This summary is based on the article published in the Journal of Esthetic and Restorative Dentistry: Clinical outcomes of implant abutments in the anterior region: a systematic review (June 2013) Context Current paradigms for treatment success in implant dentistry are based not only on true clinical outcomes, such as implant survival, restoration survival, and patient satisfaction but also on surrogate clinical outcomes such as dentogingival esthetics, rate of mechanical complications, bone levels, and health of surrounding soft tissues. This is especially important for implant therapy in maxillary and mandibular anterior regions, where esthetics play a predominant role in treatment success. Purpose of the Study The clinical outcomes of ...Read More »
What are the clinical considerations for dental implant therapy in irradiated head and neck cancer patients?
This summary is based on the article published in the Journal of Prosthodontics: Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients (August 2013) Context An increasing number of reports indicate successful use of dental implants (DI) during oral rehabilitation for head and neck cancer patients undergoing tumor surgery and radiation therapy. Implant-supported dentures are a viable option when patients cannot use conventional dentures due to adverse effects of radiation therapy, including oral dryness or fragile mucosa, in addition to compromised anatomy. However, negative effects of radiation, including osteoradionecrosis, are well documented in the literature, and early loss of implants in irradiated ...Read More »
Optimizing implant stability: what is the relationship between surgical techniques and implant macro-design?
This summary of research is adapted from the article published in the journal of Clinical Implant Dentistry: Evaluation of Primary Stability of Self-Tapping and Non-Self-Tapping Dental Implants. A 12-Week Clinical Study. Purpose The study aimed at investigating the relationship between surgical techniques and implant macro-design (self-tapping/non-self-tapping) for the optimization of implant stability in the low-density bone present in the posterior maxilla, using resonance frequency analysis (RFA). Materials and Methods A total of 102 implants were studied. Fifty-six self-tapping BlueSkyBredent® and 56 non-self-tapping Standard Plus Straumann® were placed in the posterior segment of the maxilla. Implants of both types were placed in ...Read More »
A case of failing implants and crowns; how would you manage the aesthetic challenge? Un cas de défaut implants et des couronnes; comment voulez-vous gérer le défi esthétique?
Crowns on teeth #1.1 and 2.1 are overcontoured and failing. The mini-implants in the 1.2 and 2.2 areas have failed. How will you manage the aesthetic challenge? See the question video below (bilingual videos this week) followed by a review of the case by Dr. Wazirian in the next video. Please leave us your comments about what you would do. Couronnes sur dents # 1.1 et 2.1 sont surcontour et défaillants. Les mini-implants dans les zones 1,2 et 2,2 ont échoué. Comment allez-vous gérer le défi esthétique? Voir la vidéo question ci-dessous (vidéos bilingues cette semaine) suivie d’un examen du ...Read More »