Home » Supporting Your Practice » Dental Specialties » Prosthodontics (page 3)

Prosthodontics

What are the options for treating Papillary Hyperplasia in chronic denture wearers?

This question was submitted by a general dentist: What options do we have in treating Papillary Hyperplasia in chronic denture wearers?  How successful is treatment with medication (e.g. Nystatin ointment etc.) alone? Drs Joseph Fava and Suham Alexander prepared the following response: Inflammatory papillary hyperplasia, also known as denture stomatitis, is a reactive tissue growth that is related to denture wear in most instances. Some contributing factors include: Chronic denture wear (i.e. 24 hours/day) Poor oral and denture hygiene Ill-fitting dentures Yeast colonization Allergic reactions to base materials Smoking Malignancies, nutritional deficiencies, endocrinologic disorders The asymptomatic condition has a prevalence of ...

Read More »

What are the current perspectives on the role of ridge (socket) preservation procedures in dental implant treatment in the aesthetic zone?

This summary is based on the article published in the Australian Dental Journal: Current perspectives on the role of ridge (socket) preservation procedures in dental implant treatment in the aesthetic zone (March 2014) B Kassim, S Ivanovski, N Mattheos      Context Augmentation of the extraction socket (ridge preservation) is increasingly being advocated in anticipation of implant placement. Substantial tissue loss leads to increased difficulty in placing the implant fixture in a prosthodontically suitable position. To facilitate such placement, guided bone regeneration (GBR) procedures (either simultaneous at implant placement or staged as a separate surgical procedure) are often required. Ridge ...

Read More »

Does the use of antibiotics reduce the frequency of implant failure and post-operative infection?

This summary is based on the article published in the International Journal of Oral and Maxillofacial Surgery: Do antibiotics decrease implant failure and postoperative infections? A systematic review and meta-analysis (January 2014) J. Ata-Ali, F. Ata-Ali, F. Ata-Ali       Context Dental implants are an effective, safe and predictable solution for those who have lost a tooth or teeth due to dental caries, periodontal disease, injury, or other reasons.(1) It is believed that a certain number of early dental implant losses are due to bacterial contamination at implant insertion.(2) It is still debated whether early dental implant failure and ...

Read More »

When is it a good time to manage facial fractures? A systematic review

This summary is based on the article published in the International Journal of Oral and Maxillofacial Surgery: The effect of treatment timing on the management of facial fractures: a systematic review (August 2014) M. J. L. Hurrell, M. D. Batstone   Context Facial fractures are a common presentation to hospitals worldwide. Their treatment has evolved dramatically in recent decades, particularly since the introduction of open reduction and internal fixation. However, many uncertainties remain. The relevance of delay from injury to treatment is commonly disputed amongst surgeons and in the literature. Intuitively, delaying the treatment of facial fractures could increase the risk of infection, the likelihood of technical difficulties, and the discomfort experienced ...

Read More »

What’s the current consensus on the best cement for implant crowns?

This question was submitted by a general dentist: What’s the current consensus on the best cement for implant crowns? Dr. Joseph Fava and Dr. Suham Alexander prepared this quick initial response.             Today, clinicians can choose between cement or screw-retained implant restorations. Cemented restorations have gained popularity for various reasons (1 – 5):  More easily achieved passive superstructures. Less complex correction of non-passive superstructure. Simpler axial loading. Possible use of traditional core supported crown and bridge techniques. Possible use of traditional prosthetic laboratory techniques. Decreased technical complications, such as fracture of veneering porcelain or acrylic. Simplified ...

Read More »

What is the epidemiology of oral health conditions in older people?

This summary is based on the article published in Gerodontology: Epidemiology of oral health conditions in older people (February 2014) William Murray Thomson Context The main conditions of interest when considering the epidemiology of oral diseases among older people are tooth loss, dental caries, periodontitis, dry mouth and oral pre-cancer/cancer, along with oralhealth-related quality of life (OHRQoL). Purpose of the Article This article presents an overview of what is known about the epidemiology of each of the main conditions of interest among older populations. Key Points Although complete tooth loss is declining, incremental tooth loss continues and is an important determinant of poor OHRQoL. Dental ...

Read More »

How successful are implants placed in sites of previously failed implants? A systematic review

This summary is based on the article published in Implant Dentistry: Implants Placed in Sites of Previously Failed Implants: A Systematic Review (June 2014) Alessandro Quaranta, DDS, PhD, Vittoria Perrotti, DDS, PhD, Adriano Piattelli, MD, DDS, Matteo Piemontese, MD, DDS, and Maurizio Procaccini, MD, DDS Context Despite the high success rates reported for dental implants,(1, 2) failures requiring implant removal do occur. The overall first year failure rate may vary between 3% and 8%.(3) There are different patient-related reasons to avoid reimplantation, such as additional costs, fear of additional pain, and fear of a second failure4; nevertheless, implant replacement still remains a therapeutical option to be considered. Purpose of the Review The ...

Read More »

Does wearing dentures change sensory nerve responses under the denture base?

This summary is based on the article published in Gerodontology: Does wearing dentures change sensory nerve responses under the denture base? (March 2014) Nana Ito, Suguru Kimoto and Yasuhiko Kawai Context The standard textbook on complete dentures suggests the necessity of relief for the incisive and posterior palatine foramina of denture wearers to prevent the impingement of the nerves and vessels passing through these foramina. However, concrete evidence of the effect of dentures on the sensory function of the nerves underlying dentures is lacking. Purpose of the Study The study aim was to investigate the influence of denture-induced compression on sensory nerve responses to stimulations. ...

Read More »