Vol.6 No.8 - September 2010
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Continuing Education
All ID Courses
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Application of Platelet-Rich Plasma as an Accelerator of the Secondary Stability of Immediate-Loaded Implants
The problems associated with the immediate functional loading of osseointegratable implants are related to loss of stability, which could lead to implant failure. This article describes a protocol for the immediate functional loading of osseointegratable implants that relies on high primary stability and the acceleration of secondary stability by the use of plateletrich plasma (PRP) as a source of autogenous growth factors. Changes in implant stability are measured by resonance frequency analysis and the success rate of PRP-treated implants is compared with the success rate of a control group of untreated implants.
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Expired
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9/30/2009 |
September 2007 |
2 |
Free |
Applications of the Small-Diameter Implant in Dentistry
The use of regular-diameter endosseous implants, which are greater than 3 mm in diameter, is well established in the dental community as an accepted form of anchorage for various dental prostheses. The use of small-diameter implants (SDIs), which are less than 3 mm in diameter, is only recently gaining popularity for both fixed and removable stabilization of a dental prosthesis as well as temporary anchorage for various applications in the dental field. This article will explore some of the applications currently in use with SDIs.
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9/30/2009 |
September 2007 |
2 |
Free |
The Gingival-Restorative Interface: A Restorative Clinician's View
Esthetic dentistry begins and ends at the critical periodontal-restorative interface. Pink esthetics and white esthetics must work in mutual harmony to gain an inconspicuous, beautiful result. Restorative dental techniques must respect fundamental periodontal considerations. This article will provide the reader with a review of pertinent literature and a clinical rationale for treatment.
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9/30/2009 |
September 2007 |
2 |
Free |
Approaches to Vertical Dimension
Vertical dimension is a highly debated topic in dentistry. Differences of opinion over how vertical dimension should be established, whether it can be modified, and what the outcome of modification will be can become confusing for those dentists searching for the right treatment for their patients. The fact is that there are multiple different approaches because there are several correct ways to alter vertical dimension. This article will address the most common reasons dentists consider altering vertical dimension, their five top areas of concern, and the methods by which vertical dimension can be established.
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8/31/2009 |
July/August 2007 |
2 |
Free |
Restoring Periodontal Support: A Review of Why, When and How
Periodontitis results in the loss of clinical attachment and can lead to tooth loss. Recognition of attachment loss is accomplished via negative changes in probing depths as well as a comparison of radiographs taken at two different intervals in time. The risk for continued attachment loss can be reduced or reversed by periodontal therapeutic intervention. Unfortunately, not all attempts to arrest or reverse attachment loss are successful. Avoiding periodontal surgical treatment altogether and moving in the direction of implant therapy on a regular basis may become a trend followed by many practitioners. However, in some situations, access flap therapy to restore lost periodontal support can lead to a more positive prognosis for teeth. The parameters described in this article favor an improved prognosis for periodontally involved teeth that are treated with access flap surgery. These factors should provide a positive influence on dentists' decision-making process relative to tooth retention. The purpose of this article is to review clinical characteristics, radiographic findings, and systemic considerations that would provide a compelling argument to restore lost periodontal support via flap surgery to facilitate tooth retention. How materials such as bone grafts, barrier membranes, and growth factors such as enamel matrix proteins are employed to affect wound healing are reviewed. In addition, two clinical surgical cases treated with adjunctive usage of enamel matrix proteins are presented.
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6/30/2009 |
June 2007 |
2 |
Free |
Caries Risk Assessment: Becoming the Standard of Care?
Caries risk assessment is a philosophical approach to dental caries that involves examining the specific risk factors responsible for the disease process in each individual and applying measured treatment strategies directed to correct or modify those risk factors. In this sense, caries risk assessment encompasses diagnosing and treating the cause of the symptoms, not just the endless surgical repair of the signs and symptoms of the disease. Patients are diagnosed as low, moderate, high, or extreme risk for caries; their risk factors are identified and their caries activity level is assessed. This article will discuss the concept of caries risk assessment and how new research is impacting the thought and science behind the theories of caries formation.
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5/31/2009 |
May 2007 |
2 |
Free |
Periodontal Infection and Glycemic Control in Diabetes: Current Evidence
Both diabetes and periodontal diseases are common chronic diseases. This article describes the current evidence regarding the relationship between periodontal infections and glycemic control in diabetes. In some individuals, the pathogenesis of diabetes as well as the state of poorer glycemic control appears linked with inflammation and infection. There are important characteristics of periodontal infection that suggest a biologically plausible link to systemic inflammation and adverse effects on glycemic control. There is also empirical evidence that suggests treating periodontal infection can lead to improved glycemic control. There still remains sufficient variation in the body of literature to recommend additional, large-scale definitive studies. However, the implications of treating periodontal infection on glycemic control may have important potential in managing diabetes and in reducing the burden of diabetes.
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4/30/2009 |
April 2007 |
2 |
Free |
The Age-One Dental Visit—Preventing Early Childhood Caries
Early childhood caries (ECC) is a prevalent and devastating disease. Some children are at greater risk than others to develop early childhood caries, which may increase the likelihood of caries-related problems throughout life. The "age-one" dental visit is the best opportunity to prevent the onset and progression of ECC. This article uses the example of the Washington State ABCD (Access to Baby and Child Dentistry) program as a means for the general practitioner to create an age-one dental visit program in the general practice. By developing a systematic approach to caries-risk assessment via clinical examination, interview of the family, and the subsequent provision of family oral health education and anticipatory guidance, much of the devastation of ECC can be prevented at an early age.
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3/31/2009 |
March 2007 |
2 |
Free |
Is Occlusion and Comprehensive Dentistry Really That Important?
Patient demand for cosmetic dentistry has never been greater. This has led many dentists to invest considerable time, effort, and money mastering various cosmetic procedures and techniques. While this is commendable, it should be recognized that it is one thing to be able to make beautiful teeth, and an entirely different thing to make beautiful teeth that actually last and function in harmony with the rest of the masticatory system. An acceptable cosmetic result, without regard for function and/or parafunction, will often result in premature case failure. What the truly successful clinician of today requires is a logical and systematic methodology in approaching cosmetic/restorative cases that will lead to a reasonably predictable and durable end result. The following case presentation describes how a comprehensive approach to dentistry, one that integrates both function and esthetics, can be used to successfully diagnose, treatment plan, and restore a cosmetic/restorative case.
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2/28/2009 |
February 2007 |
2 |
Free |
Oral Cancer: Early Detection and Prevention
The etiology of oral cancer is apparently multifactorial and involves many alterations in host immunity, metabolism, angiogenesis, and exposure to chronic inflammation in a genetically susceptible individual that accumulate over time. The carcinogenic changes may be influenced by oncogenes, carcinogens, and mutations caused by chemicals, viruses, irradiation, drugs (tobacco and alcohol), hormones, nutrients, or physical irritants. The tongue is the most common site for oral cancer in both American men and women. Oral cavity cancer accounts for about 17,000 of the 30,000 cases of oropharyngeal cancer diagnosed each year and is more common than leukemia, Hodgkin's lymphoma, brain, stomach, or ovarian cancer; the 5-year survival rate has remained at approximately 50% over the past 30 years. This is a major reason why detection of oral cancer as early as possible and/or prevention of the premalignant lesion from progressing to carcinoma are so important. Unfortunately, very little progress has been made during the past 40 years in regard to early diagnosis. This article will provide the reader with a better understanding of the etiology, risk factors, diagnostic importance, and survival rates of patients diagnosed with any of the multiple forms of cancer that can occur in the oral cavity.
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1/31/2009 |
January 2007 |
2 |
Free |
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