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Supporting Your Practice

What is the concept of restorative volume?

This summary is based on the article published in the Journal of Esthetic and Restorative Dentistry: Clinical decisions for anterior restorations: the concept of restorative volume (December 2012) Context The choice of the most appropriate restoration for anterior teeth is often a difficult decision. Numerous clinical and technical factors play an important role in selecting the treatment option that best suits the patient and the restorative team. Experienced clinicians have developed decision processes that are often more complex than may seem. Less experienced professionals may find difficulties making treatment decisions because of the widely varied restorative materials available and often numerous similar products offered ...

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What are the clinical outcomes of implant abutments in the anterior region?

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 ...

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Is there an association between periodontitis and obstructive sleep apnea?

This summary is based on the article published in the Journal of Periodontal Research: The association between periodontitis and obstructive sleep apnea: a preliminary study (August 2013) Context Periodontitis is becoming a highly prevalent disease worldwide. Obstructive sleep apnea is a common disorder that is characterized by repeated disruptions in breathing during sleep, and mouth breathing is a common characteristic among patients with obstructive sleep apnea. Purpose The study aimed to assess the hypothesis that obstructive sleep apnea is associated with the onset and progression of periodontal disease. Key Messages The study identified that there is a significant association between obstructive sleep apnea and periodontitis. ...

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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 ...

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Does stepwise excavation enhance pulp preservation?

This is a summary of the article published in the Journal of Dentistry: Ways of enhancing pulp preservation by stepwise excavation. A systemic review (February 2011) Context  The best possible methods and materials in stepwise excavation for deep caries in permanent teeth were investigated. Purpose The  review considers the questions from many aspects including clinical success, effects of reducing cariogenic bacteria, possibility of hardening softened dentin, and likelihood of generating tertiary dentin. Data This systematic review includes the use of data from randomized controlled trials, controlled clinical trials as well as from case series in which pulp exposure resulted following the treatment and ...

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Are there underlying psychological factors for tooth wear?

This summary is based on the article published in Special Care in Dentistry: The psychology of tooth wear (January/February 2013) Context Tooth wear, also referred to as tooth surface loss (TSL) or non-carious TSL, has been defined as the “pathological loss of tooth tissue by a disease process other than dental caries”. The etiological factors of tooth wear include attrition, erosion and/or abrasion. Purpose of the Study Review the main psychological and mental conditions that are manifested dentally in the form of tooth wear. These conditions include depression, eating disorders, and alcohol and drug use disorders. Review the comorbidity of ...

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What is the continuum of behaviour guidance?

This is a summary of the article published in the Dental Clinics of North America: The continuum of behaviour guidance (January 2013) Context Most treatments provided within the comprehensive dental care of children are relatively simple, yet many practitioners find that delivering high-quality care to young children is challenging simply because they are performed on a child. The provision of dental care to children presents unique challenges and opportunities. To effectively treat children, providers must be prepared to address child behavior and leverage appropriate behavior guidance techniques. Key Messages Behavior guidance is a continuum of skills spanning from basic to ...

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What are the most common malpractice insurance claim issues?

In this post, CDSPI presents the most common issues that emerge from reviewing malpractice insurance claim cases.  CDSPI focuses on helping dental professionals successfully reach their goals by providing financial planning solutions and other support services. Communication with the Patient After completing an assessment, discuss the nature and extent of the required treatment with the patient. This should include: A review of their dental issues, Recommendations on how to address these (including options where available), Potential risks of treatment, Anticipated cost, Length of treatment (i.e. number of visits over a period of time), and Any after-care requirements or adjustments. If there ...

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