When performing a tooth extraction, imminent collapse of the tissue by resorption and remodeling of the socket is a natural occurrence. The procedure for the preservation of the alveolar ridge has been widely described in the dental... more
When performing a tooth extraction, imminent collapse of the tissue by resorption and remodeling of the socket is a natural occurrence. The procedure for the preservation of the alveolar ridge has been widely described in the dental literatures and aims to maintain hard and soft tissues in the extraction site for optimal rehabilitation either with conventional fixed or removable prosthetics or implant-supported prosthesis.
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Los implantes encontrados en mala posición en el maxilar anterior pueden crear complicaciones protésicas que comprometen la estética. Un caso clínico se presentará con el fin de discutir la colocación de un elemento para “dormir” un... more
Los implantes encontrados en mala posición en el maxilar anterior pueden crear complicaciones protésicas que comprometen la estética. Un caso clínico se presentará con el fin de discutir la colocación de un elemento para “dormir” un implante y la restauración adyacente con un puente volado para proporcionar un mejor resultado estético.
Discusión: En la zona estética anterior un implante se puede dejar como un accesorio durmiendo si se encuentra en mala posición, puesto que la restauración creará problemas estéticos. La prótesis puede ser restaurada mediante la utilización de un póntico volado sobre uno de los implantes como una alternativa a la restauración de los dos implantes. Esta opción de tratamiento puede ser mejor que la eliminación del implante mal posicionado, con el defecto óseo resultante y la necesidad de injertar tejidos duros y blandos para corregirlo.
Conclusión: La velocidad de perforación en la preparación del sitio de la osteotomía no es un factor determinante para el éxito de la integración. Un fracaso protésico puede resultar debido a la mala posición de los implantes y una alternativa a una prótesis con compromiso o la remoción del accesorio mal posicionado, puede ser dormir el implante y usar una prótesis voladiza.
Palabras clave: Velocidad de perforación, posición del implante, dormir el implante, puente volado.
Discusión: En la zona estética anterior un implante se puede dejar como un accesorio durmiendo si se encuentra en mala posición, puesto que la restauración creará problemas estéticos. La prótesis puede ser restaurada mediante la utilización de un póntico volado sobre uno de los implantes como una alternativa a la restauración de los dos implantes. Esta opción de tratamiento puede ser mejor que la eliminación del implante mal posicionado, con el defecto óseo resultante y la necesidad de injertar tejidos duros y blandos para corregirlo.
Conclusión: La velocidad de perforación en la preparación del sitio de la osteotomía no es un factor determinante para el éxito de la integración. Un fracaso protésico puede resultar debido a la mala posición de los implantes y una alternativa a una prótesis con compromiso o la remoción del accesorio mal posicionado, puede ser dormir el implante y usar una prótesis voladiza.
Palabras clave: Velocidad de perforación, posición del implante, dormir el implante, puente volado.
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Challenges often confront the surgeon when placing implants into the maxillary arch due to lower bone density. This can be further complicated due to the proximetry of the maxillary sinus especially when immediate implant placement is... more
Challenges often confront the surgeon when placing implants into the maxillary arch due to lower bone density. This can be further complicated due to the proximetry of the maxillary sinus especially when immediate implant placement is contemplated at time of extraction. This article will review the use of rotary osteotomes for improvement of bone site density and quality to allow implant placement in the maxillary posterior.
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Endodontics has begun to take advantage of the scientific improvements touching other aspects of dental care. Precision instrumentation allows the practitioner to develop better instrumented canals, making obturation easier and more... more
Endodontics has begun to take advantage of the scientific improvements touching other aspects of dental care. Precision instrumentation allows the practitioner to develop better instrumented canals, making obturation easier and more predictable. Treatment predictability from precision-based instrumentation has allowed a leap forward in how we provide endodontic therapy.
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Traditionally, endodontic treat- ment requires instrumentation of the root canal to remove infectious debris, leaving clean canal walls. After the instrumenta- tion and irrigation of debris from the can- al is complete, the root canal is... more
Traditionally, endodontic treat- ment requires instrumentation of the root canal to remove infectious debris, leaving clean canal walls. After the instrumenta- tion and irrigation of debris from the can- al is complete, the root canal is filled with gutta-percha inserted with an endodontic sealer. These sealers to be used with gutta percha have included calcium hydroxides, zinc-oxide and eugenol cements, and glass ionomer cements. When Resilon™ (Pen- tron® Clinical Technologies, LLC, Walling- ford, CT) was introduced 4 years ago, much concern was expressed for this obturation material, ranging from how would it geo- metrically fill canals compared to gutta- percha to whether it could provide a seal equal to zinc oxide/eugenol (ZOE) or AH- 26 (epoxy resin root canal sealer). In the meantime, the literature has been filled with numerous peer-reviewed articles re- porting on many aspects involving Resi- lon. This article addresses the concerns and discusses some of the literature that ...
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A single appointment fabrication of an emergency overdenture is described. The technique was used in the treatment of a failed implant-supported fixed bridge that was unable to be reinserted due to fractured components and a lack of... more
A single appointment fabrication of an emergency overdenture is described. The technique was used in the treatment of a failed implant-supported fixed bridge that was unable to be reinserted due to fractured components and a lack of passive fit. This technique may also be used for the treatment of a failing natural dentition as well as an implant prosthesis.
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Perio treatment has evolved beyond simple scaling with hand instruments. Ultrasonics and diode lasers have improved both the efficiency of treatment as well as treatment prognosis to arresting the disease process and gaining clinical... more
Perio treatment has evolved beyond simple scaling with hand instruments. Ultrasonics and diode lasers have improved both the efficiency of treatment as well as treatment prognosis to arresting the disease process and gaining clinical attachment and decreasing pocket depth. Add to this the benefits of adjunct medicaments both at time of treatment via site placement and during routine home care by the patient, and we are able to tip treatment outcome in a more favorable direction. Periodontology has been closely linked to systemic health both as a causative agent to health issues and as a secondary site for some medical conditions. Dentistry has truly--and finally--become a part of total healthcare.
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Kurtzman GM, Mahesh L, Afrashtehfar KI. Considerations of bisphosphonate: management in Dentistry. 1st part. Rev Dent Paciente. 2012 Oct; 50:38-52. (ISSN 1405-020X) [Mexico-USA]
Odontogenic infections are one of the most difficult current problems, which can range from well localized low grade infections that need only minimal treatment, to severe infections which endanger the patient's life. In the present... more
Odontogenic infections are one of the most difficult current problems, which can range from well localized low grade infections that need only minimal treatment, to severe infections which endanger the patient's life. In the present study it is intended to know the efficiency of super-oxidized electrolyzed solutions with neutral pH before the aggressiveness and fast evolution of this kind of ailment.
Kurtzman GM, Afrashtehfar KI. [DYADTM FLOW: A self-etch flowable composite: 1st part]. Rev Dent Paciente. 2012 Jul; 47:10-21. (ISSN 1405-020X) [Mexico-USA]
Kurtzman GM, Afrashtehfar KI. [DYADTM FLOW: A self-etch flowable composite: Final part]. Rev Dent Paciente. 2012 Aug; 48:10-17. (ISSN 1405-020X) [Mexico-USA]
Kurtzman GM, Mahesh L, Afrashtehfar KI. Considerations of bisphosphonate: management in Dentistry. Final part. Rev Dent Paciente. 2012 Nov; 51:10-6. (ISSN 1405-020X) [Mexico-USA]
Los pacientes que se presentan con atrofio significativo coronal de un diente generan desafíos con respecto a las decisiones en la planificación de tratamiento para ese diente. ¿Debe el practicante tratar endodónticamente el diente y... more
Los pacientes que se presentan con atrofio significativo coronal de un diente generan desafíos con respecto a las decisiones en la planificación de tratamiento para ese diente. ¿Debe el practicante tratar endodónticamente el diente y aumentar el tratamiento con alargamiento de la corona para permitir férula suficiente de la estructura de la raíz restante para posibilitar la restauración, o es más prudente extraer el diente y colocar un implante? [ Patients who present with significant coronal breakdown of a tooth present challenges with regard to treatment planning decisions for that tooth. Does the practitioner endodontically treat the tooth and augment that treatment with crown lengthening to permit sufficient ferrule of the remaining root structure to allow restoration, or is it more prudent to extract the tooth and place an implant? ]
El éxito a largo plazo en endodoncia no se debe a un solo factor, sino a tres aspectos del tratamiento, lo que podríamos llamar una "tríada de endodoncia". Ésta se compone de instrumentación, desinfección y obturación. La... more
El éxito a largo plazo en endodoncia no se debe a un solo factor, sino a tres aspectos del tratamiento, lo que podríamos llamar una "tríada de endodoncia". Ésta se compone de instrumentación, desinfección y obturación. La instrumentación por sí sola no prepara al sistema de canales para la obturación, y la desinfección es la clave para aumentar y optimizar el proceso de obturación. Pero, ¿a qué nos referimos cuando mencionamos la desin-fección del sistema de canales? La desinfección comprende la eliminación del tejido residual en el sistema de canales y las bacterias asociadas a través de lavado del sistema de canal con una solución de irrigación. La clave es eliminar la mayor cantidad de tejido residual como sea posible, y entre más exhaustivo sea el proceso de irrigación, más bajo es el nivel de bacterias restantes. La complejidad de la anatomía del canal, con sus aletas, canales laterales y delta apical, hace imposible que la instrumentación de los canales llegue a todo...
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While the need to maintain a dry operative field has traditionally caused complications during various soft tissue surgical procedures, the use of bipolar electrosurgical techniques can eliminate this need, thus increasing the... more
While the need to maintain a dry operative field has traditionally caused complications during various soft tissue surgical procedures, the use of bipolar electrosurgical techniques can eliminate this need, thus increasing the clinician's ability to deliver predictable, long-term results. This case presentation describes how to determine the presence of passive eruption, treatment plan its correction, and surgically alter the gingiva to provide a more aesthetic smile. ncisal edge. * Be aware of how to surgically correct using bipolar electrosurgery.
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Establishing nontension primary wound closure of various soft-tissue flaps is paramount for optimal postsurgical wound healing. Surgical procedures that require clinical flap manipulation such as those used with traditional periodontal... more
Establishing nontension primary wound closure of various soft-tissue flaps is paramount for optimal postsurgical wound healing. Surgical procedures that require clinical flap manipulation such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard- and soft-tissue regeneration, and the excision of pathologic tissue also require excellence in execution and thorough understanding of the various techniques of surgery, suturing, and the materials currently available to ensure the desired clinical results. This article will discuss the rationale of specific suturing techniques and suture materials to aid the clinician in obtaining optimal wound closure.
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This article discusses the use of a fiber-reinforced direct-bonded resin bridge, which provides lower treatment costs and requires less time than more conventional restorative materials. However, a disadvantage is the short lifespan of... more
This article discusses the use of a fiber-reinforced direct-bonded resin bridge, which provides lower treatment costs and requires less time than more conventional restorative materials. However, a disadvantage is the short lifespan of the prosthesis. This article describes a case report in which this technique is applied.
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Fiber obturators have been introduced into endodontics but few reports exist regarding their efficacy compared to standard obturation materials. This study evaluated the leakage resistance of fiber obturators compared with other... more
Fiber obturators have been introduced into endodontics but few reports exist regarding their efficacy compared to standard obturation materials. This study evaluated the leakage resistance of fiber obturators compared with other obturation materials. All specimens showed a progressive increase in leakage with time. The data indicate that fiber obturation and a new cone/sealer system provide the best canal obturation as evidenced by the leakage behavior.