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Nerve Damage Related to Implant Dentistry Issues Associated with Avoiding, Diagnosing, and Managing Damage to the Trigeminal Nerve

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Nerve Damage Related to Implant Dentistry Issues Associated with Avoiding, Diagnosing, and Managing Damage to the Trigeminal Nerve Peer-Reviewed and Indexed of Continuing Education in Dentistry Nerve Damage Related to Implant Dentistry Issues associated with avoiding, diagnosing, and managing damage to the trigeminal nerve Gary Greenstein, DDS, MS; Joseph R. Carpentieri, DDS; and John Cavallaro, DDS PLUS: Medication-Related Dental Erosion: A Review Manuel S. Thomas, BDS, MDS; A. R. Vivekananda Pai, BDS, MDS; and Amit Yadav, BDS, MDS The Teamwork Approach to Esthetic Tooth Replacement Barry P. Levin, DMD; and Brian L. Wilk, DMD Special Report Prevention and Oral Hygiene SATURNO™ Narrow Diameter Michael Rethman, DDS, MS Implant System p. 646 OCTOBER 2015 | Volume 36, Number 9 | www.compendiumlive.com G-ænial Sculpt™ UNIVERSAL COMPOSITE RESTORATIVE In-Mouth Polishing Zone 100 90 80 70 60 ) % ( e 50 u l a v s s 40 o l G 30 20 10 0 0 2000 4000 6000 8000 10000 12000 Tooth brush cycle G-ænial Sculpt Filtek Supreme Ultra† Estelite Sigma Quick† Majesty ES-2† The Universal Composite 1 Internal Data on file. † Not a registered trademark of GC America Inc. That Keeps Polishing in Mouth 2+1* FREE!FREE!* NexTemp® Temporary Resin Cement Get Firm Retention / Easy Removal 4X greater retention than most zinc oxide cements Get Eugenol-Free Non irritating to soft tissue / will not inhibit permanent cementation Get Fluoride Release Less cement; more retention Get Potassium Nitrate Known to reduce sensitivity and act as a sedative to the pulp Get Chlorhexidine A proven anti-bacterial agent Get Resin-Matrix Formulation Two-stage curing; Good marginal seal with no wash-out easy clean up Two-Stage Curing In approximately 2 minutes, initial gel set stabilizes temporary, allowing easy removal of excess. Total oral set time in 4-5 minutes Neutral Shade Blends esthetically with temporary restoration / No show-through Firm retention** Premier® Dental Products Company 888-670-6100 www.premusa.com *Buy two NexTemp standard packs or two bulk packs, get one of the same free. To receive your free merchandise, forward a copy of your DEALER invoice indicating appropriate purchase(s) to Premier Redemption Center, P.O. Box 640, Plymouth Meeting, PA 19462-0640. FAX number - 610-239-6171 or email: [email protected]. Offer valid 10/1/15 through 12/31/15. Redeem by 1/15/16. May not be combined with other offers. Valid in US only. / ** Total oral set time in 4-5 minutes FROM THE EDITOR Patient Management n every specialty and discipline of dentistry, education and research focus on how we can treat our patients more efficiently, effectively, and—most impor- tantly—safely. Patient management includes patient selection, treatment options, and knowing when to refer a patient to a specialist. Throughout its 36-year history, Compendium Ihas played an integral role with regard to this subject. Both of October’s Continuing Education articles emphasize the importance of choosing the best course of treatment and discuss the therapies and medications associated with their respective topics. Although there are many preventive measures in place to preclude nerve damage, it can inadvertently result from treatment. Our first CE article focuses on treatment strate- gies for nerve damage, particularly when it is related to implant insertion. The authors Oral healthcare provide an overview of the various types of nerve damage, present information that will providers need to be allow clinicians to make an appropriate decision about therapies and medications, and ‘‘ offer advice on when to refer a patient to a specialist. aware of potential side effects when In a similar vein, oral healthcare providers need to be aware of potential side effects when prescribing drugs, as some therapeutic medications are directly, or indirectly, as- prescribing drugs, sociated with dental erosion. In our second CE article, the authors discuss various drugs as some therapeutic that can lead to dental erosion, and provide precautionary guidelines—The 9 Rs—that medications can help one avoid or manage medication-induced erosion. are directly, Lastly, in a case report detailing the replacement of a maxillary anterior tooth with a or indirectly, dental implant using immediate implant placement, the authors emphasize the impor- associated with tance of patient selection and working as a team to ensure that the patient is comfortable throughout the process, especially while enduring a state of edentulism. dental erosion. The art of effective patient management is unique to every practice but ultimately centers on providing the patient with the best care possible. We look forward to your feedback on these articles and others in this month’s issue as you consider the authors’ techniques and cases in your dental practice. Also, along with viewing our offerings at compendiumlive.com, check out our Facebook, Twitter, and LinkedIn platforms for timely research updates and the latest case studies. Sincerely, Louis F. Rose, DDS, MD Editor-In-Chief [email protected] 640 COMPENDIUM October 2015 Volume 36, Number 9 ATS ™ Dual Wavelength Nd:YAG & Erbium Laser: 7KH(QGR3HULR+DUG 6RIW7LVVXH/DVHU WPT™ Laser Perio Advanced Dual Wavelength PHAST PIPS™ Laser Endo (΍HFWLYH ([FOXVLYH Nightlase™ Procedure /DVHU6QRULQJ5HGXFWLRQ Ultra Fast, No Shot Cavity Preps Precise Fast Osseous Cutting/ Shaping Procedures Bloodless, Suture Free Soft Tissue Procedures New Digital Scanner, Faster and More Precise The prestigious Awarded Best of Class Dentistry Today’s “red dot” By the Pride Institute at the Top 100 Products Design Award American Dental Association (888) 550-4113 ZZZIRWRQDFRPȏLQIR#IRWRQDFRP IAPA-I-090815R01 ADVISORY BOARD of Continuing Education in Dentistry October 2015 | Vol.36, No.9 | www.compendiumlive.com EDITOR-IN-CHIEF CO-EDITOR-IN-CHIEF PUBLISHER Jeffrey E. Gordon Louis F. Rose, DDS, MD John C. Kois, DMD, MSD 215-504-1275, ext. 203 [email protected] INTERNATIONAL EDITOR FOUNDING EDITOR MANAGING EDITOR Dee Patney Ray C. Williams, DMD D. Walter Cohen, DDS [email protected] EDITORIAL COORDINATOR SECTION EDITORS Amelia Falcone [email protected] Scott Benjamin, DDS: Technology Jean Martin, DDS: Kois Center Case SENIOR WRITER Joel Berg, DDS, MS: Pediatric Edward McLaren, DDS, MDC: Prosthodontics Ellen Meyer Donald Clem, DDS: Periodontology Allen Ali Nasseh, DDS, MMSc: Endodontics CREATIVE Gerard Kugel, DMD, MS, PhD: Research Michael R. Sesemann, DDS: Restorative Claire Novo, Jennifer Barlow Barry P. Levin, DMD: Implants Thomas Sollecito, DMD: Oral Medicine PRODUCTION MANAGER Roger Levin, DDS: Practice Management Maureen Bruecks [email protected] DIGITAL SPECIALIST BOARD MEMBERS Winston Powell [email protected] Gary Alex, DMD Angelo Mariotti, DDS, PhD COVER ©AEGIS Media, LLC Edward P. Allen, DDS, PhD Pamela Kay McClain, DDS David R. Avery, AAS, CDT Brian L. Mealey, DDS, MS Copyright © 2015 by AEGIS Publications, LLC. All rights reserved under United States, International and Elizabeth Bakeman, DDS Konrad Meyenberg, DMD Pan-American Copyright Conventions. No part of this William L. Balanoff, DDS, MS Ricardo Mitrani, DDS, MSD publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means Harold Baumgarten, DMD John Molinari, PhD without prior written permission from the publisher. William Becker, DDS, MS Paul Moore, DMD, PhD, MPH PHOTOCOPY PERMISSIONS POLICY: This publication is registered with Copyright Nitzan Bichacho, DMD Marc Nevins, DMD, MMSc Clearance Cen ter (CCC), Inc., 222 Rosewood Drive, Danvers, MA 01923. Permission is granted Markus B. Blatz, DMD, PhD Hessam Nowzari, DDS, PhD for photocopying of specified articles provided Yolanda Bonta, DMD, MS Gary Orentlicher, DMD the base fee is paid directly to CCC. Robert L. Boyd, DDS Paul Petrungaro, DDS, MS Printed in the U.S.A. To order additional copies, call 877-4-AEGIS-1. I. Stephen Brown, DDS Terry D. Rees, DDS, MSD Subscription rate for 1 year: US $167.00; Canada Frank A. Catalanotto, DMD Michael P. Rethman, DDS, MS $200.00; Foreign $234.00. Compendium of Continuing Education in Den tist ry® Stephen J. Chu, DMD, MSD, CDT Georgios E. Romanos, DDS, PhD (ISSN 1548-8578 Print; ISSN 2158-1797 Online) USPS David Cochran, DDS, PhD Paul S. Rosen, DMD, MS 0566-250 is published month ly, but bimonthly in July/Aug and Nov/Dec by AEGIS Publications, Lyndon Cooper, DDS, PhD Edwin S. Rosenberg, BDS, DMD LLC, 104 Pheasant Run, Suite 105, Newtown, PA 18940. Periodical postage paid at Pontiac, IL Lee Culp, CDT Louis E. Rossman, DMD 61764 and other additional entry points. Robin Daniel, DDS Edward F. Rossomando, DDS, PhD Postmaster: Send changes to Compendium Glenn DuPont, DDS Maria Ryan, DDS, PhD of Con tin uing Education in Dentistry, AEGIS Pub lications, LLC, 104 Pheasant Run, Suite 105, Robert A. 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