global health problem that can lead to significant functional and esthetic impairments of the affected patients. Treatment of sever cases with augmented loss of the vertical dimension of occlusion (VDO) represents a challenge for both the dental team and the patient. CAD/CAM technology was used in the presented case to analyze the inter-occlusal space. The case report documents a practical, digital approach and discusses the advantages related to treatment time, ease of treatment, and predictability.
Updating Classifications of Ceramic Dental Materials
The indications for and composition of today’s dental ceramic materials serve as the basis
for determining the appropriate class of ceramics to use for a given case. By understanding
the classifications, composition, and characteristics of the latest all-ceramic materials,
which are presented in this article in order of most to least conservative, dentists and
laboratory technicians can best determine the ideal material for a given treatment.
Retrospective Analysis of 26 Complete-Arch Implant-Supported Monolithic Zirconia Prostheses with Feldspathic Porcelain Veneering Limited to the Facial Surface
The purpose of this retrospective study was to evaluate the clinical performances of 26 implant-supported, complete-arch, monolithic zirconia restorations with facial feldspathic porcelain veneers for the rehabilitation of completely edentulous patients.
Eighteen patients were treated with a total of 26 complete-arch fixed prostheses. The mean follow-up time was 20.9 months. In total, 154 implants were placed supporting 309 retainers and pontics.
The results of this retrospective evaluation showed that monolithic zirconia restorations
with facial porcelain veneer provided satisfactory clinical performance and suggest that these
rehabilitations are a viable treatment option for completely edentulous patients.
The "Hybrid Abutment": A New Design for Implant Cemented Restorations in the Esthetic Zones
Cemented implant restorations are widely used by many dentists. The traditional abutment design resembles a natural tooth prepared for a crown with a similar taper and a chamfer finish line. A frequent complication associated with implant restorations in the esthetic zones is the recession of buccal gingiva over time. Abutment morphology, among several other prosthetic factors, may play an important role in the stability of gingival margin in esthetically sensitive areas, but this has never been thoroughly analyzed. With many considerations in mind and recent techniques released, this article proposes the "hybrid abutment: design (HAD), a new design that includes a combination of the two types of features - a feather edge on the buccal side, and a chamfer finish line on the lingual side. This article also presents a rationale for the use of different abutment designs for different situations.
Minimally Invasive Oral Rehabilitation... No More Crowns Please
Many patients are in need of oral rehabilitation but cannot afford it, and we see them suffer and deteriorate feeling helpless. The traditional full mouth rehabilitation, is often excessive (it is extremely rare when a patient really needs a full mouth), and because is expensive, it is rarely accepted. Additionally most commonly crowns are used for rehabilitation, specially on patient with parafunctions. In this eye opening presentation, Dr. Ruiz demonstrates how adhesive dentistry breaks many of the rules we have been taught, as well as the importance of proper occlusal management.
Preventing Subgingival Margins by Implementing Supra-gingival Dentistry Protocol
Restorative margins ending subgingival are considered “normal” and out of the control of the restorative dentist, but in reality subgingival margins are mostly avoidable and preventable! We have the technique and materials to be able to consider all of the above part of the history of dentistry.
Crowns and Bridges