Dental Tribune Europe
Clinical
Eleven tips for success in your dental clinic—Part I: SWOT analysis and loyal patients

August 17, 2016

During this journey towards business growth and educational development with this new series on tips for success in your dental clinic, I am going to explore various factors of our success and professional development as dental practitioners. I will share with you the knowledge I have gained within the past 24 years of managing and evolving my clinic, so you can be one step ahead and avoid the mistakes I made, starting with the first tip: know yourself, which entails acknowledging your mistakes. It is an extremely useful and sometimes painful process.

A short history of the NiTi file revolution

May 24, 2016

Nowhere in dentistry is technical progress as rapid as it is in modern endodontics. The development of flexible nickel-titanium (NiTi) files in the late 1980s created entirely new and hitherto unknown opportunities in the mechanical preparation of root canals. The following article gives a descriptive explanation of the decisive technical differences between a conventional file system and the latest generation of instruments. Employing a number of different scenarios, the article examines the opportunities available to ENDO specialists and beginners through the smart application of modular NiTi systems in different treatment situations.

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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.

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