PUBLICATIONS

In 1974, Amsterdam stated that “there may be different ways of treating a disease, but there can be but one correct diagnosis.”1 This is still true today: Regardless of the scientific and technological advances dentistry has undergone, treatment is still based upon accurate identification of the underlying problem.

Over the last several decades, dentistry has focused on more conservative treatment modalities and preventive techniques. This has been possible not only because of improved techniques and materials, but also because of the understanding that tooth preparation, regardless of how conservative it may be, is an irreversible procedure.

The osseointegrated implant has become a standard treatment with a high degree of predictability for patients missing one or more teeth. It is especially recommended when the patient has a clear medical history and normal bone levels in both width and height in the edentulous areas.

Implant Dentistry has evolved dramatically since it’s inception as an anchor for the fully edentulous patient population.

Multidisciplinary Enhancement of Hard and Soft Tissue Profiles

Multidisciplinary Enhancement of Hard & Soft Tissue Profiles:Prosthetic Considerations, Part II

Abstract: When a patient presents with congenitally missing teeth, early diagnosis and comprehensive treatment planning are critical to effective restorative management. Interdental space allocation must be identified to accommodate proper clinical crown proportion(s) through a surgical-prosthetic solution.

Abstract: Whether it’s a single tooth or multiple teeth, tooth loss has esthetic, functional, and health implications. Replacing multiple teeth can be especially complicated due to the loss of surrounding structures, often making it necessary to use additional procedures—eg, bone grafting—to solve the problems that arise. Fortunately,

Abstract: A single missing tooth is a common occurrence among young patients and impacts esthetics and longterm oral health in terms of compromised bone, gum tissue, and, if warranted, an implant and final prosthesis. In this case report, after years of poorly executed orthodontic therapy, the patient’s dental growth complicated the development of an esthetically pleasing smile.

Amsterdam constató en 1974: «Pueden existir diversas posibilidades para tratar una enfermedad, pero sólo un diagnóstico correcto»27. Esta máxima continúa siendo tan cierta hoy en día como entonces, puesto que independientemente de los avances cientíi cos y técnicos en la odontología, el tratamiento sigue basándose en la identii cación acertada de la dolencia subyacente.

En los últimos años, la odontología se ha concentrado en los métodos conservadores para el tratamiento y la prevención. El posterior desarrollo no sólo se debe a los avances en materiales y métodos. Más bien se debe a que cada preparación dental, independientemente de la consideración con la que se realice, constituye una intervención irreversible.

Objective: Successful dental implant therapy in the maxillary anterior dentition requires meticulous attention to surgical and prosthodontic measures.

Amsterdam konsta tierte 1974: „Es kann unterschiedliche Möglichkeiten geben, eine Krankheit zu behandeln, aber nur eine korrekte Diagnose.“27 Dies ist heute ebenso wahr wie damals, denn ungeachtet des wissenschaftlichen und technischen Fortschritts in der Zahnmedizin stützt sich die Behandlung nach wie vor auf die zutreffende Erkennung der zugrunde liegenden Erkrankung.

All too often, restorative dentists are faced with the dilemma of not being able to provide the ceramist the optimal space for maximum esthetics. The reasons are numerous, yet the problem still remains. The dental industry, along with the dental laboratory industry, has developed numerous full-coverage restorative options to obtain maximum esthetics.

Technological advances have enabled Dentistry to provide patients with better and longer lasting outcomes, where in some instances and not so long ago respective technological treatment options were not a possibility.

Modern dentistry has experienced a major shift on patients’ demands from health and function to cosmetics. Materials and techniques are constantly evolving to adapt to these ever-changing needs. One major purpose of modern dentistry is not only to deliver this type of care with excellence but the preservation of healthy tooth structure is just as essential. This article describes current concepts to help consistently obtain an excellent, predictable and long lasting restoration with the direct posterior bonded restoration.

The success of endodontic treatment is comprised of proper diagnosis and treatment, which is easier to accomplish when the symptoms correlate to the clinical and radiographic findings.

With the technological evolution and predictability of osseointegrated dental implants, where does the endodontist’s responsibility lie? With the different options available today, where does endodontic therapy stop and implants begin? When is that decision made? Who makes it? Several questions must be analyzed: is the endodontist’s responsibility limited to only do an excellent root canal treatment? Should his role be also that of a gatekeeper and decision maker?

Progress and technological evolution is something we should all embrace since such attributes allow us to provide patients with improved care. But when is it appropriate to consider proven materials and techniques outdated and when should one move forward with the promise of better product(s) along with superior outcomes?

Consistent, predictable, and reproducible procedures in restorative dentistry are expected from our impression materials and techniques. When taking an impression, clinicians must consider the true costs of retakes.

The restoration of endodontically treated teeth was advocated by G.V. Black in 18691 followed by a one-unit post and crown by Richmond2 in 1878. Engineering principles indicate that structural strength on endodontically treated teeth is decreased by the removal of the roof of the pulp chamber, canal enlargement, and hence loss of integrity. The

This case report demonstrates 3-dimensional restoration of a severely-damaged alveolar ridge. Prior extraction, surgical trauma and infection resulted in total loss of facial and palatal cortices in an esthetically-critical area of the dentition. The compromised restorative and endodontic status of the adjacent canine precluded a conventional fixed bridge.

Treatment modalities in restorative dentistry should be implemented with a solid rationale behind them and support from scientific studies. These principles, in conjunction with clinical experience, can dictate when and if a post is required when a tooth has undergone root canal treatment.

Achieving predictable success with implants in the aesthetic zone is essential for clinicians. Promoting marginal bone and stability of the gingival environment is key to obtaining a predictable aesthetic outcome.

In our practice, we strive to provide the best possible restorative and prosthetic dentistry there is. However, the question that often arises is: How many more new gadgets do we need in our office and which ones are really going to improve the quality of our care?

The dental industry continues to aggressively convert to CAD/CAM technology. This is very exciting and promising for clinical and technical dentistry. Restorations that used to take many visits appear to need fewer ones, and the those that were problematic once appear to be easier.

Practitioners today are inundated with the latest and greatest of seemingly everything. Dental technology has exploded. Restorative materials and options abound. Every new iteration brings claims that this device, material, or new way of completing a procedure is the best-
ever, must-have option.

A discussion of the pertinent issues and relative advantages and disadvantages of each method.

Implant dentistry is executed with the ultimate goal of replacing missing teeth to restore form and function lost due to caries, gum disease, and trauma to the oral cavity. Placing dental implants should be done very carefully and with considerable planning to avoid adverse outcomes.