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Archive for November, 2008

  • Can Dental Implants Cause Migraine Headaches?

    Can dental implants in the upper jaw cause migraine headaches? After having four dental implants inserted in the upper jaw I started having migraine headaches within two months.

      Read More and Comment  | 22 Comments »
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  • How Do I Assess Primary Stability?

    How do I assess the primary stability of the implant fixture after I have torque it down to 30-35 Ncm?

      Read More and Comment  | 19 Comments »
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  • Composite Systems for Restorations: Which Are You Using?

    What composite systems are you using and are you satisfied with the results? Have any of you moved on from the Estelite composite system to something you think produces better aesthetics?

      Read More and Comment  | 1 Comment »
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  • Making Ceramic Crowns for Maxillary Central Incisors?

    I recently had a difficult time making ceramic crowns for the maxillary central incisors in one of my patients. I know the party line is to only accept these cases if the patient agrees to multiple veneers or ceramic crowns, but with the economy on the way down, it is getting more difficult to get patients to accept the more costly treatment plans.

      Read More and Comment  | 1 Comment »
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  • Cerec 3 : How Accurate Is It?

    How accurate is the new Cerec 3? I tried the Cerec 1 and 2 and found that margins were not sealed at the proximal box floor level. These gaps concerned me.

      Read More and Comment  | 2 Comments »
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  • Screw Vent Implants: How Do I Remove the Abutments?

    I have inherited a patient with 6 Screw Vent dental implants. I need to remove the TSF abutments which I thought were only held in by abutment screws.

      Read More and Comment  | 5 Comments »
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  • Sable Brushes to Contour the Composite on Surface: Is this Effective?

    I took a course in cosmetic dentistry where the instructor used a stiff sable haired paint brush to contour the composite on the facial surfaces of the maxillary incisors.

      Read More and Comment  | No Comments »
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  • Changes to 3i Abutment Screw for Wide Platform Implants?

    One of my patients came in for an abutment insertion and the conventional abutment screw that I attempted to insert was too narrow and just slipped down the screw channel.

      Read More and Comment  | 3 Comments »
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  • CAD/CAM Restorations: Is It Really That Simple?

    I just took a course sponsored by my dental lab on CAD/CAM restorations. The course was very instructive and being an older practitioner I was surprised at how advanced we are now in some areas of dentistry.

      Read More and Comment  | 4 Comments »
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  • Stained Veneers: How Do I Prevent This?

    The problem is that on all of these veneers, the gingival margin is stained dark. It actually looks like someone took a dark pencil and drew a dark line across the cervical. How do I prevent this from happening when I remake these veneers?

      Read More and Comment  | 8 Comments »
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  • Bonding Agents for Old Composite Restorations?

    Do you use a different bonding agent for repairing or adding to an old composite restoration?

      Read More and Comment  | 2 Comments »
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  • Perforated the Lingual Cortical Plate: Expect Complications?

    While placing a dental implant fixture in #19 area I perforated the lingual cortical plate. Should I expect complications in osseointegration? Advice?

      Read More and Comment  | 28 Comments »
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  • Drilled Too Deep when Preparing Hole for Implant Insertion: Should I Be Concerned?

    When I finished preparing a the hole for the dental implant insertion, I found that I had drilled 2mm too deep. I am concerned that it is a potential source of blood pooling which might lead to infection. Need I be concerned?

      Read More and Comment  | 22 Comments »
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  • Patient with Sarcoidosis: Candidate for Implants?

    I have not been able to find information in the peer reviewed dental literature concerning indications or contraindications for dental implant placement in patients with active sarcoidosis.

      Read More and Comment  | 3 Comments »
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  • Dependable Cement that will Work for All Contingenices?

    I am looking for an all-around good and dependable cement that will work for all contingencies. I just want to have one cement in the operatory.

      Read More and Comment  | 2 Comments »
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  • Odontogenic Cyst: Graft or Not?

    Recently we extracted lower left second premolar which had a huge odontogenic cyst. Although the tooth was root canal treated the cyst persisted and eventually we had to extract the tooth. Should we have grafted that area with mineralized particulate bone and covered with a resorbable collagen membrane at the time of the surgery and then obtained primary closure?

      Read More and Comment  | 11 Comments »
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  • Implant Patient with Horrible Sinus Issues: Take Off Steroids?

    I am an Internist and one of my patients had bone grafting done in preparation for dental implants. She has HORRIBLE sinus issues and we are headed into her bad season

      Read More and Comment  | 6 Comments »
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  • PDGF-BB: Thoughts on this Material?

    I have heard a lot of good things about PDGF-BB. You can mix it with the bone graft material to increase healing. What are your thoughts on this material?

      Read More and Comment  | 7 Comments »
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  • Teeth Bleaching: Patient Wants Refund?

    I had a very irate patient call me yesterday to complain that I charged her $700 for an in-office tooth bleaching when she could just have easily gone to the local drugstore and bought a bleaching kit for $40 and done the bleaching herself.

      Read More and Comment  | 15 Comments »
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  • LANAP: More Beneficial for Aesthetics than Respective Surgery?

    I am a general practitioner and when I was in school we learned the ENAP, but now we have the LANAP procedure which is better and faster and with enhanced healing.

      Read More and Comment  | 64 Comments »
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  • Posterior Composites: Any New Developments?

    I have been using Heliomolar for years. But, have any new or better composites been developed for use in posterior teeth?

      Read More and Comment  | No Comments »
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  • Ceramic Onlays and Inlays: Recommendations?

    Now my patients want posterior teeth restored with composite. They also are asking me about ceramic inlays and onlays, but I have never done one.

      Read More and Comment  | 5 Comments »
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