3,639 results match your criteria Compendium of Continuing Education in Dentistry [Journal]


Strategies to Scrutinize Opioid Prescribing for Dental Pain Management.

Authors:
David A Hamlin

Compend Contin Educ Dent 2019 Apr;40(4):252-254

Cigna Dental Director for the Eastern Region of the United States; previously in private practice and clinical research.

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April 2019
4 Reads

Overcoming Esthetic, Functional, and Biomechanical Challenges With Assistance From Orthodontic Intrusion.

Authors:
Mia W Fitzgerald

Compend Contin Educ Dent 2019 Apr;40(4):246-250

Private Practice, Sudbury, Massachusetts.

Orthodontic intrusion can be utilized to assist clinicians in meeting various esthetic, functional, and biomechanical problems. In this full-mouth reconstruction case, such therapy was used to initiate a multiphase treatment approach for an adult patient who presented with numerous concerns about her function and appearance, including a significant diastema, active wear on her lower anterior teeth, and chipped crowns. A variety of procedures conducted over a period of 6 years that comprised implant placement, gingival recontouring, orthodontic repositioning, and crown lengthening, along with the use of a Kois deprogrammer to equilibrate the final restorations, were utilized to achieve a successful outcome. Read More

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A Rationale for Fixed Restorations Supported by Mini Dental Implants: Case Reports and Practical Case Selection Guidelines.

Authors:
Raymond Choi

Compend Contin Educ Dent 2019 Apr;40(4):238-245

Private General Practice with emphasis on Implant Dentistry, Tustin, California.

Many patients prefer fixed restorations to replace missing teeth. However, various factors may preclude them from receiving fixed restorations supported by conventionally sized (≥3 mm in diameter) dental implants. The introduction of mini dental implants (MDIs) (≤2. Read More

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April 2019
3 Reads

Functional Occlusal Rehabilitation of a Mutilated Adult Dentition Caused by a Constricted Chewing Pathway: 6-Year Follow-up.

Compend Contin Educ Dent 2019 Apr;40(4):226-236

Private Practice specializing in Orthodontics, Mumbai, India.

Adult patients with class II division 2 malocclusion often present with several occlusal problems. Employing a singular restorative modality to fix the problems without considering the long-term prognosis can lead to disastrous outcomes. Oral rehabilitation in such mutilated dentitions is challenging and requires a holistic diagnostic approach to achieve long-term stability and a good prognosis. Read More

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April 2019
1 Read

Osseodensification: An Overview of Scientific Rationale and Biological Background.

Compend Contin Educ Dent 2019 Apr;40(4):217-222; quiz 223

Adjunct Professor, Periodontology, Nova Southeastern University, Fort Lauderdale, Florida.

In implant dentistry, primary mechanical stability is considered a prerequisite for successful osseointegration. That is, the alveolar bone architecture of the implant drilling site is critical in dictating the success rate of the implant. Immediately after implant placement, a series of cellular and molecular events occur directly on the implant surface (apposition), whereby host tissues biologically integrate the "foreign" biomaterial into the native bone structure. Read More

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April 2019
1 Read

The Future of Oral Cancer Diagnosis: Merging Provider Awareness, Patient Education, and Technology to Achieve Early Detection.

Compend Contin Educ Dent 2019 Apr;40(4):208-213; quiz 214

Dean Emeritus, Arizona School of Dentistry and Oral Health, A.T. Still University, Mesa, Arizona; The ATSU Center for the Future of the Health Professions.

Oral cancer screening may be performed by trained dental team members and requires only a few minutes. Because oral diseases and mucosal abnormalities may lead to malignancies, oral health providers need to be aware of the emerging roles that the human papillomavirus (HPV), fluorescent technology, and salivary biomarkers play in the prevalence and diagnosis of oral and/or oropharyngeal cancers. In addition to discussing HPV and head, neck, and oral cancers, this article examines the use of fluorescence as a useful tool in helping to screen oral soft tissue while describing various methods for visualization of oral tissue fluorescence. Read More

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April 2019
1 Read

Value-Based Dentistry: Putting Patients First.

Compend Contin Educ Dent 2019 Apr;40(4):e6-e8

Director of Undergraduate Clinical Education, Restorative Dentistry, UCLA School of Dentistry, Los Angeles, California.

Dentistry is a profession with many stakeholders and contributors. In the optimal scenario, the collective focus should be on the patient. A significant opportunity awaits any dental team ready to best meet patients' needs and desires through value-based dentistry (VBD), in which patient requests and concerns in the context of cost of care are the priority. Read More

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April 2019
2 Reads

The Use of Computer-Guided Surgery to Avoid Severe Buccal Defect and Lingual Concavity in Mandibular Implant Placement.

Compend Contin Educ Dent 2019 Apr;40(4):e1-e5

Private Practice, Winter Park, Florida.

Dental implant treatment planning has traditionally been accomplished using 2-dimensional radiographs and stone models. Although historically this method has been used with success, there are limitations. Two-dimensional radiographs and stone models may not allow for accurate diagnosis of ridge defects or the presence of a mandibular lingual concavity. Read More

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Immediate Placement of Dental Implants in Molar Extraction Sockets: An 11-Year Retrospective Analysis.

Compend Contin Educ Dent 2019 Mar;40(3):166-170

Assistant Clinical Professor, Department of Prosthodontics, New York University, College of Dentistry, New York, New York.

The authors present an 11-year retrospective analysis of 300 immediately placed implants in molar extraction sockets. The protocol used for the placement and restoration of these implants is based upon a previously published article by the authors regarding the classification of molar extraction sockets. Four different implant systems were used during this study, and implants varied in diameter, length, and texture. Read More

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March 2019
3 Reads

Salvaging a Periodontally Compromised and Endodontically Involved Three-Rooted Mandibular First Molar With Cervical Enamel Projection.

Compend Contin Educ Dent 2019 Mar;40(3):172-177

PhD Student, School of Dentistry, University of Queensland, Australia; Faculty of Dentistry, SEGi University, Malaysia, at time of writing.

This case report describes the management of a mandibular first molar with an additional distolingual root (radix entomolaris) and grade III cervical enamel projection through a multidisciplinary approach. Diagnosis for the case was endodontic-periodontal lesion due to non-vitality and associated advanced periodontal destruction. The patient was treated with drainage of the periodontal abscess with adjunct antibiotics, phase I periodontal therapy, endodontic therapy, radiculoplasty, regenerative periodontal therapy, replacement of the missing right mandibular second molar, and long-term maintenance. Read More

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March 2019
6 Reads

Minimally Invasive Extraction Site Management With Dehydrated Amnion/Chorion Membrane (dHACM): Open-Socket Grafting.

Compend Contin Educ Dent 2019 Mar;40(3):178-183

Clinical Assistant Professor, University of Colorado School of Dental Medicine, Aurora, Colorado; Vice President of Research and Development, Snoasis Medical, Golden, Colorado.

Site preservation grafting after tooth extraction offers improved predictability for alveolar volume maintenance and successful delayed implant treatment. Multiple techniques and materials are used for these procedures, and each possesses relative benefits and challenges for the clinician and patient. In the case reports presented, the patients were treated with minimally invasive open extraction site preservation with dehydrated amnion/chorion membrane (dHACM) at pontic sites and prior to delayed implant therapy. Read More

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March 2019
1 Read

Prevention of Dental Caries by Silver Diamine Fluoride.

Compend Contin Educ Dent 2019 Mar;40(3):158-163; quiz 164

Assistant Professor, Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio.

The use of silver diamine fluoride (SDF) for management of dental caries has gained considerable attention due to recent regulatory clearance in the United States. The primary focus of policies, presentations, and publications has been the arrest of caries lesions (cavities) because of the material's unique ability to non-invasively achieve this elusive and clinically important goal. However, SDF also has proven efficacy in prevention, ie, decreasing the incidence of new caries lesions. Read More

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March 2019
3 Reads

Fundamentals of Interceptive Orthodontics: Optimizing Dentofacial Growth and Development.

Authors:
Whitney Mostafiz

Compend Contin Educ Dent 2019 Mar;40(3):149-154; quiz 155

Adjunct Clinical Assistant Professor, Department of Orthodontics, New York University College of Dentistry; Private Practice specializing in Orthodontics, New York, New York.

Interceptive orthodontics is intended to optimize dentofacial growth and development. This treatment concept attempts to prevent or minimize dental development abnormalities while enabling craniofacial growth modification. Utilizing preventative holistic concepts, it also focuses on habit intervention. Read More

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March 2019
2 Reads

Computer-Guided Approach for Placement of Zygomatic Implants: Novel Protocol and Surgical Guide.

Compend Contin Educ Dent 2019 Mar;40(3):e1-e4

Private Practice, Fort Lee, New Jersey.

Purpose: This study introduces a novel protocol for the placement of zygomatic implants utilizing presurgical planning with 3-dimensional (3D) computed tomography (CT)/cone-beam (CB)CT diagnostic technologies and advanced 3D printing through the development of a specific surgical guide.

Materials And Methods: The protocol relied on large field of view CT/CBCT for an accurate assessment of the maxillary arch to plan zygomatic implant receptor sites. CT/CBCT-derived surgical guides of a novel design were then fabricated using 3D printing technology. Read More

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March 2019
1 Read

Posterior Composite Resin Restorations: Keys to Long-Term Survivability.

Compend Contin Educ Dent 2019 Feb;40(2):120-121

Professor, Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, Maryland.

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February 2019
1 Read

Merging Clear Aligner Therapy With Digital Smile Design to Maximize Esthetics and Minimize Tooth Reduction.

Authors:
Ryan T On Tse

Compend Contin Educ Dent 2019 Feb;40(2):100-106

Instructor, University of Southern California Esthetic Dentistry training program, Hong Kong and China; Private Practice specializing in Implant and Esthetic Dentistry, Hong Kong.

Digital smile design (DSD) used in combination with an esthetic pre-evaluative temporary restoration is a reliable means of minimizing the removal of tooth structure when ceramic veneers are being placed. When patients present with poorly aligned teeth, the use of clear aligners may be considered to properly position the teeth based on the desired outcome. This article, which illustrates a method to systematically diagnose, plan, and stage treatment for a smile makeover, describes the merging of DSD with clear aligner therapy to enable clinicians to recognize digitally where to position the teeth using orthodontic movement. Read More

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February 2019
1 Read

Incidental Finding of a Suspected Horizontal Root Fracture During Mucogingival Surgery.

Compend Contin Educ Dent 2019 Feb;40(2):114-118

Professor, School of Dental Medicine, Department of Periodontics and Endodontics, University at Buffalo, State University of New York, Buffalo, New York.

Periapical and bitewing radiographs lack the sensitivity to reliably diagnose horizontal root fractures, and, therefore, asymptomatic teeth with root fractures may remain undetected for years. This article reports a case in which a patient presented with a mucogingival defect on tooth No. 24 with no apparent history of dental trauma. Read More

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February 2019
1 Read

Use of Digital Technology to Fabricate an Anterior Fixed Restoration Supported by a Dental Implant and Natural Teeth.

Compend Contin Educ Dent 2019 Feb;40(2):108-112

Clinical Professor of Restorative Dentistry, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania; Clinical Professor of Periodontics, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania; Private Practice, Villanova, Pennsylvania.

As digital technology increasingly permeates the practice of dentistry, intraoral digital impression scanning is evolving rapidly. New systems are making the capture of digital impressions faster and easier than previous generations of digital impression scanners. This case report describes the use of a contemporary intraoral impression scanner to capture tooth and soft-tissue positions for a four-unit fixed prosthesis and accompanying custom dental implant abutment. Read More

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February 2019
2 Reads

Dental Team's Role in Maternal and Child Oral Health During and After Pregnancy.

Compend Contin Educ Dent 2019 Feb;40(2):90-96; quiz 97

Associate Professor, Director, Predoctoral Pediatric Dentistry, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama.

For a mother-to-be, pregnancy presents an opportunity to improve not only her health and well being but also that of the immediate family, particularly the newborn infant. The National Consensus Statement of the Oral Health Care During Pregnancy Expert Group together with both governmental and non-governmental guidelines indicate that dental care is both safe and effective during pregnancy. These statements and guidelines may not be widely understood across all healthcare providers that form the perinatal care team, and confusion seems to exist among the general public regarding the safety of and necessity for dental care during pregnancy. Read More

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February 2019
5 Reads

Current Concepts and Best Evidence on Strategies to Prevent Dental Erosion.

Compend Contin Educ Dent 2019 Feb;40(2):80-86; quiz 87

Professor, Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, Maryland.

Dental erosion is a multifactorial condition associated with chemical, biological, and behavioral factors whereby a non-bacterial chemical process leads to an irreversible loss of dental structure. Consequences of this erosive process include painful sensitivity, susceptibility to further erosion, mechanical wear, changes in occlusion, exposure of dental pulp, and poor esthetics. Substantial evidence has revealed new insights to diagnosing early stages of dental erosion and enabling novel preventive approaches to control its progression. Read More

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February 2019
7 Reads

Effects of NSAIDs on Periodontal and Dental Implant Therapy.

Compend Contin Educ Dent 2019 Feb;40(2):e1-e9

Professor and Director of Graduate Periodontics, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan.

Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed group of drugs in dentistry for managing postoperative pain and discomfort. Little is known regarding their effects on the healing of periodontal and peri-implant tissues.

Methods: The authors conducted a review of the literature to provide an overview of knowledge about NSAIDs and their potential effects on periodontal and implant wound healing. Read More

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February 2019

A Systematic Approach to Xerostomia Diagnosis and Management.

Compend Contin Educ Dent 2018 Nov/Dec;39(suppl 5):1-9; quiz 10

Director of Clinical Affairs, Premier Dental Products Co., Plymouth Meeting, Pennsylvania; Associate Clinical Professor, Department of Diagnostic Sciences, Creighton University School of Dentistry, Omaha, Nebraska; Adjunct Assistant Professor, Division of Oral Diagnosis, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, New Jersey.

Dry mouth is a pervasive oral health problem, with 5% to 46% of the population experiencing this condition. Patient factors such as age, gender, systemic diseases, and medication use play significant roles in correctly diagnosing this presentation. The subjective feeling of dry mouth is often referred to as xerostomia but may be more correctly diagnosed as salivary gland dysfunction: a reduced volume of saliva secretion or a change in salivary composition. Read More

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April 2019
2 Reads

Managing Angulation Challenges With Implant Overdentures.

Compend Contin Educ Dent 2019 Jan;40(1):e1-e5

Assistant Clinical Professor, School of Dentistry, Loma Linda University, Loma Linda, California; Private Practice, Sonora, California.

Proper treatment planning is critical to achieving a successful outcome when treating patients with implant overdenture restorations. Key factors related to success include the number, location, and distribution of implants and choice of abutment. Contemporary design of stud-style abutment systems for overdentures is aimed at accommodating patients who present with challenges such as anatomical limitations or poor dexterity hampering insertion and removal of prostheses. Read More

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January 2019
1 Read

Improved Yale Total Tic Severity Score Due to Craniofacial Manipulation With an Oral Appliance.

Compend Contin Educ Dent 2019 Jan;40(1):e6-e15

Associate Professor, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee.

Background: This study evaluated a novel treatment approach using the concept of cranial facial manipulation with an oral appliance, the TicTocStop Tic Guard (TTSTG), also known as the Tic Guard, to determine its safety and efficacy in the treatment of Tourette syndrome (TS) and chronic tic disorders (CTDs).

Methods: A two-center study was undertaken at the University of Tennessee Health Science Center and a facility on Long Island, New York. A total of 77 subjects enrolled between the centers upon referral from local neurologists and via Internet enrollment; 67 subjects started the study, and 58 completed the study. Read More

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January 2019
4 Reads

A Primer on Dental Lasers for Oral Healthcare Management.

Authors:
Samuel B Low

Compend Contin Educ Dent 2019 Jan;40(1):56-57

Associate Faculty Member, Pankey Institute, Key Biscayne, Florida; Professor Emeritus, University of Florida, College of Dentistry, Gainesville, Florida.

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January 2019
1 Read

Successful Use of Orthodontic Extrusion in an Esthetically Challenging Case.

Compend Contin Educ Dent 2019 Jan;40(1):50-54

Mentor and Recognized Specialist, Kois Center, Seattle, Washington; Private Practice specializing in periodontics, Irvine, California.

The use of orthodontic extrusion can be advantageous for creating a favorable periodontal and restorative environment while avoiding extensive bone and soft-tissue grafting. This approach is demonstrated in the case of a young woman who presented with discomfort and concerns over her maxillary central incisors. Additionally, the orthodontic treatment corrected occlusal dysfunction and slight crowding. Read More

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January 2019
4 Reads

Recalcitrant Gingival Lesions in a Patient Previously Diagnosed With Behçet's Disease.

Compend Contin Educ Dent 2019 Jan;40(1):46-48

Professor and Chairman of Oral Medicine, Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania; Fellowship in Dental Surgery of the Royal College of Surgeons of Edinburgh (FDSRCSEd).

Oral mucosal lesions are frequently encountered in a variety of healthcare settings and often present as a diagnostic and management challenge. Several immune-mediated disorders present with overlapping oral and/or cutaneous manifestations. Healthcare providers must establish a specific diagnosis to guide effective disease management. Read More

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January 2019
6 Reads

Enhancing Periodontal Regenerative Outcomes With Simultaneous Orthodontic Tooth Movement.

Compend Contin Educ Dent 2019 Jan;40(1):36-44

Associate Professor, Department of Periodontics, Augusta University Dental College of Georgia, Augusta, Georgia.

Periodontal regeneration of lost tissue, including periodontal ligament (PDL), cementum, and bone, has evolved with regard to surgical techniques, biomaterials, and growth factors. Simultaneous orthodontic therapy and periodontal surgical treatment has been documented previously and shown to enhance the regenerative outcome due to stimulation of the PDL by tooth movement. This combined strategy is becoming increasingly common as clinicians explore the capabilities of a collaborative approach. Read More

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January 2019
2 Reads

The Importance of Obtaining a Pulpal and Periradicular Diagnosis Prior to Restorative Treatment.

Compend Contin Educ Dent 2019 Jan;40(1):27-31; quiz 32

Assistant Professor, Department of Endodontics, University of Illinois-Chicago College of Dentistry, Chicago, Illinois.

Maintaining dental pulp vitality should be among the clinical goals of any restorative treatment. By obtaining a pretreatment pulpal and periradicular diagnosis before performing restorative treatment, the clinician will be better able to proceed with treatment of the pulp, especially if it is exposed during caries excavation. A pretreatment pulpal and periapical diagnosis may be effectively attained by performing five objective clinical tests: pulp sensibility, percussion (which may include bite testing), palpation, periodontal probing/ tooth mobility, and updated radiography. Read More

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January 2019
2 Reads

Systematic Treatment Planning Protocol of the Edentulous Maxilla for an Implant-Supported Fixed Prosthesis.

Compend Contin Educ Dent 2019 Jan;40(1):20-25; quiz 26

Private Practice, Prosthodontist, San Francisco, California.

Patients who are candidates for implant restoration of a completely edentulous maxilla may benefit from a fixed prosthesis rather than a removable tissue-supported overdenture prosthesis. Multiple surgical approaches are available to provide this type of care. Graftless strategies, such as those that utilize tilted implants, including zygomatic implants, allow the surgeon to establish adequate support for a fixed prosthesis without bone grafting by establishing sufficient anterior-posterior distribution of implants, thereby reducing or eliminating the use of distal cantilevers. Read More

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January 2019
5 Reads

Ceramic Restorations Flourishing With State-of-the-Art Materials, Methods.

Compend Contin Educ Dent 2018 Nov/Dec;39(10):722-723

Associate Professor, Division of General Dentistry, Department of Restorative Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama.

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November 2018
7 Reads

No-Preparation Veneers: A Minimally Invasive Approach for a Naturally Esthetic Smile.

Authors:
Zachary S Sisler

Compend Contin Educ Dent 2018 Nov/Dec;39(10):714-720

Associate Faculty, The Dawson Academy, St. Petersburg, Florida; Private Practice, Shippensburg, Pennsylvania.

Typically, dentists spend many years training to learn how to prepare teeth for restorations. Whether the restoration comprises a filling, veneer, crown, inlay, onlay, or bridge, teeth often require preparation to allow adequate space to accommodate the thickness of the restorative material. However, dentists may face a dilemma if a patient inquires about receiving an enhanced smile without tooth preparation. Read More

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March 2019
15 Reads

Measurement of the "Bungee Dip" in Implant Stability Using Resonance Frequency Analysis: Two Case Reports.

Authors:
Paul S Rosen

Compend Contin Educ Dent 2018 Nov/Dec;39(10):706-712

Clinical Professor of Periodontics, University of Maryland Dental School, Baltimore, Maryland; Adjunct Professor, James Cook University, Cairns, Australia; Private Practices, Yardley, Pennsylvania, and New York, New York.

Implant stability is a key consideration when determining the point in time a dental implant should be loaded. Often a change in implant stability is observed as healing progresses from initial mechanical stability to biologic stability, ie, osseointegration, during the bone modeling/remodeling process. This change in stability can be objectively measured using resonance frequency analysis (RFA). Read More

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March 2019
2 Reads

Utilizing Digital Technology to Facilitate Dentofacial Integration.

Authors:
Amanda Seay

Compend Contin Educ Dent 2018 Nov/Dec;39(10):696-704

Private Practice, Mount Pleasant, South Carolina.

As digital technology evolves, an increasing number of tools are becoming available to improve team communication during the treatment planning and provision of restorative dentistry. The esthetic relationships among the face, teeth, and tissue can be analyzed using high-quality photographs, presentation software, and video capture, all critical elements for cases requiring digital dentofacial integration. Video capture communicates maximum lip movement and tooth reveal during speech with precision and ease. Read More

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March 2019
35 Reads

The Need to Replace a Missing Second Molar With a Dental Implant Restoration: Analysis of a Controversial Issue.

Compend Contin Educ Dent 2018 Nov/Dec;39(10):686-693; quiz 694

Clinical Assistant Professor, Department of Prosthodontics, College of Dental Medicine, Columbia University; Private Practice, Surgical Implantology and Prosthodontics, White Plains, New York.

Whether or not a second molar should be replaced after its removal is debatable. To assess the evidence and discuss the pros and cons of replacing a missing second molar with a dental implant restoration, the authors searched the literature for articles that evaluated the following factors: chewing efficiency, tooth loss, super-eruption, extrusion, over-eruption, and occlusal interferences. The data indicated that replacing a second molar provides some increased masticatory performance, but first-molar occlusion facilitates 90% chewing efficiency. Read More

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March 2019
1 Read

Collaborating With the Perinatal Team for Optimal Oral Health Before, During, and After a Healthy Pregnancy.

Compend Contin Educ Dent 2018 Nov/Dec;39(10):678-684; quiz 685

Assistant Professor, Department of Periodontology, and Faculty Practice Provider, Tufts University School of Dental Medicine, Boston, Massachusetts.

Collaboration with other health professionals can be challenging when attempting to coordinate healthcare before, during, and after pregnancy. However, advantages of interdisciplinary and interprofessional collaborative approaches include facilitation of accurate and timely diagnosis and optimally sequenced treatment for improved health outcomes. This article reviews the current guidelines fostering collaboration between dental professionals and members of the perinatal team and identifies the roles of healthcare providers to support the care of women around the time of pregnancy. Read More

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March 2019
27 Reads

Dentin Adhesives: Essential Components to Successful Conservative Dentistry.

Authors:
James C Ragain

Compend Contin Educ Dent 2018 Oct;39(9):646-647

Associate Professor and Dean, University of Tennessee Health Science Center College of Dentistry, Memphis, Tennessee.

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October 2018
2 Reads

Zygomatic Implants for the Management of Severe Alveolar Atrophy in the Partial or Completely Edentulous Maxilla.

Compend Contin Educ Dent 2018 Oct;39(9):636-645

Private Practice, Oral Surgery, Medellin, Colombia.

Treatment of severely resorbed partially or completely edentulous maxillae can include the utilization of the zygomatic process for immediate implant fixation and stabilization with immediate function. This approach may alleviate the need for significant grafting to enable implant placement in the posterior maxilla and allow implants to be placed into denser, more stable bone. Zygomatic implants, which have been used clinically for the past 20 years in the treatment of the severely resorbed maxilla, allow implant placement to support fixed prosthetics. Read More

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October 2018
5 Reads

Circumferential Occlusal Access Procedure (COAP): Novel Minimally Invasive Surgical Approach for Treatment of Peri-Implantitis- A Case Series.

Compend Contin Educ Dent 2018 Oct;39(9):626-635

Clinical Professor, Director of Implant Education, Division of Periodontics, Columbia University College of Dental Medicine, New York, New York; Private Practice, New York, New York.

Treatment of peri-implantitis is typically most successful when a full-thickness surgical flap is elevated to access the contaminated implant surface and the bone loss that has occurred. This approach, however, can be problematic. Primary flap approximation can be challenging after a regenerative procedure, especially with a shallow vestibule, thin mucosa, or minimal zone of keratinized tissue. Read More

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October 2018
6 Reads

Dynamic Navigation for Surgical Implant Placement: Overview of Technology, Key Concepts, and a Case ReportDynamic Navigation for Surgical Implant Placement: Overview of Technology, Key Concepts, and a Case Report.

Compend Contin Educ Dent 2018 Oct;39(9):614-621; quiz 622

Private Practice, Chicago, Oakbrook Terrace, and Park Ridge, Illinois.

Over the course of several decades implant dentistry has evolved to include 3-dimensionally (3D) planned and guided surgery. One of the latest innovations is dynamic navigation, which may allow surgeons to place implants with accuracy similar to stereolithographic guides based on 3D, prosthetically directed plans. Benefits of dynamically guided surgery include real-time feedback, a streamlined digital workflow, improved surgical visualization, and adaptability to intraoperative findings. Read More

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October 2018
5 Reads

Effects of Occlusion on Periodontal Wound Healing.

Compend Contin Educ Dent 2018 Oct;39(9):608-612; quiz 613

Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan; Periodontal Resident, PhD candidate, Graduate Periodontics, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan.

Trauma from occlusion remains an important concept in dentistry. Traumatic occlusion affects the biological system through a series of events that induces an aseptic inflammatory response and bone resorption. Clinical evidence of these biological events is present in the form of active traumatic lesions or adaptive mechanisms. Read More

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October 2018
11 Reads

A New Perspective: From Ordinary to Extraordinary.

Authors:
Greg Campbell

Compend Contin Educ Dent 2018 Oct;39(suppl 4):14-17

Private practice, Long Beach, California.

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October 2018
2 Reads

Zirconia: The Material, Its Evolution, and Composition.

Authors:
John O Burgess

Compend Contin Educ Dent 2018 Oct;39(suppl 4):4-8

Adjunct Professor, University of Alabama at Birmingham - School of Dentistry, Birmingham, Alabama.

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October 2018
6 Reads

Cementation and Bonding of Zirconia Restorations.

Compend Contin Educ Dent 2018 Oct;39(suppl 4):9-13

Instructor, Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

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October 2018
6 Reads

The Evolution of the Socket Graft: Technique Considerations.

Authors:
Frank T Sindoni

Compend Contin Educ Dent 2018 Sep;39(8):570-572

Private Practice specializing in oral and maxillofacial surgery, Williamsville, New York.

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September 2018
5 Reads

Miller Classification of Marginal Tissue Recession Revisited After 35 Years.

Authors:
P D Miller

Compend Contin Educ Dent 2018 Sep;39(8):514-520

Clinical Professor, Medical University of South Carolina, Charleston, South Carolina; Fellow, International Society of Periodontal Plastic Surgeons.

Published more than three decades ago, the original classification of marginal tissue recession described four classes of recession. For example, in Miller Class III recession, there were different scenarios in which complete root coverage could not be achieved. Today, however, newer surgical techniques have made it possible for clinicians to potentially achieve complete root coverage when interdental bone loss exists. Read More

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September 2018
49 Reads

Restoration of Lost Interdental Papilla: A Surgical Technique.

Authors:
W Peter Nordland

Compend Contin Educ Dent 2018 Sep;39(8):544-549

Former Assistant Professor of Periodontics, Loma Linda University, Loma Linda California; Director of Microsurgery, Newport Coast Oral Facial Institute, Newport Beach, California; Private Practice, La Jolla, California.

Loss of interdental papilla due to trauma or inflammatory periodontal diseases presents significant esthetic-zone challenges to clinicians. Miniscule working spaces and limited blood supply to these areas render conventional surgical techniques somewhat unpredictable. The implementation of vertical releasing incisions can further jeopardize blood supply and leave unattractive scarring upon healing. Read More

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September 2018
3 Reads

Papillary Retention Flap Design for Pocket Reduction/Regeneration: Case Series With Long-Term Follow-Up.

Compend Contin Educ Dent 2018 Sep;39(8):556-563

Private Practice specializing in implants and periodontics, Ann Arbor, Michigan.

Many papillary preservation flap techniques exist for both resective and regenerative purposes. This article describes a papillary retention design based on palatal access showing a successful long-term outcome. The papilla preservation approach detailed here, which is a modification of Friedman's beveled flap for the palate, circumvents any manipulation of interproximal or buccal tissue, leaving papillary tissue untouched. Read More

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September 2018
1 Read

Use of Soft-Tissue and Bone Grafting to Treat Complex Recession With Root Prominence and Buccal Plate Deficiencies.

Compend Contin Educ Dent 2018 Sep;39(8):564-569

Private Practice, Portland, Oregon.

Beyond the traditional monotherapy of connective tissue grafting, the combination of orthodontic therapy, soft-tissue grafting, and bone grafting with biologics may provide ideal treatment for complex recession defects with root prominence, thin tissues, and buccal plate dehiscences. The authors propose the benefits of performing a preoperative evaluation of complex mucogingival defects with cone-beam computed tomography (CBCT) technology and then considering surgical management with modalities like bone grafting and orthodontics in addition to the classic soft-tissue grafting approach. Regeneration of the complete periodontium may result in better long-term soft-tissue stability and tooth retention following treatment of complex recession cases. Read More

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September 2018
4 Reads

Treatment of Advanced Periodontal Disease: Keys to Achieving Restoration Longevity.

Compend Contin Educ Dent 2018 Sep;39(8):550-554

Former Instructor, JIADS; Private Practice, orthodontist, Osaka, Japan.

Dental treatment for periodontally compromised patients can be highly complicated and challenging. This article addresses the effectiveness of contemporary periodontal treatment modalities by depicting clinical cases of periodontal restoration and health that have been maintained for 20 or more years. The cases incorporate four key steps vital to achieving successful treatment of chronic adult periodontitis: debridement, occlusal stabilization, pocket elimination, and maintenance. Read More

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September 2018
2 Reads