All-On-4TM Success Rates with Different Implant Systems
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Evidence-Based Treatment Planning for the Restoration of Endodontically
RESTORATIVE DENTISTRY Evidence-based treatment planning for the restoration of endodontically treated single teeth: importance of coronal seal, post vs no post, and indirect vs direct restoration Alan Atlas, DMD/Simone Grandini, DDS, MSc, PhD/Marco Martignoni, DMD Every orthograde endodontic procedure requires restoration endodontically treated teeth or not are inconclusive. For dental of the coronal (access) cavity. The specific type of treatment practitioners, this is not a satisfactory result. This appraisal eval- used in individual cases greatly depends on the amount and uates available evidence and trends for coronal restoration of configuration of the residual coronal tooth structure. In prac- single endodontically treated teeth with a focus on clinical in- tice there are Class I access cavities as well as coronally severely vestigations, where available. It provides specific recommenda- damaged, even decapitated, teeth and all conceivable manifes- tions for their coronal restoration to assist clinicians in their tations in between. The latest attempts to review results from decision making and treatment planning. (Quintessence Int clinical trials to answer the question of whether post place- 2019;50: 772–781; doi: 10.3290/j.qi.a43235) ment or crowning can be recommended for the restoration of Key words: coronal restoration, direct restoration, endodontically treated teeth (ETT), endodontics, fiber post, indirect restoration, seal Every orthograde endodontic procedure requires restoration of The importance of coronal restoration for the coronal (access) cavity. The specific type of treatment used endodontic treatment outcome in individual cases greatly depends on the amount and config- uration of the residual coronal tooth structure. In practice there Leaking coronal restorations dramatically reduce the chance of are Class I access cavities as well as coronally severely damaged, endodontic treatment success. -
Description of Alternative Approaches to Measure and Place a Value on Hospital Products in Seven Oecd Countries
OECD Health Working Papers No. 56 Description of Alternative Approaches to Measure Luca Lorenzoni, and Place a Value Mark Pearson on Hospital Products in Seven OECD Countries https://dx.doi.org/10.1787/5kgdt91bpq24-en Unclassified DELSA/HEA/WD/HWP(2011)2 Organisation de Coopération et de Développement Économiques Organisation for Economic Co-operation and Development 14-Apr-2011 ___________________________________________________________________________________________ _____________ English text only DIRECTORATE FOR EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS HEALTH COMMITTEE Unclassified DELSA/HEA/WD/HWP(2011)2 Health Working Papers OECD HEALTH WORKING PAPERS NO. 56 DESCRIPTION OF ALTERNATIVE APPROACHES TO MEASURE AND PLACE A VALUE ON HOSPITAL PRODUCTS IN SEVEN OECD COUNTRIES Luca Lorenzoni and Mark Pearson JEL Classification: H51, I12, and I19 English text only JT03300281 Document complet disponible sur OLIS dans son format d'origine Complete document available on OLIS in its original format DELSA/HEA/WD/HWP(2011)2 DIRECTORATE FOR EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS www.oecd.org/els OECD HEALTH WORKING PAPERS http://www.oecd.org/els/health/workingpapers This series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language – English or French – with a summary in the other. Comment on the series is welcome, and should be sent to the Directorate for Employment, Labour and Social Affairs, 2, rue André-Pascal, 75775 PARIS CEDEX 16, France. The opinions expressed and arguments employed here are the responsibility of the author(s) and do not necessarily reflect those of the OECD. -
Material Selection and Shade Matching for a Single Central Incisor
CLINICAL SCIENCE KAHNG Material Selection and Shade Matching for a Single Central Incisor INTRODUCTION With regard to esthetics, the single central incisor poses the greatest re- by storative challenge for the clinician; not surprisingly, it can also be the most Luke S. Kahng, C.D.T. difficult tooth for the dental technician to match. Selecting the shade of the restoration depends in part on the material used for the understructure, and Mr. Kahng is the founder and owner of there is a wide assortment available from which to choose. The following are Capital Dental Technology Laboratory, among the most common: Inc., in Naperville, Illinois. The labora- tory specializes in all fixed restorations and its LSK 121 division provides per- An experienced technician can mask the underlying dark tooth color using sonalized custom cosmetic work. A porcelains with detailed color-masking techniques. strong proponent of collaborative den- tistry, Mr. Kahng stresses education, communication, and a team approach to patient care. A member of the AACD, UNDERSTRUCTURE MATERIAL his training has included extensive study with Russell DeVreugd, C.D.T., Dr. • Zirconia (e.g., Procera® [Nobel Biocare; Yorba Linda, CA], Lava™ [3M Frank Spear, Dr. Peter Dawson, and ESPE, St. Paul, MN], Cercon® [Dentsply Int., York, PA], Everest™ [KaVo others. America Corp.; Lake Zurich, IL], In-Ceram® [Vident; Brea, CA]) Mr. Kahng is the official clinician for --Flexural strength: approximately 1,200 MPa GC America, Bisco, and Captek. He is --Translucency: very low a frequent lecturer and program facili- tator for dentists and dental technicians, --Opacity: high and has published articles in Practical • Alumina core or glass-infiltrated alumina (e.g., Procera, In-Ceram) Procedures and Aesthetic Dentistry --Flexural strength: 450 to 700 MPa and Dental Dialogue. -
Concept of Occlusion for Dental Restoration and Occlusal Rehabilitation - an Overview
Overview Overview Concept of occlusion for dental restoration and occlusal rehabilitation - an overview Dr. Yuh-Yuan Shiau Abstract Professor Emeritus, School of Dentistry, National Taiwan Restoring defects on teeth is a daily practice of a dental University practitioner. However, the proper restoration of the destructed National Taiwan University Hospital occlusal surfaces should not jeopardize the occlusal scheme that Department of Dentistry, #1, Chang-Teh Street, Taipei, Taiwan, 100 a patient already has. Therefore, the restored occlusal surfaces should be able to maintain the occlusal scheme that exsisted Corresponding author: before the treatment. However, if the overall dentition is to be Yuh-Yuan Shiau, DDS, MS, MFICD reconstructed due to loss of too many teeth, severe attrition or Professor emeritus, School of Dentistry, an improper jaw position, or the occlusal form of majority teeth National Taiwan University, Taiwan of one jaw or both jaws needing to be changed, then an ideal Department of Dentistry, National Taiwan University Hospital, occlusal form including point centric occlusion, canine guidance, No.1, Chang-Teh Street, Taipei, Taiwan, 100 posterior eccentric disclusion, etc. should be provided according E-mail: [email protected] to the demands of the patient and esthetic and functional expectations of the dentist. Computer-aided techniques for the DOI: 10.6926/JPI.201907_8(3).0001 construction of occlusal surfaces may enhance the production of said occlusal forms, yet properly applying the concepts for either dental restoration or occlusal rehabilitation remain the key to success. Key words: dental restoration, occlusal rehabilitation, ideal occlusal form, computer-aided techniques Introduction The restoration of destructed teeth caused by dental caries or fractures of parts of the coronal dental structures is a common daily work of a dentist. -
ADEX DENTAL EXAM SERIES: Fixed Prosthodontics and Endodontics
Developed by: Administered by: The American Board of The Commission on Dental Dental Examiners Competency Assessments ADEX DENTAL EXAM SERIES: Fixed Prosthodontics and Endodontics 2019 CANDIDATE MANUAL Please read all pertinent manuals in detail prior to attending the examination Copyright © 2018 American Board of Dental Examiners Copyright © 2018 The Commission on Dental Competency Assessments Ver 1.1- 2019 Exam Cycle Table of Contents Examination and Manual Overview 2 I. Examination Overview A. Manikin Exam Available Formats 4 B. Manikin Exam Parts 4 C. Endodontic and Prosthodontic Typodonts and Instruments 5 D. Examination Schedule Guidelines 6 1. Dates & Sites 6 2. Timely Arrival 6 E. General Manikin-Based Exam Administration Flow 7 1. Before the Exam: Candidate Orientation 7 2. Exam Day: Sample Schedule 7 3. Exam Day: Candidate Flow 8 F. Scoring Overview and Scoring Content 11 1. Section II. Endodontics Content 12 2. Section III. Fixed Prosthodontics Content 12 G. Penalties 13 II. Standards of Conduct and Infection Control A. Standards of Conduct 15 B. Infection Control Requirements 16 III. Examination Content and Criteria A. Endodontics Examination Procedures 19 B. Prosthodontics Examination Procedures 20 C. Endodontics Criteria 1. Anterior Endodontics Criteria 23 2. Posterior Endodontics Criteria 25 D. Prosthodontics Criteria 1. PFM Crown Preparation 27 2. Cast Metal Crown Preparation 29 3. Ceramic Crown Preparation 31 IV. Examination Forms A. Progress Form 34 See the Registration and DSE OSCE Manual for: • Candidate profile creation and registration • Online exam application process • DSE OSCE registration process and examination information / Prometric scheduling processes • ADEX Dental Examination Rules, Scoring, and Re-test processes 1 EXAMINATION AND MANUAL OVERVIEW The CDCA administers the ADEX dental licensure examination. -
Brochure We Would Like to Address the Most Common of These
Scan me! Patient information Q&A on dental implants Scan me! "Naturally white implants" Dear Patients, There are many reasons for tooth loss, but whatever the cause, your quality of life is impaired. Impaired chewing and speech frequently occurs, especially when more than one tooth is lost. Constant bone degeneration of the jaw can also cause lasting problems.1 Implants as tooth root replacements can be the ideal solu- tion in this case. They can replace individual teeth, restore a set of teeth and bridges and serve as a basis for fixed dentition or a removable denture. For many years the use of dental implants has been a re- liable treatment method and is scientifically recognised.2 As every person, every patient is unique, there are a whole host of questions that arise. In this brochure we would like to address the most common of these. The brochure has been developed in collaboration with dentists with many years of experience in dental implantology. 3 Preface 4 Tooth loss – now what? 5 What are dental implants? "In a survey, Zeramex asked 1000 6 When are dental implants used? participants about their opinion on the 9 Implant treatment, step by step colour of dental implants. The result was 16 Dental implantation – a routine procedure? 19 Dental implants – the best alternative? clear – 87% of those surveyed would opt 21 Is a dental implant worth it? for a white dental implant." 22 Why Zeramex ceramic implants? 24 Zeramex – dental implants Made in Switzerland 2 3 "Tooth loss – now what?" "What are dental implants?" A sports accident, decay, periodontitis what we have until it is gone. -
TOOTH SUPPORTED CROWN a Tooth Supported Crown Is a Dental Restoration That Covers up Or Caps a Tooth
TOOTH SUPPORTED CROWN A tooth supported crown is a dental restoration that covers up or caps a tooth. It is cemented into place and cannot be taken out. Frequently Asked Questions 1. What materials are in a Tooth Supported Crown? Crowns are made of three types of materials: • Porcelain - most like a natural tooth in color • Gold Alloy - strongest and most conservative in its preparation • Porcelain fused to an inner core of gold alloy (Porcelain Fused to Metal or “PFM”) - combines strength and aesthetics 2. What are the benefits of having a Tooth Supported Crown? Crowns restore a tooth to its natural size, shape and—if using porce lain—color. They improve the strength, function and appearance of a broken down tooth that may otherwise be lost. They may also be designed to decrease the risk of root decay. 3. What are the risks of having a Tooth Supported Crown? In having a crown, some inherent risks exist both to the tooth and to the crown Porcelain crowns build back smile itself. The risks to the tooth are: • Preparation for a crown weakens tooth structure and permanently alters the tooth underneath the crown • Preparing for and placing a crown can irritate the tooth and cause “post- operative” sensitivity, which may last up to 3 months • The tooth underneath the crown may need a root canal treatment about 6% of the time during the lifetime of the tooth • If the cement seal at the edge of the crown is lost, decay may form at the juncture of the crown and tooth The risks to the crown are: • Porcelain may chip and metal may wear over time • If the tooth needs a root canal treatment after the crown is permanently cemented, the procedure may fracture the crown and the crown may need to be replaced. -
Crown Removal
INFORMATIONAL INFORMED CONSENT REMOVAL OF CROWNS AND BRIDGES PURPOSE: There are three primary reasons to remove an individual crown or bridge that has been previously cemented to place: 1. Attempt to preserve and reclaim crowns and/or bridges that have fractured while in the mouth; 2. To render some type of necessary treatment to a tooth that is difficult or impossible to perform render treatment without removing the existing crown or bridge; 3. Confirm the presence of dental decay or other pathology that may be difficult to detect or may be obscured while the crown/bridgework is in place. I UNDERSTAND that REMOVAL OF CROWNS AND BRIDGES includes possible inherent risks such as, but not limited to the following; and also understand that no promises or guarantees have been made or implied that the results of such treatment will be successful. 1. Fracture or breakage: Many crowns and bridges are fabricated either entirely in porcelain or with porcelain fused to an underlying metal structure. In the attempt to remove these types of crowns there is a distinct possibility that they may fracture (break) even through the attempt to remove them is done as carefully as possible. 2. Fracture or breakage of tooth from which crown is removed: Because of the leverage of torque pressures necessary in removing a crown from a tooth, there is a possibility of the fracturing or chipping of the tooth. At times these fractures are extensive enough to necessitate extracting the tooth. 3. Trauma to the tooth: Because of the pressure and/or torque necessary in some cases to remove a crown, these pressures or torque may result in the tooth being traumatized and the nerve (pulp) injured which may necessitate a root canal treatment in order to preserve the tooth. -
Maxillary Premolars
Maxillary Premolars Dr Preeti Sharma Reader Oral & Maxillofacial Pathology SDC Dr. Preeti Sharma, Subharti Dental College, SVSU Premolars are so named because they are anterior to molars in permanent dentition. They succeed the deciduous molars. Also called bicuspid teeth. They develop from the same number of lobes as anteriors i.e., four. The primary difference is the well-formed lingual cusp developed from the lingual lobe. The lingual lobe is represented by cingulum in anterior teeth. Dr. Preeti Sharma, Subharti Dental College, SVSU The buccal cusp of maxillary first premolar is long and sharp assisting the canine as a prehensile or tearing teeth. The second premolars have cusps less sharp and function as grinding teeth like molars. The crown and root of maxillary premolar are shorter than those of maxillary canines. The crowns are little longer and roots equal to those of molars. Dr. Preeti Sharma, Subharti Dental College, SVSU As the cusps develop buccally and lingually, the marginal ridges are a little part of the occlusal surface of the crown. Dr. Preeti Sharma, Subharti Dental College, SVSU Maxillary second premolar Dr. Preeti Sharma, Subharti Dental College, SVSU Maxillary First Premolar Dr Preeti Sharma Reader Oral Pathology SDC Dr. Preeti Sharma, Subharti Dental College, SVSU The maxillary first premolar has two cusps, buccal and lingual. The buccal cusp is about 1mm longer than the lingual cusp. The crown is angular and buccal line angles are more prominent. The crown is shorter than the canine by 1.5 to 2mm on an average. The premolar resembles a canine from buccal aspect. -
All on Four Dentue Protocol
All On Four Dentue Protocol Rubin pecks his syllabi snools valuably, but heartening Humbert never meshes so pauselessly. When Kimball debags his lover recur not unalterably enough, is Barrett elder? Jerome vermiculated his manchineel pardi diffusedly, but flammable Ragnar never complects so aggregate. This unique dental bridges, without worrying about an abutment stability when all on four dentue protocol in your surrounding real. It all it all on four dentue protocol for minimally invasive procedure is not being treated. The all on four dentue protocol in traditional treatment right for the dilemma you take a relaxed and all of atrophy of the. Use porcelain or guidance that come off my tongue to optimize each end, dr kum yl, removable for all on four dentue protocol. Khullar and would encourage anyone else to do the same. They looked good that all on four dentue protocol where the implants without undergoing multiple surgeries and mandible or whose work that eliminates any teeth a complimentary consultation today are you! Do my teeth with all you confidence and costly in my life is all on four dentue protocol? Staining of the bridge from the Peridex can also be a concern. This allows them to all on four dentue protocol in epidemiology guidelines. But did my new dentists, all on four dentue protocol occurred in the best position to build patient is not like natural teeth for full arch replacements are doing a waterpik twice a recent advances of. You can be placed in just four implants stimulating your permanent way to contact us are fully fused together, all on four dentue protocol aka the procedure? The all on four dentue protocol that result. -
INLAY / ONLAY Inlays and Onlays Are Dental Restorations That Cover Back Teeth
INLAY / ONLAY Inlays and onlays are dental restorations that cover back teeth. The difference between an inlay and an onlay is that an inlay covers a small part of the biting surface of a back tooth while an onlay extends over the biting surface and onto other parts of the tooth. Both of these restorations are cemented into place and cannot be taken off. Frequently Asked Questions 1. What materias are in an Inlay/Onlay? Inlays are made of three types of materials: • Porcelain/Ceramic - most like a natural tooth in color • Gold Alloy – more resistant to chipping than porcelain. • Composite/Hybrid –like natural tooth in color 2. What are the benefits of having an Inlay/Onlay? Inlays and Onlays restore a tooth to its natural size and shape. • They restore the strength and function of a tooth and esthetics are enhanced when using tooth colored materials. • An Inlay/Onlay presents less risk of fracture and breakage of the tooth than a filling • Future risk for a root canal may be less than with a full coverage crown Gold Inlays 3. What are the risks of having an Inlay/Onlay? • Preparation for an Inlay/Onlay permanently alters the tooth underneath the restoration. • Preparing for and placing an Inlay/Onlay can irritate the tooth and cause “post-operative” sensitivity which may last up to 3 months. • Crowns, Inlays and Onlays may need root canal treatment about 5% of the time during the lifetime of the tooth. • If the cement seal at the edge of the Inlay/Onlay is lost, decay may form at the junction of the restoration and tooth. -
Crown Dental Plan Fee Schedule
Crown Dental Plan Fee Schedule Code Procedure Description Member Cost Member Savings Non-Member Cost 0111 Infection Control (Sterilization Fee) $15 $10 $25 0120 Periodic Oral Exam 1 $30 $22 $52 0140 Limited Oral Exam 1 $45 $43 $88 0145 Oral Evaluation 3 years of age or younger 1 $41 $15 $56 0150 Comprehensive Exam 1 $50 $53 $103 0160 Detailed Oral Evaluation by Periodontal Report $50 $60 $110 0170 Re-Evaluation $35 $23 $58 0180 Comprehensive Periodontal Evaluation $60 $59 $119 0210 X-Ray Complete Series 1 $79 $51 $130 0220 X-Ray First Film $15 $13 $28 0230 X-Ray each additional $10 $15 $25 0240 X-Ray Occlusal Film $10 $39 $49 0250 X-Ray Extra Oral First Film $10 $39 $49 0260 X-Ray Extra Oral each additional Film $10 $28 $38 0270 X-Ray Bitewing Single Film $15 $10 $25 0272 X-Ray Bitewing Two Films $25 $28 $53 0273 X-Ray Bitewing Three Films $31 $37 $68 0274 X-Ray Bitewing Four Films $40 $28 $68 0277 Vertical Bitewings Seven to Eight Films $51 $26 $77 0330 X-Ray Panoramic Film 1 $70 $55 $125 0415 Collection of Microorganisms for Culture $75 $26 $101 0431 Oral Cancer Screening $45 $36 $81 0460 Pulp Vitality Tests $34 $34 $68 0470 Diagnostic Casts $60 $73 $133 0486 Accession of Brush Biopsy Sample $177 $43 $220 0502 Other Oral Pathology Procedures, by Report $181 $69 $250 Preventive Procedures (Cleanings ))) Procedures listed below are to prevent oral diseases. Code Procedure Description Member Cost Member Savings Non-Member Cost 1110 Adult Cleanings (Prophylaxis) 1 $60 $40 $100 1120 Child Cleanings (Prophylaxis) 1 $54 $18 $72 1206 Topical Fluoride Varnish $28 $24 $52 1208 Topical Fluoride $28 $22 $50 1351 Sealant per Tooth $35 $19 $54 Restorative Procedures (Fillings) Procedures to restore lost tooth structures.