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Dent Clin North Am [journal]
- Preface. [Editorial]
- Dent Clin North Am 2014 Jan; 58(1):xi-xii.
- A critically appraised topic review of computer-aided design/computer-aided machining of removable partial denture frameworks. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):247-55.
A critically appraised topic (CAT) review is presented about the use of computer-aided design (CAD)/computer-aided machining (CAM) removable partial denture (RPD) frameworks. A systematic search of the literature supporting CAD/CAM RPD systems revealed no randomized clinical trials, hence the CAT review was performed. A PubMed search yielded 9 articles meeting the inclusion criteria. Each article was characterized by study design and level of evidence. No clinical outcomes research has been published on the use of CAD/CAM RPDs. Low levels of evidence were found in the available literature. Clinical research studies are needed to determine the efficacy of this treatment modality.
- Caries management by risk assessment care paths for prosthodontic patients: oral microbial control and management. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):227-45.
The development of an oral care path focuses on the identification of the early indicators of disease. Once the risks have been identified and diagnosed, the proper therapies can be selected and prescribed. The experienced practitioner must meld clinical experience and observation with evidence-based scientific dentistry and information on the treatment and prevention of continued disease for the prosthodontic patient after restorations have been completed. The incorporation of dental implants has not allowed for complications of caries and periodontal disease on teeth and implants. Osseoseparation is necessary for justification of continued maintenance.
- Prosthodontic management of implant therapy. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):207-25.
Implant-supported dental restorations can be screw-retained, cement-retained, or a combination of both, whereby a metal superstructure is screwed to the implants and crowns are individually cemented to the metal frame. Each treatment modality has advantages and disadvantages. The use of computer-aided design/computer-assisted manufacture technologies for the manufacture of implant superstructures has proved to be advantageous in the quality of materials, precision of the milled superstructures, and passive fit. Maintenance and recall evaluations are an essential component of implant therapy. The longevity of implant restorations is limited by their biological and prosthetic maintenance requirements.
- Patient selection and treatment planning for implant restorations. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):193-206.
Dental implants are an indispensible tool for the restoration of missing teeth. Their use has elevated the practice of dentistry by improving both our technical ability to rehabilitate patients and general quality of life. To routinely achieve the associated high expectations, diligent attention to details must be observed and addressed from the outset. Of central concern is the attainment of osseointegration and the location of implants to ideally support the intended restoration. The pivotal point in treatment planning for dental implants occurs when the location of bone is viewed radiographically in the context of the planned prosthesis. This most often requires diagnostic waxing or tooth arrangement using mounted diagnostic casts.
- Radiographic stents: integrating treatment planning and implant placement. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):181-92.
The pivotal point in treatment planning for dental implants occurs when the location of bone is viewed radiographically in the context of the planned prosthesis. Radiographic planning for dental implant therapy should be used only after a review of the patient's systemic health, imaging history, oral health, and local oral conditions. The radiological diagnostic and planning procedure for dental implants can only be fully achieved with the use of a well-designed and -constructed radiographic guide. This article reviews several methods for construction of radiographic guides and how they may be utilized for improving implant surgery planning and performance.
- Management of snoring and obstructive sleep apnea with mandibular repositioning appliances: a prosthodontic approach. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):159-80.
Dentists are becoming increasingly aware of the importance of the detection and management of obstructive sleep apnea. The anatomic and neuromuscular risk factors in the pathogenesis of obstructive sleep apnea are reviewed with particular emphasis on oral findings. Mandibular repositioning appliances hold an important role in the treatment of this condition; however, knowledge of indications and contraindications for treatment, potential areas of oropharyngeal obstruction, appliance design, and treatment steps are vital to ensure maximum treatment success. A review of the steps involved in treatment and management with particular emphasis on collaborative care with physicians is presented.
- Digital imaging and fabrication. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):135-58.
Bioceramics have been adopted in dental restorations for implants, bridges, inlays, onlays, and all-ceramic crowns. Dental bioceramics include glass ceramics, reinforced porcelains, zirconias, aluminas, fiber-reinforced ceramic composites, and multilayered ceramic structures. The process of additive manufacturing is ideally suited to dentistry. Models are designed using data from a computed tomography scan or magnetic resonance imaging. Since its development in 2001, direct ceramic machining of presintered yttria tetragonal zirconia polycrystal has become increasingly popular in dentistry. There are wide variety commercially available cements for luting all-ceramic restorations. However, resin cements have lower solubility and better aesthetic characteristics.
- Latest biomaterials and technology in dentistry. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):113-34.
Navigation technology is applied successfully in oral and maxillofacial surgery. Laser beams are used for caries removal. With nanodentistry, it is possible to maintain comprehensive oral health care. Nanorobots induce oral analgesia, desensitize teeth, and manipulate the tissue. They can also be used for preventive, restorative, and curative procedures. Strategies to engineer tissue can be categorized into 3 major classes: conductive, inductive, and cell transplantation approaches. Several populations of cells with stem cell properties have been isolated from different parts of the tooth.
- Geriatric prosthodontic care. [Journal Article]
- Dent Clin North Am 2014 Jan; 58(1):103-12.
The geriatric population (age 65 and older) is the fastest growing segment nationally and globally. The large population will continue to increase because of baby boomers that have recently turned 65 years old. Within this cohort, there is much diversity in health, socioeconomic levels, education, and health beliefs. There is a decline in edentulism yet still there are oral health conditions that persist with age, such as caries, tooth loss, and increased needs for prosthodontic dental treatment. Several factors should be taken into account in geriatric prosthodontic care, including quality of life and psychosocial needs.