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Archive for January, 2009

• Diagnosed with Breast Cancer and Taking Zometa IV: Can I Proceed with Dental Implant Treatment?

  Should I proceed with the dental implant treatment plan or should I wait and see if the Zometa adversely affects my implants or produces osteonecrosis of my jaws?

    Read More and Comment  | 3 Comments »
 
• Hypothyroidism: Implications for Implant Placement?

  I have treatment planned a patient with hypothyroidism for multiple extractions and immediate insertion of 4-mini-implants…

    Read More and Comment  | No Comments »
 
• Swollen Gingiva: Normal One Week Following Flapless Implant Procedure?

  I placed a dental implant in #13 position last week and the patient returned today for a follow-up visit. The tissue still looked a little red around the implant site.

    Read More and Comment  | 12 Comments »
 
• Algipore Plant-Based Hydroxyapatite for Sinus Lifts: Any Experience with this Material?

  Does any one have any first hand experience either good or bad with Algipore?

    Read More and Comment  | 13 Comments »
 
• Basal Osseointegrated Implant: What Are the Advantages?

  What Are the Advantages of the Basal Osseointegrated Implant?

    Read More and Comment  | 1 Comment »
 
• Combination of Titanium and Stainless Steel Two-Piece Implants Lead to Failure?

  A couple of small European implant companies have started marketing Titanium dental implant fixtures with Surgical Steel abutments, will this combination lead to failure?

    Read More and Comment  | No Comments »
 
• When Should I Plan for Indirect Ceramic Restorations?

  My understanding is that the rule of thumb is that if the cavity preparation at the isthmus is greater than one third the distance between the buccal and lingual cusps then I should plan for an indirect ceramic restorations.

    Read More and Comment  | 2 Comments »
 
• Very Enlarged Incisive Canal: Experience with this Situation?

  The CBVT scan reveals a very enlarged incisive canal which runs parallel to and extends well beyond the adjacent roots.

    Read More and Comment  | 16 Comments »
 
• Periapical Radiograph of Implant Reveals Crestal Bone Loss Up to 3 Threads: How To Proceed?

  I recently placed an implant for a mandibular first molar. Three months later, a periapical radiograph revealed crestal bone loss to up to 3 the third screw threads.

    Read More and Comment  | 10 Comments »
 
• Implant Retained Overdenture: Determine How Long the Locator Abutment Should Be?

  At that visit I am planning on uncovering the implant fixtures and placing transmucosal healing abutments. How do I determine how long the Locator abutment should be?

    Read More and Comment  | 7 Comments »
 
• Adverse Effects for Bone Graft Material from Alpha-Chymotrypsin?

  Recently I heard a colleague talking about the effects of alpha-chymotrypsin on the bone graft material and the membrane used to cover the graft.

    Read More and Comment  | 3 Comments »
 
• Cancer Patient Treated with Radiation Therapy: Fixed-Detachable vs. Overdentures?

  I have a 65 year old male patient who has a history of head and neck cancer treated with radiation therapy 5 years ago. He has no saliva and as such has rampant carries.

    Read More and Comment  | 2 Comments »
 
• CBCT Imaging: Discussing the Field of View Concept

  Field of view refers to the area of the anatomy that is captured by the CBCT scan. Most practitioners placing dental implants are interested in acquiring data from the maxilla and mandible. The standard fields of view can be used to capture the temporomandibular joint complex, the paranasal sinuses, as well as the maxilla and mandible…

    Read More and Comment  | No Comments »
 
• Nobel Direct Loss of Buccal Gingiva: Prepare the Implant in the Mouth or Make PFM Instead?

  I placed a Noble Direct 3.0 implant in the mandibular right first premolar area. Now there is loss of buccal gingiva right up to vestibule.

    Read More and Comment  | 21 Comments »
 
• New to Implants: Where in the Socket Should I Place the Implant?

  I have treatment planned a mandibular first molar for extraction and immediate replacement with a wide platform implant. After extracting the tooth, exactly where in the socket should I place the implant?

    Read More and Comment  | 35 Comments »
 
• Hyperfill DC: Does it Help to Get the Composite to Cure Completely?

  I do a lot of Class II composites in my amalgam free practice. One problem I have had is with cases where the proximal box is very deep and I am concerned about getting the composite to cure completely in the deeper part of the proximal box

    Read More and Comment  | 1 Comment »
 
• Using Dual Cure Resin Cement for Veneers: Stain Over Time?

  My sales rep told me that I should not use a dual cure resin cement to cement veneers because over time, they will stain.

    Read More and Comment  | 2 Comments »
 
• Laser Dentistry: Is it True There Will Be No Bleeding and No Need for Hemostatic Agents?

  Is it true that the laser will create absolute hemostasis and then once you use it to create a trough around the finish line, there will be no bleeding and no need to apply hemostatic agents?

    Read More and Comment  | 2 Comments »
 
• Submit Tissue Around Failed Implant for Biopsy?

  The problem is that I recently had one implant fail. What I have done is to remove the implant, curette the area and place bone graft. I have prescribed 2 weeks of antibiotics.

    Read More and Comment  | 7 Comments »
 
• Endodontic Stabilizers: Considered Implants?

  I remember in dental school learning about endodontic stabilizers. These were long, tapered posts that inserted through the root canal system and extended into the surrounding bone.

    Read More and Comment  | 13 Comments »
 
• Implant Bridge: Combining Cement and Screw Retained Prosthesis?

  I have to insert an implant bridge that has both screw and cement retention.

    Read More and Comment  | 8 Comments »
 
• Use of Diode Lasers for Cosmetic Dental Procedures: Potential for Tissue Damage?

  I am a bit concerned about the use of the diode laser for soft tissue troughing for final impressions for crowns, bridges and veneers. Every lecturer assures the audience that this will not cause permanent soft tissue damage, gingival recession and that all the tissue lased away will simply grow back.

    Read More and Comment  | 6 Comments »
 
• New Types of Materials for Veneers: Better than Porcelain?

  In the past, when I did veneers I just sent the impressions to the lab and they sent back porcelain veneers. I never knew there were choices of materials to use.

    Read More and Comment  | 2 Comments »
 
• Mini Implants with PFM Cemented: Follow-Up and Long-Term Success?

  I have a new patient in the practice who has a mini implant (IMTEC), one-piece design, in his mandibular first premolar site, with a PFM cemented on it. I have never seen in practice a situation like this and want to get some advice on follow-up.

    Read More and Comment  | 17 Comments »
 
• Nobel Groovy Implants: Higher Rate of Failure and Increase in Peri-Implantitis?

  At a recent course I took, a well known, prominent lecturer stated that Nobel Groovy implants have a higher rate of failure due to the TiUnite surface which covers the entire implant fixture surface, including the collar.

    Read More and Comment  | 32 Comments »
 
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