Dental Tribune Europe
Clinical
Conventional and immediate loading with final n!ce screw-retained crowns

September 4, 2019

Thanks to the very high accuracy of modern intra-oral scanners, excellent design software and reliable production systems, restoring an implant with a chairside model is now a reliable treatment with numerous advantages for the patient. The same-day solution with final materials produces excellent implant crowns in a chairside environment.

Torsional resistance of two nickel-titanium rotary instruments: A comparative study

August 19, 2019

This study explores how heat treatment less significantly influences (increasing or decreasing) torsional resistance when compared to the high increase in flexibility and fatigue resistance reported in many published articles. Moreover, torsional fracture occurs extremely rapidly when an instrument’s tip becomes blocked.

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Edelweiss PEDIATRIC CROWNs: A new and innovative approach to restoring primary teeth

May 27, 2019

The management of dental caries in children is necessary because caries is a progressive disease which can eventually damage the tooth and can be detrimental to the permanent teeth and the child’s general well-being. As outlined in this clinical case, edelweiss PEDIATRIC CROWNs are a simple solution which is aesthetic but also functional in providing an effective treatment option for the restoration of decayed primary teeth.

Orthograde apical application of an MTA plug in a tooth without constriction

October 8, 2018

The minor apical foramen should be maintained at its initial position and size after chemomechanical endodontic procedures. If the apical constriction is breached and transported, cleaning procedures will be compromised and obturation significantly difficult to carry out well.

Indirect adhesive cementation with Maxcem Elite Chroma

March 20, 2017

This clinical case describes the latest equipment, materials and evidence-based techniques that are available to help dentists optimise all clinical stages of indirect adhesive restorative procedures.

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3-D Virtual Planning Concepts: Maxillary Implant Supported Removable or Fixed Prostheses

July 21, 2015

“Pre-surgical prosthetic planning” can be defined as the process of accumulating diagnostic information to determine which course of treatment should be considered for the fully edentate patient. The first step in patient evaluation should include conventional periapical radiographs, panoramic radiographs, oral examination, and mounted, articulated study casts. In the completely edentulous patient it is essential for the clinician to assess several important aspects of the individual anatomical presentation including vertical dimension of occlusion, lip support, phonetics, smile line, over-jet, overbite, ridge contours, and a basic understanding of the underlying bone structures. The accumulation of preliminary data afforded by conventional diagnostics provides a foundation to prepare a course of treatment for the patient. However, if the review of findings is based upon a two-dimensional panoramic radiograph, it may not be accurate in appreciating the true spatial positioning of vital structures such as the incisal canal, the floor of the nose, or the maxillary sinus. To fully understand each individual patient’s actual bone anatomy, it is essential that clinicians adopt an innovative set of virtual, threedimensional tools.

Forensic odontology— Broader than just identification

June 3, 2015

Nowadays, most people will associate forensic dentistry primarily with identification and bite mark analysis. These areas do indeed form the majority of an odontologist’s workload. There are, however, other aspects of the discipline that are just as important but perhaps less well known. These include cranio-facial trauma analysis, age estimation for both living and deceased individuals, dental manifestations of child abuse, dental malpractice investigations, as well as dental insurance fraud.

Periodontal and peri-implant tissue management in the aesthetic zone

February 18, 2015

Dental and skeletal asymmetries, as well as bone defects at the implant site, can interfere with good aesthetic outcomes and thus pose surgical and prosthetic challenges for dentists in clinical cases. In this article, Dr Riccardo Verdecchia (Italy), an experienced dentist with a focus on periodontology, implant dentistry and fixed prosthodontics, describes treatment planning and implant placement in a patient with a vertical fracture of the maxillary left central incisor who showed a number of risk factors that had led to the fracture.

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Interdisciplinary approach in aesthetic dentistry

February 6, 2015

In today’s dentistry, for rendering the best comprehensive dental services to our aesthetically driven patients, the paradigm has shifted to an interdisciplinary team of specialists that work together steered by a clinical co-ordinator. This person should be either a multi-competence general dentist or a specialist with additional training outside his or her specialty area. This gives him or her the ability to bring the surgical, orthodontic, restorative and technical teams together as a whole, following treatment sequences customised especially for the patients’ best interests and expectations.

Endodontic retreatment and adhesive restoration of structurally compromised second premolar

September 13, 2013

In light of the scientific literature concerning the outcome of the endodontic treatment, it doesn’t sound inappropriate that the restoration of the endocoronal complex has to be completed by the endodontist.(1) In this context the following report presents a complete rehabilitation of a second premolar, including retreatment and definitive restoration. Teeth that need retreatment are most often grossly decayed due to caries, fracture and/or previous restoration.

The effectiveness of toothbrushing

November 2, 2012

Plaque control is the cornerstone of the prevention and control of periodontal disease and caries. However, although salivary flow has some limited potential in cleaning debris from interproximal spaces and occlusal pits, it is less effective in removing and/or washing out plaque, and natural cleaning of the dentition by physiological forces—that is movement of the tongue and cheeks—is virtually non-existent.

Conical internal connections will fuel growth in dental implant market

May 17, 2012

The dental implant and bone graft substitute market is the most rapidly advancing segment of dental technology, and leading competitors in this market must consistently develop new products supported by research from scientific and academic organizations to remain competitive. Recent cases have demonstrated that when companies lose a segment of support from the scientific community, their market shares tend to suffer significantly.

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Removal of a fractured instrument: Two case reports

May 31, 2011

Fractured instruments pose a challenge to every endodontist. The difficulty in the retrieval of these instruments ranges from surprisingly easy to downright impossible. The clinical outcome of cases with fractured instruments depends on several factors, such as the position of the instrument in the canal, the type of material, the instrument size and canal anatomy.¹ Failure in retrieval of the fractured instrument does not automatically result in failure of the case.² One can still try to bypass the instrument, choose a surgical approach, or even wait and see. However, if we bear ‘nothing ventured, nothing gained’ in mind, then we should always at least try to retrieve the fractured instrument.

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