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Teeth in the Era of Implant Dentistry December 2014 Titanium Implants Endodontic Considerations Treatment Planning Decisions JournaCALIFORNIA DENTAL ASSOCIATION Teeth in the Era of Implant Dentistry Kian Kar, DDS, MS You are not a market segment. And at The Dentists Insurance Company, TDIC, we won’t treat you like one, because we are not like other insurance companies. Here, business is about doing what’s best for our policyholders and treating people with the respect and care deserving of a member of the profession. That’s why we have an expert, in-house claims team at the ready 24/7 as well as a razor-sharp legal team to help protect your reputation. What’s more, with TDIC, you will never experience an automated decline. Every case is reviewed by a council of your peers. Why go to such lengths? Because with TDIC, you’re not a market segment. You are a dentist. Protecting dentists. It’s all we do.® 800.733.0633 | tdicsolutions.com | CA Insurance Lic. #0652783 Dec. 2014 CDA JOURNAL, VOL 42, Nº12 DEPARTMENTS 809 The Editor/Zombie Dentistry? 811 Thank You to Journal Reviewers 813 Impressions 871 RM Matters/Email in the Age of Privacy 875 Regulatory Compliance/HIPAA Safeguards 881 Periscope 813 882 Tech Trends 884 Article Index FEATURES 821 Teeth in the Era of Implant Dentistry An introduction to the issue. Kian Kar, DDS, MS 829 Review of Models for Titanium as a Foreign Body The dental community must consider the full spectrum of implant interactions within the body to understand the differences and similarities within the mouth. Alon Frydman, DDS, and Krikor Simonian, DDS 835 Implant Treatment Planning: Endodontic Considerations With data on implants developing complications long term and the lack of predictable treatment for peri-implantitis, retaining and restoring the natural dentition should be the first choice whenever possible. Krikor Simonian, DDS; Alon Frydman, DDS; Fernando Verdugo, DMD, PhD; Rafael Roges, DDS; and Kian Kar, DDS, MS 841 Teeth Versus Implants: Mucogingival Considerations and Management of Soft Tissue Complications This paper compares and contrasts important mucogingival considerations between teeth and implants. Nicholas Caplanis, DMD, MS; Georgios Romanos, DDS, PhD, Prof Dr med dent.; Paul Rosen, DMD, MS; Glenn Bickert, DDS; Ashish Sharma, BDS; and Jaime Lozada, DDS 859 Treatment Planning Decisions: Implant Placement Versus Preserving Natural Teeth The purpose of this article is to review some of the factors that influence prosthetic planning of functional and esthetic rehabilitation for patients with diseased dentition. Alireza Moshaverinia, DDS, MS, PhD, FACP; Kian Kar, DDS, MS; and Winston W.L. Chee, DDS, FACP DECEMBER 2014 807 CDA JOURNAL, VOL 42, Nº12 Volume 42, Number 12 JournaCALIFORNIA DENTAL ASSOCIATION December 2014 CDA Classifieds. Free postings. published by the Editorial Upcoming Topics Manuscript California Kerry K. Carney, DDS, CDE January/General Topics Submissions EDITOR-IN-CHIEF Priceless results. Dental Association February/Dental Student www.editorialmanager. 1201 K St., 14th Floor [email protected] Research com/jcaldentassoc Sacramento, CA 95814 Ruchi K. Sahota, DDS, CDE March/Computer-Guided 800.232.7645 ASSOCIATE EDITOR Implants Letters to the Editor cda.org www.editorialmanager. Brian K. Shue, DDS, CDE Advertising com/jcaldentassoc CDA Offi cers ASSOCIATE EDITOR Doug Brown Walter G. Weber, DDS ADVERTISING SALES Kian Kar, DDS, MS Subscriptions PRESIDENT [email protected] GUEST EDITOR Subscriptions are available [email protected] 916.554.7312 only to active members of Kenneth G. Wallis, DDS Andrea LaMattina the Association. The PUBLICATIONS SPECIALIST Tiff any Carlson PRESIDENT-ELECT ADVERTING SALES subscription rate is $18 and is included in membership [email protected] Tiff [email protected] Blake Ellington dues. Nonmembers can TECH TRENDS EDITOR 916.554.5304 Clelan G. Ehrler, DDS view the publication online VICE PRESIDENT Permission and at cda.org/journal. [email protected] Courtney Grant Reprints COMMUNICATIONS Manage your subscription SPECIALIST Andrea LaMattina online: go to cda.org, log in Natasha A. Lee, DDS PUBLICATIONS SPECIALIST SECRETARY and update any changes to [email protected] [email protected] Jack F. Conley, DDS your mailing information. EDITOR EMERITUS 916.554.5950 Email questions or other Kevin M. Keating, DDS, MS changes to membership@ TREASURER Robert E. Horseman, DDS cda.org. HUMORIST EMERITUS [email protected] CDA classifiedsclassifieds workwork harder to Stay Connected cda.org/journal bbringring you resuresults.lts. SeSellinglling a practice Craig S. Yarborough, DDS, Production MBA SPEAKER OF THE HOUSE Val B. Mina or a piece ooff equipment? Now you SENIOR GRAPHIC DESIGNER [email protected] can include photos to help buyers Go Digital cda.org/apps James D. Stephens, DDS Randi Taylor SENIOR GRAPHIC DESIGNER Look for this symbol, noting additional video see the potential. IMMEDIATE PAST PRESIDENT content in the e-pub version of the Journal. [email protected] And if you’re hiring, candidates Journal of the California Dental Association (ISSN 1043-2256) is published monthly by the anywhere can apply right from Management California Dental Association, 1201 K St., 14th Floor, Sacramento, CA 95814, 916.554.5950. Peter A. DuBois the site. Looking for a job? You can Periodicals postage paid at Sacramento, Calif. Postmaster: Send address changes to Journal EXECUTIVE DIRECTOR of the California Dental Association, P.O. Box 13749, Sacramento, CA 95853. post that, too. And the best part— Jennifer George The California Dental Association holds the copyright for all articles and artwork published it’s free to all CDA members. CHIEF MARKETING OFFICER herein. The Journal of the California Dental Association is published under the supervision of CDA’s editorial staff . Neither the editorial staff , the editor, nor the association are responsible for Cathy Mudge any expression of opinion or statement of fact, all of which are published solely on the authority All of these features are designed to VICE PRESIDENT, of the author whose name is indicated. The association reserves the right to illustrate, reduce, COMMUNITY AFFAIRS help you get the results you need, revise or reject any manuscript submitted. Articles are considered for publication on condition that they are contributed solely to the Journal. faster than ever. Check it out for Alicia Malaby COMMUNICATIONS Copyright 2014 by the California Dental Association. All rights reserved. yourself at cda.org/classifieds. DIRECTOR 808 DECEMBER 2014 Editor CDA JOURNAL, VOL 42, Nº12 Zombie Dentistry? Kerry K. Carney, DDS, CDE ombies are everywhere. Since George A. Romero’s 1968 movie, Night of the Living Doing the same thing over and over without Dead, zombies have staggered their way into most every a critical understanding is the basis of ritual. Zcorner of our cultural experience. But Our profession is based on science, not ritual. the other day, I was surprised to fi nd they had made their way onto a dental- related Internet listserv. There was an intriguing conversation thread that grew had 520 years of experience in the room. education requirements to renew a license out of a reference one of the listserv My friend whispered that we might have to practice dentistry on April 8, 2010. members had made to zombie dentistry. only one year of experience repeated All licensees must accumulate 50 units We are familiar with zombies in music 520 times. His point was: it takes more biennially. The requirement includes (Michael Jackson’s Thriller), literature than doing the same thing over and over, the following mandatory courses: (Seth Grahame-Smith’s Pride and year after year, to build experience. It ■ Infection control (2 units) Prejudice and Zombies) and video games takes exploring, trial, error and continual ■ California Dental Practice (ADA’s Stop Zombie Mouth campaign), learning to increase one’s experience. Act (2 units) but exactly what is zombie dentistry? The recent composite of the American ■ Basic life support, maximum of The defi nition of zombie dentistry Association of Dental Boards1 lists the 4 units by the American Heart appears to encompass practicing continuing education unit requirements Association (AHA) or American dentistry as a relentless exercise of for license renewal by state. These vary Red Cross (ARC) course to include counter-evidenced-based practices considerably. (Though Colorado reported adult and pediatric CPR (including that survives and trudges on no required continuing education units two rescuer scenarios), foreign- regardless of the data thrown at it. for this list, on July 1, 2014, Colorado body airway obstruction, relief of It is natural to want to continue to instituted a 30-unit requirement every choking (adults, child and infant), do things just the way we have in the two years.) Wyoming appears to require automated external defi brillation past. I have a friend who when given that the licensee be current in CPR only. (AED) with CPR, and live, in- a study that contradicts his position, The continuing education requirement person skills practice session (skills responds with, “I don’t need to read that. may be spread out over a range of years. test and written examination). I’ve read enough already.” Sometimes, The most common time period is two In addition to these mandatory classes, I agree with him. But doing the same years (37 states including California the licensee may accumulate up to 20 thing over and over without a critical and the District of Columbia). Seven percent of the 50-unit requirement (10 understanding is the basis of ritual. Our states and Puerto Rico use three-year units) in courses that do not involve the profession is based on science, not ritual. intervals, fi ve states and the Virgin Islands actual delivery of dental services to the There is an important difference require annual continuing education. patient or the community (for example, between ritual and science. Science South Dakota’s is a fi ve-year period. courses in organization and management requires questioning and experimentation.
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