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Restorative Dentistry

How would you treat this case?

The following case was presented by a general dentist: 27 year-old Indian male. Patient had ortho treatment done 2 years ago with another dentist. Just after 2 days of debonding of brackets, patient had a fall with sustained tooth injuries to his upper front teeth 11,21,22 causing them to extrude in a retrolined inclination. Patient was treated by an oral surgeon at a private hospital and the patient’s pictures after 2 year plus are shown. Patient claims there were no follow ups after admission in the hospital.                       Patient’s concerns: ...

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Does diabetes affect implant failure rates?

This summary is based on the article published in the Journal of Dental Research: Diabetes and oral implant failure: a systematic review (September 2014) B.R. Chrcanovic, T. Albrektsson, and A. Wennerberg Context Dental implant survival is initially dependent on successful osseointegration following placement. As an implant is restored and placed into function, bone remodeling becomes a critical aspect of implant survival in responding to the functional demands placed on the implant restoration and supporting bone. The critical dependence on bone metabolism for implant survival may be heightened in patients with diabetes (1). Diabetic patients have increased frequency of periodontitis and ...

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How do you treat a patient with scleroderma who has periodontal issues – advanced recession, stripping of the attached gingiva from the roots?

This question was submitted by a general dentist: How do you treat a patient with scleroderma who has periodontal issues – advanced recession, stripping of the attached gingiva from the roots? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response.      Systemic Scleroderma  Systemic scleroderma is a relatively rare condition that affects ~19/1,000,000 adults annually. Women experience the condition 3 times more than men. A vasoconstrictive event known as Raynaud’s phenomenon is often one of the first signs of the disease which is precipitated by emotional distress or exposure to cold. (It should ...

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How effective are contemporary adhesives for the restoration of non-carious cervical lesions? A systematic review

This summary is based on the article published in Dental Materials: Clinical effectiveness of contemporary adhesives for the restoration of non-carious cervical lesions. A systematic review (August 2014) M. Peumansa, J. De Munck, A. Mine, B. Van Meerbeek     Context Non-carious cervical lesions (NCCLs) should be restored as minimally invasive as possible. Currently, adhesive materials indicated to restore NCCLs include glass-ionomers and their resin-modified version, poly-acid modified composites (most frequently referred to as ‘compomers’), composite (1) and recently also self-adhesive composites (2, 3). Contemporary adhesives can be classified according to their mode of action into etch & rinse (E&Ra) ...

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What are the local and systemic interventions for the prevention of dry socket? An evidence-based update

This summary is based on the article published in the British Dental Journal: Interventions for the prevention of dry socket: an evidence-based update (July 2014) M. O. Sharif, B. E. S. Dawoud, A. Tsichlaki and J. M. Yates       Context Infection control and knowledge of common infectious agents is a cornerstone of safe dental practice. Alveolar osteitis (AO) or ‘dry socket’ is a relatively common post-operative complication that is reported to be associated with up to 37% of dental extractions. (1) The condition develops when a blood clot fails to form or becomes dislodged from the socket of ...

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Is it safe to use vasoconstrictors in patients with sickle-cell disease?

This question was submitted by a general dentist: Is it safe to use vasoconstrictors in patients with sickle-cell disease? Which one is the best choice? Could I perform a painless dental extraction without vasoconstrictors in these cases? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response. Sickle Cell Anemia  Sickle cell anemia is a genetic disorder of hemoglobin synthesis occurring predominantly in African, Mediterranean and Asian populations. Affected individuals with carrying one allele have the sickle cell trait and may experience some sickling with exercise or in high altitudes due to lower oxygen tensions. ...

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Are there recommended guidelines for reducing the incidence of shingles in a patient that has a history of developing shingles after dental care?

This question was submitted by a general dentist: Are there recommended guidelines for reducing the incidence of shingles in a patient that has a history of developing shingles after dental care? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response.  Shingles (herpes zoster) is the reactivation of the chicken pox virus (varicella zoster) which typically establishes dormancy in dorsal root or cranial nerve ganglia during childhood. Reactivation usually occurs later in life mainly affecting thoracic and lumbar dermatomes; however, a small proportion of patients present with trigeminal nerve involvement. Herpes zoster may occur spontaneously ...

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How effective are non-pharmacological interventions in the relief of dry mouth?

This summary is based on the review published in the Cochrane database of systematic reviews: Interventions for the management of dry mouth: non-pharmacological interventions (September 2013) Furness S, Bryan G, McMillan R, Birchenough S, Worthington HV     Context Xerostomia is the subjective sensation of dry mouth. Common causes of xerostomia include adverse effects of many commonly prescribed medications, disease (e.g. Sjogren’s Syndrome) and radiotherapy treatment for head and neck cancers. Non-pharmacological techniques such as acupuncture or mild electrostimulation may be used to improve symptoms. Purpose of the Review To assess the effects of non-pharmacological interventions administered to stimulate saliva ...

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