MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Dental Clinics of North America' source. Wed, 08 Feb 2012 12:06:15 +0100 http://www.medworm.com/index.php?rid=5441032&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211002023%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441032 Fri, 25 Nov 2011 05:12:42 +0100 5441032 http://www.medworm.com/index.php?rid=5441031&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001376%2Fabstract%3Frss%3Dyes This article focuses on the physical properties of suture materials and their tissue reactivity, and it reviews various suturing techniques used in contemporary dentoalveolar surgery. Familiarity with the concepts presented in this article, and continuous practice of the surgical skills presented, enhances surgical acumen and allows for improved healing, increased postoperative comfort, and successful surgery. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441031 Fri, 25 Nov 2011 05:12:42 +0100 5441031 http://www.medworm.com/index.php?rid=5441030&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001911%2Fabstract%3Frss%3Dyes Mucogingival conditions are deviations from the normal anatomic relationship between the gingival margin and the mucogingival junction. Mucogingival surgery is plastic surgery designed to correct defects in the gingiva surrounding the teeth. Common mucogingival conditions are recession, absence, or reduction of keratinized tissue, and probing depths extending beyond the mucogingival junction. Surgical techniques used to augment cosmetic mucogingival defects include the free gingival autograft, the subepithelial connective tissue graft, rotational flaps, lateral sliding flaps, coronally repositioned flaps, and the use of acellular dermal matrix grafts. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441030 Fri, 25 Nov 2011 05:12:42 +0100 5441030 http://www.medworm.com/index.php?rid=5441029&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321100108X%2Fabstract%3Frss%3Dyes This article reviews and highlights exodontia tips as well as new techniques to make simple and complex exodontia more predictable and efficient with improved patient outcomes. A discussion of a powered periotome that has been developed to aid in the atraumatic extraction of teeth and another new device, the piezosurgery, increasingly used for outpatient oral surgery procedures are included. Physics forceps, a new type of exodontia forceps, is also discussed in this article. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441029 Fri, 25 Nov 2011 05:12:42 +0100 5441029 http://www.medworm.com/index.php?rid=5441028&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001091%2Fabstract%3Frss%3Dyes Antibiotic prophylaxis to prevent infective endocarditis has been controversial through the years, with various changes made to recommendations provided to treating physicians and dentists. The dentist must always use his or her best judgment when applying any guideline. However, it is important to remember that the guidelines may be cited in any malpractice litigation as evidence of the standard of care. Early diagnosis with prompt treatment with effective antimicrobial therapy is the best way to lower the mortality and morbidity. When prescribing antibiotics, the clinician must realize that the overprescription of antibiotics has led to resistance to antibiotic regimens and the rise of antibiotic-resistant bacteria. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441028 Fri, 25 Nov 2011 05:12:42 +0100 5441028 http://www.medworm.com/index.php?rid=5441027&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321100187X%2Fabstract%3Frss%3Dyes For more than 30 years the maxillary sinus augmentation graft has been a mainstay of implant-directed maxillary reconstruction. The purpose of this article is to review the fundamentals of maxillary sinus reconstruction including anatomy and physiology of the sinus, indications for surgery, preoperative evaluation, surgical techniques, and management of complications. While there are some relative contraindications for the procedure, there are almost no absolute contraindications. With preparation, education, and experience, the maxillary sinus augmentation/elevation graft is a procedure that greatly benefits the patient, with a predictable outcome. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441027 Fri, 25 Nov 2011 05:12:42 +0100 5441027 http://www.medworm.com/index.php?rid=5441026&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001893%2Fabstract%3Frss%3Dyes Before implant placement, adequate bone must be present; this is a fundamental step in treatment planning for implants. Understanding the basics of bone grafting and reconstruction techniques is critical for successful implant placement. Alveolar bone grafting can be very intimidating when first attempted. With careful instruction, education, and practice, grafting can be accomplished by many practitioners. Different methods incorporate similar surgical principles while leading to the development of more advanced grafting techniques. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441026 Fri, 25 Nov 2011 05:12:42 +0100 5441026 http://www.medworm.com/index.php?rid=5441025&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001868%2Fabstract%3Frss%3Dyes Dentoalveolar surgery in children presents general dentists with unique challenges not encountered in adults. The long-term effects that treatments have on these children must always be taken into consideration. A clear understanding of the growth and development of pediatric patients is necessary to correctly identify dental abnormalities. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441025 Fri, 25 Nov 2011 05:12:42 +0100 5441025 http://www.medworm.com/index.php?rid=5441024&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001042%2Fabstract%3Frss%3Dyes This article addresses the preoperative evaluation of surgical patients in general, and the evaluation for general anesthesia in the operating room. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441024 Fri, 25 Nov 2011 05:12:42 +0100 5441024 http://www.medworm.com/index.php?rid=5441023&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001236%2Fabstract%3Frss%3Dyes This article attempts to distill the current information for this often confusing topic into relevant clinical issues that will allow the general dental practitioner to be better able to diagnose and interpret clinical findings, and institute a therapeutic regimen that will provide needed relief to patients suffering from TMD dysfunction. Current management methods, both surgical and nonsurgical, are reviewed and discussed. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441023 Fri, 25 Nov 2011 05:12:42 +0100 5441023 http://www.medworm.com/index.php?rid=5441022&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001364%2Fabstract%3Frss%3Dyes This article outlines the different classes of local anesthetics available for dental procedures. It also gives an overview of the mechanism of action and metabolism of each different class of local anesthetic. Furthermore, it discusses indications and contraindications of each local anesthetic and the proper dosage of each. The techniques for the administration of local anesthetics with the relevant anatomy are explained. An overview is given of the possible complications that can occur because of local anesthetic use and their possible treatment options. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441022 Fri, 25 Nov 2011 05:12:42 +0100 5441022 http://www.medworm.com/index.php?rid=5441021&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001388%2Fabstract%3Frss%3Dyes Conventional endodontic therapy is successful approximately 80–85% of the time. Many of these failures will occur after one year. The presence of continued pain, drainage, mobility or an increasing size of a radiolucent area are some of the indications to treat the case surgically. Since many of these cases may have had final restorations placed by the dentist, the salvage of these cases is of importance to the patient. Advances in periapical surgery have included the use of ultrasonic root end preparation. With the use of these piezoelectric devices, a more controlled apical preparation can be achieved. Additionally, isthmus areas between canals can be appropriately prepared and sealed. The precision afforded with these devices reduces the chances for a malpositioned fill and a more suc... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441021 Fri, 25 Nov 2011 05:12:42 +0100 5441021 http://www.medworm.com/index.php?rid=5441019&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001856%2Fabstract%3Frss%3Dyes This article provides a brief review of the acute pain mechanism as it relates to the effects of a surgical insult. A brief understanding of the physiologic modulation of acute pain establishes a rational framework for the concept of preemptive and postoperative analgesia. A brief review of commonly used analgesic agents is presented. Research in pain management and new drug development is ongoing as new concepts in neurophysiology and pharmacology are being elucidated. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441019 Fri, 25 Nov 2011 05:12:42 +0100 5441019 http://www.medworm.com/index.php?rid=5441018&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001923%2Fabstract%3Frss%3Dyes Extraction of impacted teeth is one of the most common surgical procedures performed by oral and maxillofacial surgeons. Every surgical procedure results in some degree of postoperative bleeding and inflammation, typically manifesting as pain and edema. Although the complex physiology of the human body is beyond the scope of this article, the educated clinician should have an understanding of the time line associated with these processes so as to determine whether a patient’s complaint of postoperative bleeding, pain, or swelling represents a normal response to surgical trauma or an aberrant reaction. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441018 Fri, 25 Nov 2011 05:12:42 +0100 5441018 http://www.medworm.com/index.php?rid=5441017&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001881%2Fabstract%3Frss%3Dyes Oral mucosal lesions are commonly encountered in clinical practice. One study reported that they occurred in approximately 27.9% of patients aged 17 years and older and in 10.3% of children aged 2 to 17 years. The diagnosis and treatment of mucosal diseases should be an integral part of the general practitioner’s practice. According to an American Dental Association survey conducted in 2007, 44% of biopsies were performed by a general practictioner. Understanding of the fundamentals of diagnosing mucocutaneous lesions requires a sound knowledge of their origin and clinical course, and of biopsy methods using contemporary diagnostic tools and techniques. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441017 Fri, 25 Nov 2011 05:12:42 +0100 5441017 http://www.medworm.com/index.php?rid=5441016&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001030%2Fabstract%3Frss%3Dyes This article reviews suggested approaches to the management of such patients. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441016 Fri, 25 Nov 2011 05:12:42 +0100 5441016 http://www.medworm.com/index.php?rid=5441013&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001947%2Fabstract%3Frss%3Dyes Dr Harry Dym wishes to dedicate this volume to his father-in-law, Solomon Rosner. Although Rosner passed away a few short years ago, his outstanding qualities, which he imbued into his entire family, are still very much alive and vibrant. His passion for life, his respect of honor and education, and his devotion to family and friends remain his everlasting legacy and his inheritance. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441013 Fri, 25 Nov 2011 05:12:42 +0100 5441013 http://www.medworm.com/index.php?rid=5441012&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001935%2Fabstract%3Frss%3Dyes An increased percentage of dental school graduates are now pursuing a one- or two-year program of study in a general dentistry hospital residency training program. This is often due to strictly personal desires to increase their level of experience or in many cases because of state regulations (New York State) required for state licensure; this additional training coupled with economic realities has had an impact on how they view their scope of practice and their role as health care community providers. General dentists in America now rightfully view themselves as the primary oral health care practitioner, similar to the family physician, and, as such, feel that, based on their education and training, can and should be able to provide a high level of patient care in multiple areas. Gone ar... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441012 Fri, 25 Nov 2011 05:12:42 +0100 5441012 http://www.medworm.com/index.php?rid=5441011&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211002011%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441011 Fri, 25 Nov 2011 05:12:42 +0100 5441011 http://www.medworm.com/index.php?rid=5441010&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321100200X%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441010 Fri, 25 Nov 2011 05:12:42 +0100 5441010 http://www.medworm.com/index.php?rid=5441009&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001996%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441009 Fri, 25 Nov 2011 05:12:42 +0100 5441009 http://www.medworm.com/index.php?rid=5441015&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001054%2Fabstract%3Frss%3Dyes The control of hemorrhage is a key component for the clinician to understand before performing oral surgical procedures. Hemostasis may be obtained primarily by local hemostatic measures. If hemostasis is not achieved with this modality, various hemostatic agents exist, which may be used as adjuncts to obtain hemostasis. Preoperative, perioperative, and postoperative methodologies toward hemostasis in oral surgery have been presented. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441015 Mon, 10 Oct 2011 04:00:00 +0100 5441015 http://www.medworm.com/index.php?rid=5237420&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001315%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237420 Wed, 21 Sep 2011 20:57:10 +0100 5237420 http://www.medworm.com/index.php?rid=5237419&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001200%2Fabstract%3Frss%3Dyes This article addresses the role of bone morphogenetic proteins (BMP) in native bone healing for implant osseointegration and the application of BMP for de novo bone regeneration. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237419 Wed, 21 Sep 2011 20:57:10 +0100 5237419 http://www.medworm.com/index.php?rid=5237418&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001194%2Fabstract%3Frss%3Dyes This article discusses these different uses of endosseous implants in patients with head and neck cancer. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237418 Wed, 21 Sep 2011 20:57:10 +0100 5237418 http://www.medworm.com/index.php?rid=5237417&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001182%2Fabstract%3Frss%3Dyes Extraoral cranial implant-retained prosthetic reconstructions have been proved to be highly successful. Replacement of the eyes, ears, nose, and larger areas including combined midface defects, which frequently have no other option available, has been done successfully. Burn patients and those with congenital defects are good candidates for this type of reconstruction, especially after autogenous attempts have failed. Cranial implant prosthetic reconstruction should be considered as a viable option for difficult craniofacial defects. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237417 Wed, 21 Sep 2011 20:57:10 +0100 5237417 http://www.medworm.com/index.php?rid=5237416&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001170%2Fabstract%3Frss%3Dyes In this article, five variations in orthognathic surgery procedures used to gain bone mass for implants are discussed: Le Fort I downgrafting, Le Fort I distraction, sub–Le Fort I interpositional sandwich grafting, segmental sandwich grafting, and the island osteoperiosteal flap approach. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237416 Wed, 21 Sep 2011 20:57:10 +0100 5237416 http://www.medworm.com/index.php?rid=5237415&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001212%2Fabstract%3Frss%3Dyes This article describes a series of 857 implants placed consecutively in which very few implants failed or lost bone despite the dynamic healing conditions of simultaneous dental extractions and bone leveling. Though these findings are relatively early, 3 years or fewer, it appears that the immediate function All-on-Four procedure can be done with a high degree of confidence for the mandible––putting into question the need for additional implants. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237415 Wed, 21 Sep 2011 20:57:10 +0100 5237415 http://www.medworm.com/index.php?rid=5237414&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001133%2Fabstract%3Frss%3Dyes This article reviews relevant literature, presents two case reports on maxillary angled implants and presents 3 years of data on 276 All-on-Four restorations. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237414 Wed, 21 Sep 2011 20:57:10 +0100 5237414 http://www.medworm.com/index.php?rid=5237413&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001157%2Fabstract%3Frss%3Dyes The use of “anteriorly or posteriorly” tilted implants in a graftless approach for immediate loading the edentulous maxillae has been well documented in the literature. This treatment concept allows for rehabilitation of the edentulous maxillae with a fixed prosthesis. The purpose of this article is to describe criteria for the use of the zygomatic implant, including the expanded use of the zygoma implant in cases where failure of one of the anterior or posterior tilted implants has occurred in the All-on-Four treatment concept. Zygomatic implant placement becomes a “rescue procedure”, which allows for continuity of care without resorting to a removable denture. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237413 Wed, 21 Sep 2011 20:57:10 +0100 5237413 http://www.medworm.com/index.php?rid=5237412&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001145%2Fabstract%3Frss%3Dyes New three-dimensional diagnostic and treatment planning technologies in implant dentistry have expanded on concepts of a team approach to the planning and placement of dental implants. The accurate and predictable placement of implants according to a computer-generated virtual treatment plan is now a reality, taking the virtual plan from the computer to the patient clinically. Recent advances in three-dimensional imaging in dentistry, in combination with the introduction of third-party proprietary implant planning software and associated surgical instrumentation, have revolutionized dental implant diagnosis and treatment and created an interdisciplinary environment in which communication leads to better patient care and outcomes. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237412 Wed, 21 Sep 2011 20:57:10 +0100 5237412 http://www.medworm.com/index.php?rid=5237411&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001169%2Fabstract%3Frss%3Dyes This article primarily focuses on the use of autogenous onlay bone grafts to reconstruct the atrophic maxilla. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237411 Wed, 21 Sep 2011 20:57:10 +0100 5237411 http://www.medworm.com/index.php?rid=5237410&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001121%2Fabstract%3Frss%3Dyes This article discusses the various bone grafting techniques to reconstruct mandibular defects. Also included are issues such as whether autogenous bone is necessary for reconstruction of the mandibular ridge and the importance of membranes. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237410 Wed, 21 Sep 2011 20:57:10 +0100 5237410 http://www.medworm.com/index.php?rid=5237409&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321100111X%2Fabstract%3Frss%3Dyes This article discusses the management of the facial gingival margin before and after tooth removal. Important factors including diagnostic assessment, wound healing, bone resorption and remodeling, gingival thickness, and gingival margin are reviewed, and key procedures suggested. Gingival thickness can have a major influence on the maintenance of the facial gingival margin over the longer term. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237409 Wed, 21 Sep 2011 20:57:10 +0100 5237409 http://www.medworm.com/index.php?rid=5237408&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001108%2Fabstract%3Frss%3Dyes The use of osseointegrated dental implants has gained momentum, mainly in the last 20 years. Research and development in the field of implantology are constantly focusing on implant redesign to continue to try and improve implant success. The current aim of implant design is to address situations prone to failure, such as cases of low bone quality or cases of concomitant systemic diseases that compromise healing. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237408 Wed, 21 Sep 2011 20:57:10 +0100 5237408 http://www.medworm.com/index.php?rid=5237407&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001224%2Fabstract%3Frss%3Dyes Dental implant reconstruction, including craniofacial reconstruction, is an evolving art and science: an art, because there is still no absolute prescription for any given situation; a science, because after placement of millions of dental implants worldwide, scientific knowledge is still expanding exponentially. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237407 Wed, 21 Sep 2011 20:57:09 +0100 5237407 http://www.medworm.com/index.php?rid=5237406&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001303%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237406 Wed, 21 Sep 2011 20:57:09 +0100 5237406 http://www.medworm.com/index.php?rid=5237405&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001297%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237405 Wed, 21 Sep 2011 20:57:09 +0100 5237405 http://www.medworm.com/index.php?rid=5237404&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001285%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5237404 Wed, 21 Sep 2011 20:57:09 +0100 5237404 http://www.medworm.com/index.php?rid=5441020&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001078%2Fabstract%3Frss%3Dyes This article is devoted to risk-management strategies regarding oral surgical procedures in the general dental office. Lawsuits are more likely to be filed following poor outcomes related to oral surgical procedures rather than after operative or prosthetic dental procedures. The article is not meant to discourage practitioners from performing oral surgical procedures if they have the experience, training, and appropriate skill set to complete the planned procedure. Rather, it advises clinicians as to the steps one can take to limit the chances of litigation from occurring, and avoid the emotionally and painful time-consuming process associated with a malpractice lawsuit. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441020 Fri, 02 Sep 2011 04:00:00 +0100 5441020 http://www.medworm.com/index.php?rid=5441014&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211001029%2Fabstract%3Frss%3Dyes This article presents a detailed discussion on minimal sedation that should give the reader a good understanding of this valuable aspect of clinical care. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441014 Fri, 29 Jul 2011 04:00:00 +0100 5441014 http://www.medworm.com/index.php?rid=4999234&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321100084X%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999234 Thu, 30 Jun 2011 23:00:00 +0100 4999234 http://www.medworm.com/index.php?rid=4999233&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000346%2Fabstract%3Frss%3Dyes The technologic advances in temporomandibular joint arthroscopy and arthrocentesis have given oral surgeons a treatment for patients who have not responded to conservative and pharmacologic treatment without the surgical risks and long-term recovery of open joint surgery. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999233 Thu, 30 Jun 2011 23:00:00 +0100 4999233 http://www.medworm.com/index.php?rid=4999230&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000280%2Fabstract%3Frss%3Dyes This article discusses types of pain and anxiety, the relationship between pain and anxiety, the physiology of pain and anxiety, and current trends in pain and anxiety management. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999230 Thu, 30 Jun 2011 23:00:00 +0100 4999230 http://www.medworm.com/index.php?rid=4999229&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000279%2Fabstract%3Frss%3Dyes Dentinal hypersensitivity is exemplified by brief, sharp, well-localized pain in response to thermal, evaporative, tactile, osmotic, or chemical stimuli that cannot be ascribed to any other form of dental defect or pathology. Pulpal pain is usually more prolonged, dull, aching, and poorly localized and lasts longer than the applied stimulus. Up to 30% of adults have dentinal hypersensitivity at some time. Current techniques for treatment may be only transient in nature and results are not always predictable. Two methods of treatment of dentin hypersensitivity are tubular occlusion and blockage of nerve activity. A differential diagnosis needs to be accomplished before any treatment. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999229 Thu, 30 Jun 2011 23:00:00 +0100 4999229 http://www.medworm.com/index.php?rid=4999227&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000267%2Fabstract%3Frss%3Dyes New technological advances have helped the orthodontic profession progress in traditional and surgical methods of treatment. The profession has seen transitions from traditional braces to self-ligating brackets, lingual braces, removable aligners, and more advanced technology, which have helped to address concerns that include but are not limited to better diagnostics, anchorage control, length of treatment, and esthetics. An increase in the number of adult patients seeking orthodontic treatment and the need for a timely efficient care will continue to drive technology and the use of cone beam computed tomography, miniscrews, piezocision, distraction osteogenesis, and bioengineering. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999227 Thu, 30 Jun 2011 23:00:00 +0100 4999227 http://www.medworm.com/index.php?rid=4999226&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000255%2Fabstract%3Frss%3Dyes This article discusses the history of CAD/CAM in dentistry and gives an overview of how it works. It also provides information on the advantages and disadvantages, describes the main products available, discusses how to incorporate the new technology into your practice, and addresses future applications. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999226 Thu, 30 Jun 2011 23:00:00 +0100 4999226 http://www.medworm.com/index.php?rid=4999225&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000243%2Fabstract%3Frss%3Dyes The role of computers in dental practice has dramatically changed over the past 30 years. We have witnessed the progression from administrative roles to complete integration leading to chartless offices. As the dental community gradually adopts this contemporary development, the move to electronic health records is imminent because of upcoming changes in the health care system. The past, present, and future of dental office computer systems is explored in this article. An understanding of the benefits and current challenges of contemporary dental practice software is also reviewed. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999225 Thu, 30 Jun 2011 23:00:00 +0100 4999225 http://www.medworm.com/index.php?rid=4999224&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000231%2Fabstract%3Frss%3Dyes This article reviews the realms of oral cancer and its causes, as well as early detection methods and screening technologies that may be used. Currently available screening tools may help in visualizing an existing lesion or its borders, but they add little in discriminating between a premalignant, malignant, or inflammatory process. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999224 Thu, 30 Jun 2011 23:00:00 +0100 4999224 http://www.medworm.com/index.php?rid=4999223&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000334%2Fabstract%3Frss%3Dyes This article highlights the presurgical planning phase of dental implant procedures that benefit from lower dose CBCT technology so that educated treatment decisions can be accurately determined. Clinicians should gain an understanding of how each view can be individually significant, with unique levels of detail helping to provide a comprehensive overview of the patient's anatomic presentation. This article outlines the benefits of using CBCT technology for dental implant applications for increased accuracy and avoidance of potential surgical and restorative complications. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999223 Thu, 30 Jun 2011 23:00:00 +0100 4999223 http://www.medworm.com/index.php?rid=4999221&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000218%2Fabstract%3Frss%3Dyes This article provides an update on the most recently introduced local anesthetic agents along with new technologies used to deliver local anesthetics. Safety devices are also discussed, along with an innovative method for reducing the annoying numbness of the lip and tongue following local anesthesia. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999221 Thu, 30 Jun 2011 23:00:00 +0100 4999221 http://www.medworm.com/index.php?rid=4999220&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000206%2Fabstract%3Frss%3Dyes This article addresses technologic advances in endodontics pertaining to new and emerging technology. Cone-beam computed tomography and optical occurrence tomography are 2 new imaging technologies that can assist the practitioner in the diagnosis of pulpal disease. The self-adjusting file and the Apexum device can be used for instrumentation and bulk debridement of an apical lesion, respectively. Neodymium:yttrium-aluminum-garnet laser, erbium:chromium:yttrium-scandium-gallium-garnet laser, EndoActivator, EndoVac, and light-activated disinfection may assist the practitioner in cleaning the root canal system. Computed tomography-guided surgery shows promise in making endodontic surgery easier, as does mineral trioxide aggregate cement for regenerative endodontic procedures. (Source: Dental ... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999220 Thu, 30 Jun 2011 23:00:00 +0100 4999220 http://www.medworm.com/index.php?rid=4999217&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321100019X%2Fabstract%3Frss%3Dyes Hemostasis is an integral and very important aspect of surgical practice. As a rule, most bleeding from dental surgery can be controlled by pressure. When the application of pressure does not yield satisfactory results, or where more effective hemostasis is required, hemostatic agents are used. These agents act to stop bleeding either mechanically or by augmenting the coagulation cascade. Some of the newer agents that are available to the dental profession have been presented. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999217 Thu, 30 Jun 2011 23:00:00 +0100 4999217 http://www.medworm.com/index.php?rid=4999216&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000188%2Fabstract%3Frss%3Dyes This article addresses advances in 4 key areas related to pediatric dentistry: (1) caries detection tools, (2) early interventions to arrest disease progression, (3) caries-risk assessment tools, and (4) trends in pediatric procedures and dental materials. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999216 Thu, 30 Jun 2011 23:00:00 +0100 4999216 http://www.medworm.com/index.php?rid=4999215&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000760%2Fabstract%3Frss%3Dyes “Progress is impossible without change and those who cannot change their minds cannot change anything” —George Bernard Shaw (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999215 Thu, 30 Jun 2011 23:00:00 +0100 4999215 http://www.medworm.com/index.php?rid=4999214&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000838%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999214 Thu, 30 Jun 2011 23:00:00 +0100 4999214 http://www.medworm.com/index.php?rid=4999213&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000826%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999213 Thu, 30 Jun 2011 23:00:00 +0100 4999213 http://www.medworm.com/index.php?rid=4999212&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000814%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999212 Thu, 30 Jun 2011 23:00:00 +0100 4999212 http://www.medworm.com/index.php?rid=4999218&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000322%2Fabstract%3Frss%3Dyes Understanding the nature of the caries lesion, disease activity, and the patient's caries risk are all used in determining the nature of dental care to be delivered. An examination should include a health and social history and clinical examination using appropriate technologies. This allows proper assessment and suggests a logical management intervention. Minimally invasive dentistry is a concept based on an assessment of a patient's caries risk and the application of the current therapies to prevent, control, and treat the disease. The history of the dental examination and the variety of current technologies are discussed. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999218 Wed, 20 Apr 2011 23:00:00 +0100 4999218 http://www.medworm.com/index.php?rid=4999228&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000310%2Fabstract%3Frss%3Dyes This article discusses how lasers work and their application in the various specialties within dentistry. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999228 Sun, 17 Apr 2011 23:00:00 +0100 4999228 http://www.medworm.com/index.php?rid=4999231&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000292%2Fabstract%3Frss%3Dyes This article provides a broad perspective on the advances made in various classes of dental restorative materials in terms of their functionality with respect to pit and fissure sealants, glass ionomers, and dental composites. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999231 Wed, 13 Apr 2011 23:00:00 +0100 4999231 http://www.medworm.com/index.php?rid=4999219&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000176%2Fabstract%3Frss%3Dyes Technological advancement in bone grafting procedures using purified proteins or stem cells to induce osteogenesis is a significant contribution to patient care. Patients who would otherwise not have been suitable candidates for major autologous bone grafting procedures can continue to benefit from implant reconstruction, with a less debilitating bone reconstructive procedure. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999219 Wed, 13 Apr 2011 23:00:00 +0100 4999219 http://www.medworm.com/index.php?rid=4999232&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000309%2Fabstract%3Frss%3Dyes Digital photography is a constantly evolving medium that can be used in dentistry for a number of applications including documentation and patient education. In the past 5 years, it has become standard professional practice for photographers to shoot in raw format, organize and edit in Adobe Photoshop Lightroom, and archive files using portable hard drives and off-site storage. Concurrently, cameras have increased resolution, improved antidust technology, and added versatile flash accessories for macro imaging. Adopting professional photographic practices and taking advantage of technological developments in a dental practice can be an invaluable tool in education and documentation. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999232 Sun, 10 Apr 2011 23:00:00 +0100 4999232 http://www.medworm.com/index.php?rid=4999222&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321100022X%2Fabstract%3Frss%3Dyes This article reviews the newer innovations in dentistry including the powered periotome, piezosurgery, the Physics Forceps, laser therapy, orthodontic techniques, and use of polyurethane foam. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4999222 Sun, 03 Apr 2011 23:00:00 +0100 4999222 http://www.medworm.com/index.php?rid=4693830&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000449%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693830 Thu, 31 Mar 2011 23:00:00 +0100 4693830 http://www.medworm.com/index.php?rid=4693829&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000103%2Fabstract%3Frss%3Dyes This article discusses the different types of posts used in the restoration. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693829 Thu, 31 Mar 2011 23:00:00 +0100 4693829 http://www.medworm.com/index.php?rid=4693828&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000097%2Fabstract%3Frss%3Dyes Laser technology has become preeminent in the evolution of appearance enhancements. Dentistry has seen a huge breakthrough with the introduction of a combination hard-soft tissue erbium wavelength. The conservative nature of this technique has created a firm footing in the antiaging trend that is spanning the globe. Among the many benefits of this technique are less invasive care and quicker healing responses. In this article, conservative laser and cosmetic modalities are discussed that allows a clinician to be more comfortable in buying a soft/hard tissue laser and also to more quickly become adept with implementing these techniques. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693828 Thu, 31 Mar 2011 23:00:00 +0100 4693828 http://www.medworm.com/index.php?rid=4693827&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000085%2Fabstract%3Frss%3Dyes This article challenges one to begin including the laboratory early in the process and routinely use reliable techniques to transfer clinically significant information to the laboratory bench. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693827 Thu, 31 Mar 2011 23:00:00 +0100 4693827 http://www.medworm.com/index.php?rid=4693826&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000073%2Fabstract%3Frss%3Dyes This article explores the latest porcelain materials and their use in minimum thickness restoration. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693826 Thu, 31 Mar 2011 23:00:00 +0100 4693826 http://www.medworm.com/index.php?rid=4693821&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000164%2Fabstract%3Frss%3Dyes The presence of a diastema or diastemata between teeth is a common feature found in the anterior dentition. Many forms of therapy can be used for diastema closure. A carefully developed diagnosis and advanced planning allows the most appropriate treatment to be determined for each individual case to address the patient's needs. Clinical considerations, advantages, disadvantages, and alternative treatment modalities for diastema closure are discussed in this article and a clinical case is presented to illustrate the application of these techniques. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693821 Thu, 31 Mar 2011 23:00:00 +0100 4693821 http://www.medworm.com/index.php?rid=4693820&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000048%2Fabstract%3Frss%3Dyes Tooth bleaching using peroxide-based materials is an effective procedure in dentistry. Studies provide evidence on the safety of bleaching by dental professionals. However, concerns and controversy remain regarding the safety of bleaching systems that do not involve dental professionals, especially those available at mall kiosks, salons, spas, and cruise ships. Bleaching causes tooth sensitivity and/or gingival irritation in a significant portion of patients. Bleaching requires proper examination, diagnosis, and treatment plan, which can be performed appropriately only by dental professionals; therefore, involvement of dental professionals in bleaching is necessary to maximize the efficacy and minimize potential risks. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693820 Thu, 31 Mar 2011 23:00:00 +0100 4693820 http://www.medworm.com/index.php?rid=4693819&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000036%2Fabstract%3Frss%3Dyes The use of light as an adjunct to in-office bleaching is a controversial topic in dentistry because of the equivocal outcomes of the research conducted in studies using light compared with no light treatment. The proper diagnosis and treatment planning of discolored teeth is of primary importance when managing the outcomes and setting expectations for patients undergoing in-office bleaching with supplemental light. Although no study is conclusive on all bleaching lights, research evidence provides guidelines for the responsible use of in-office bleaching lights in dentistry. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693819 Thu, 31 Mar 2011 23:00:00 +0100 4693819 http://www.medworm.com/index.php?rid=4693818&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000024%2Fabstract%3Frss%3Dyes This article discusses the possible methods available for whitening of a single discolored tooth. Treatment options can vary from restorative procedures such as crowns, veneers, or bonding to more conservative bleaching treatments. The long-term success of the treatment is dictated by proper diagnosis and treatment planning. The cause and severity of the discoloration has to be carefully evaluated when planning for bleaching options. The vitality of the pulp, presence and absence of symptoms, and periapical pathoses usually determine whether an external or internal bleaching approach will be considered. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693818 Thu, 31 Mar 2011 23:00:00 +0100 4693818 http://www.medworm.com/index.php?rid=4693817&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000152%2Fabstract%3Frss%3Dyes This article describes recommended digital dental photographic equipment, how to produce the standard series of diagnostic dental photographs, photographic assisted diagnosis and treatment planning including a discussion of anthropometrics and cephalometrics, and digital imaging techniques. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693817 Thu, 31 Mar 2011 23:00:00 +0100 4693817 http://www.medworm.com/index.php?rid=4693816&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000139%2Fabstract%3Frss%3Dyes This article demonstrates the use of a smile evaluation form designed at New York University that assists in developing esthetic treatment plans that might incorporate any and all dental specialties in a simple and organized fashion. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693816 Thu, 31 Mar 2011 23:00:00 +0100 4693816 http://www.medworm.com/index.php?rid=4693815&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000358%2Fabstract%3Frss%3Dyes In April 2007 Elsevier/Saunders published an edition of Dental Clinics of North America entitled “Successful Esthetic and Cosmetic Dentistry for the Modern Dental Practice.” As the senior editor of that issue, I selected authors and topics that would provide students of Esthetic Dentistry (whether they be generalists, specialists, seasoned practitioners, or recent graduates) with foundational knowledge in a clear and concise text to help them provide to their patients those often elective procedures requested in the modern-day practice of dentistry. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693815 Thu, 31 Mar 2011 23:00:00 +0100 4693815 http://www.medworm.com/index.php?rid=4693814&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000437%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693814 Thu, 31 Mar 2011 23:00:00 +0100 4693814 http://www.medworm.com/index.php?rid=4693813&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000425%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693813 Thu, 31 Mar 2011 23:00:00 +0100 4693813 http://www.medworm.com/index.php?rid=4693812&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000413%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693812 Thu, 31 Mar 2011 23:00:00 +0100 4693812 http://www.medworm.com/index.php?rid=4693824&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000127%2Fabstract%3Frss%3Dyes This article addresses current knowledge of resin cementation concepts, exploring the bonding mechanisms that influence long-term clinical success of all-ceramic systems. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693824 Thu, 10 Mar 2011 00:00:00 +0100 4693824 http://www.medworm.com/index.php?rid=4693822&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321100005X%2Fabstract%3Frss%3Dyes This article discusses the restorative approach, the approach using implants, and the orthodontic approach. In most cases, an interdisciplinary treatment plan has to be worked out and executed. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693822 Thu, 10 Mar 2011 00:00:00 +0100 4693822 http://www.medworm.com/index.php?rid=4693825&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000061%2Fabstract%3Frss%3Dyes Several all-ceramic systems have been developed in dentistry to meet the increased expectations of patients and dentists for highly aesthetic, biocompatible, and long-lasting restorations. However, early bulk fractures or chippings have led the research community to investigate the mechanical performance of the all-ceramic systems. This overview explores the current knowledge of monolithic and bilayer dental all-ceramic systems, addressing composition and processing mechanisms, laboratory and clinical performance, and possible future trends for all-ceramic materials. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693825 Mon, 07 Mar 2011 00:00:00 +0100 4693825 http://www.medworm.com/index.php?rid=4693823&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853211000115%2Fabstract%3Frss%3Dyes Crowded dentition is commonly found in the esthetic zone. Many forms of therapy can be used to treat the overlap of teeth caused by insufficient space within the dental arch. A careful analysis of patients with dental crowding is necessary to determine the most appropriate treatment of each individual case. Clinical considerations, advantages, disadvantages, and alternative treatment modalities for crowding dentition are discussed in this article and a clinical case is presented to illustrate the application of these techniques. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4693823 Mon, 07 Mar 2011 00:00:00 +0100 4693823 http://www.medworm.com/index.php?rid=4191875&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210001151%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191875 Wed, 24 Nov 2010 04:04:40 +0100 4191875 http://www.medworm.com/index.php?rid=4191874&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000819%2Fabstract%3Frss%3Dyes Salivary diagnostics is a dynamic and emerging field utilizing nanotechnology and molecular diagnostics to aid in the diagnosis of oral and systemic diseases. In this article the author critically reviews the latest advances using oral biomarkers for disease detection. The use of oral fluids is broadening perspectives in clinical diagnosis, disease monitoring, and decision making for patient care. Important elements determining the future possibilities and challenges in this field are also discussed. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191874 Wed, 24 Nov 2010 04:04:34 +0100 4191874 http://www.medworm.com/index.php?rid=4191873&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000789%2Fabstract%3Frss%3Dyes This article reviews the applications of different imaging technologies and their diagnostic contribution to presurgical evaluation, treatment planning, and postoperative assessment of dental implants. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191873 Wed, 24 Nov 2010 04:04:25 +0100 4191873 http://www.medworm.com/index.php?rid=4191872&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000820%2Fabstract%3Frss%3Dyes This article discusses the most common disorders seen in the Salivary Gland Center and indicates the current approaches to diagnosis. Improvement in diagnostic skills will avoid serious complications and lead to specific and effective therapy. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191872 Wed, 24 Nov 2010 04:04:13 +0100 4191872 http://www.medworm.com/index.php?rid=4191871&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000844%2Fabstract%3Frss%3Dyes This article focuses on the differential diagnosis of other common pain conditions the dentist will likely face, such as temporomandibular disorders, neuropathic pain disorders, and common headaches; and the clinical presentation of each. Controlling or reducing pain can be accomplished by controlling perpetuating factors such as parafunctional habits and by some simple behavioral modifications. Finally, this article offers some simple treatment considerations. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191871 Wed, 24 Nov 2010 04:04:02 +0100 4191871 http://www.medworm.com/index.php?rid=4191870&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000856%2Fabstract%3Frss%3Dyes This article discusses the classic autoimmune diseases: pemphigus vulgaris, mucosal pemphigoid, and oral lichen planus. These are generally considered of autoimmune origin or, at a minimum, immune system mediated. Cause, diagnosis, and treatment are discussed. As management of these diseases progresses, continued advances in molecular pathogenesis will allow insight into which strategies can be employed in interfering with the complex cascade of events leading to mucosal impairment and clinical morbidity. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191870 Wed, 24 Nov 2010 04:03:50 +0100 4191870 http://www.medworm.com/index.php?rid=4191869&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000832%2Fabstract%3Frss%3Dyes This article addresses several issues in the approach to diagnosis of oral cancer. The term oral cancer is clarified. Key aspects of the biologic basis of development of oral cancer and the known risk factors associated with the disease are summarized. The clinical presentation of oral cancers and precancerous lesions and their histopathologic correlates is discussed. The importance of conventional tissue biopsy as the prevailing gold standard for diagnosis is emphasized. Other current technologies available for detecting and diagnosing oral cancer and premalignant lesions are acknowledged, and their respective strengths and weaknesses are discussed. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191869 Wed, 24 Nov 2010 04:03:39 +0100 4191869 http://www.medworm.com/index.php?rid=4191868&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000868%2Fabstract%3Frss%3Dyes Periodontitis is an inflammatory disease of bacterial origin that results in the progressive destruction of the tissues that support the teeth, specifically the gingiva, periodontal ligament, and alveolar bone. The diagnosis of periodontal disease currently relies almost exclusively on clinical parameters and traditional dental radiography. In this article, the authors review current diagnostic techniques and present new approaches and technologies that are being developed to improve assessment of this common condition. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191868 Wed, 24 Nov 2010 04:03:27 +0100 4191868 http://www.medworm.com/index.php?rid=4191867&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321000087X%2Fabstract%3Frss%3Dyes This article reviews the diagnostic process, from the first clinically evident stages of the caries process to development of pulpal pathosis. The caries diagnostic process includes 4 interconnected components–staging caries lesion severity, assessing caries lesion activity, and risk assessments at the patient and tooth surface level - which modify treatment decisions for the patient. Pulpal pathosis is diagnosed as reversible pulpitis, irreversible pulpitis (asymptomatic), irreversible pulpitis (symptomatic), and pulp necrosis. Periapical disease is diagnosed as symptomatic apical periodontitis, asymptomatic apical periodontitis, acute apical abscess, and chronic apical abscess. Ultimately, the goal of any diagnosis should be to achieve better treatment decisions and health outcomes for... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191867 Wed, 24 Nov 2010 04:03:05 +0100 4191867 http://www.medworm.com/index.php?rid=4191866&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000807%2Fabstract%3Frss%3Dyes This article focuses on the identification of abnormal signs and symptoms in the oral cavity and the determination of those that have a systemic origin. It is imperative that clinicians are mindful of the possible oral-systemic associations, because these could potentially have a huge impact on patient care. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191866 Wed, 24 Nov 2010 04:02:36 +0100 4191866 http://www.medworm.com/index.php?rid=4191865&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000790%2Fabstract%3Frss%3Dyes This article discusses the prescriptive and descriptive theories of diagnostic reasoning using 4 case examples. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191865 Wed, 24 Nov 2010 04:02:14 +0100 4191865 http://www.medworm.com/index.php?rid=4191864&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000881%2Fabstract%3Frss%3Dyes Diagnosis is the essential first step in the provision of health care. A patient presents to a health care provider for a routine evaluation or with a specific complaint requiring attention. The provider will review the health history, ask pertinent questions about the history and symptoms, and then examine the patient. This will be followed by the use of other diagnostic procedures and tests, which can include radiographic studies and analysis of biologic fluids and tissue samples. Arriving at the correct diagnosis allows for selection of appropriate treatment, with minimal time delay. Health care providers must continually seek to improve their diagnostic acumen. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191864 Wed, 24 Nov 2010 04:01:46 +0100 4191864 http://www.medworm.com/index.php?rid=4191863&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321000114X%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191863 Wed, 24 Nov 2010 04:01:44 +0100 4191863 http://www.medworm.com/index.php?rid=4191862&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210001138%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191862 Wed, 24 Nov 2010 04:01:41 +0100 4191862 http://www.medworm.com/index.php?rid=4191861&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210001126%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4191861 Wed, 24 Nov 2010 04:01:37 +0100 4191861 http://www.medworm.com/index.php?rid=3948067&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000960%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948067 Fri, 10 Sep 2010 07:04:17 +0100 3948067 http://www.medworm.com/index.php?rid=3948066&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000728%2Fabstract%3Frss%3Dyes Within the last 30 years, the role of dental hygienists has expanded to include the administration of local anesthesia. Several studies have been performed to assess practice characteristics and effectiveness of these changes in state licensure regulations. Findings indicate an acceptance of this expansion in dental hygiene practice; however, the delegation of this pain control procedures remains controversial. To address this controversy, the authors have reviewed of current literature to assess the practice of local anesthesia administration by dental hygienists. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948066 Fri, 10 Sep 2010 07:04:17 +0100 3948066 http://www.medworm.com/index.php?rid=3948065&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000765%2Fabstract%3Frss%3Dyes Computer-controlled local anesthetic delivery (C-CLAD) devices and systems for intraosseous (IO) injection are important additions to the dental anesthesia armamentarium. C-CLAD using slow infusion rates can significantly reduce the discomfort of local anesthetic infusion, especially in palatal tissues, and facilitate palatal approaches to pulpal nerve block that find special use in cosmetic dentistry, periodontal therapy, and pediatric dentistry. Anesthesia of single teeth can be obtained using either C-CLAD intraligamentary injections or IO injections. Supplementary IO anesthesia is particularly suited for providing effective pain control of teeth diagnosed with irreversible pulpitis. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948065 Fri, 10 Sep 2010 07:04:17 +0100 3948065 http://www.medworm.com/index.php?rid=3948064&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000716%2Fabstract%3Frss%3Dyes Since the introduction of nonreusable, stainless steel dental local anesthetic needles, needle breakage has become an extremely rare complication of dental local anesthetic injections. But although rare, dental needle breakage can, and does, occur. Review of the literature and personal experience brings into focus several commonalities which, when avoided, can minimize the risk of needle breakage with the fragment being retained from occurring. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948064 Fri, 10 Sep 2010 07:04:17 +0100 3948064 http://www.medworm.com/index.php?rid=3948063&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000704%2Fabstract%3Frss%3Dyes Needle phobia has profound health, dental, societal, and legal implications, and severe psychological, social, and physiologic consequences. There is genetic evidence for the physiologic response to needle puncture, and a significant familial psychological component, showing evidence of inheritance. Needle phobia is also a learned behavior. The dental practitioner must recognize patients with needle phobia before the administration of local anesthetics to identify patients who are potentially reactive and to prevent untoward sequelae. Needle phobia is highly associated with avoidance behavior, and the dentist must exhibit compassion and respect. To avoid bradycardia, hypotension, unconsciousness, convulsions, and possibly asystole, oral premedication with benzodiazepines or other antianxie... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948063 Fri, 10 Sep 2010 07:04:16 +0100 3948063 http://www.medworm.com/index.php?rid=3948062&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000753%2Fabstract%3Frss%3Dyes This article reviews the extent of this oral complication as it relates to dental and surgical procedures, with specific emphasis on paresthesias associated with local anesthesia administration. This review establishes a working definition for paresthesia as it relates to surgical trauma and local anesthesia administration, describes the potential causes for paresthesia in dentistry, assesses the incidence of paresthesias associated with surgery and local anesthesia administration, addresses the strengths and weaknesses in research findings, and presents recommendations for the use of local anesthetics in clinical practice. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948062 Fri, 10 Sep 2010 07:04:16 +0100 3948062 http://www.medworm.com/index.php?rid=3948061&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000686%2Fabstract%3Frss%3Dyes This article reviews concerns for the health and safety of the mother, developing fetus, and neonate involving local anesthetics. The available literature on the use of local anesthetics for dentistry in the pregnant and postpartum patient is also reviewed. In addition, the physiology of the pregnant and postpartum woman is discussed because this is essential to understanding potential interplay with local anesthesia and the stress of a dental appointment. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948061 Fri, 10 Sep 2010 07:04:16 +0100 3948061 http://www.medworm.com/index.php?rid=3948060&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000674%2Fabstract%3Frss%3Dyes A clinically significant interaction between epinephrine or levonordefrin with nonselective beta-adrenergic blocking agents, although apparently rare in the dental setting, is potentially serious and can lead to significant hypertension with a concomitant reflex bradycardia. Based on the results of epinephrine infusion studies, the severity of the interaction seems dose related; small epinephrine doses cause less of a pressor response than larger doses. The interaction can be seen after intraoral submucosal injections but is generally of a smaller magnitude, at least with only 1 or 2 cartridges of lidocaine plus 1:100,000 epinephrine. However as demonstrated by 1 case report, some individuals are hypersensitive to this interaction. Inadvertent intravascular injections of local anesthetic p... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948060 Fri, 10 Sep 2010 07:04:16 +0100 3948060 http://www.medworm.com/index.php?rid=3948059&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000662%2Fabstract%3Frss%3Dyes The most widely used method for controlling pain during dental procedures is the intraoral administration of local anesthetics in close proximity to a specific nerve or fiber to obtund nerve conduction. The most commonly anesthetized nerves in dentistry are branches or nerve trunks associated with the maxillary and mandibular divisions of the trigeminal nerve (cranial nerve V). However, other nerves may be inadvertently affected by intraoral local anesthesia injections, resulting in anesthetic complications of structures far from the oral cavity. Practitioners should be aware of potential ocular complications following intraoral injections in dentistry. These complications include oculomotor paralysis and vision loss. The knowledge of these conditions and their potential cause should alert... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948059 Fri, 10 Sep 2010 07:04:16 +0100 3948059 http://www.medworm.com/index.php?rid=3948057&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000649%2Fabstract%3Frss%3Dyes True allergic reactions to local anesthetics are rare adverse reactions. At the most, they represent less than 1% of all adverse local anesthetic reactions. When true allergic reactions have been confirmed, the reactions are most commonly the type I anaphylactic and type IV delayed hypersensitivity responses. The type I immediate hypersensitivity reactions are the most severe and may be life-threatening. In the event a potential allergic reaction occurs in a dental office, the dentist needs to properly evaluate the events leading up to the reaction and provide a differential diagnosis. A referral should be given to any patient when an allergic reaction cannot be ruled out as an intravascular injection, toxic overdose, psychogenic reaction, or an idiosyncratic event. (Source: Dental Clinics... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948057 Fri, 10 Sep 2010 07:04:15 +0100 3948057 http://www.medworm.com/index.php?rid=3948056&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000637%2Fabstract%3Frss%3Dyes In 2000, the US Food and Drug Administration (FDA) approved the use of 4% articaine with epinephrine 1:100,000, and with epinephrine 1:200,000 in 2006. Articaine has been commonly compared with its predecessor, lidocaine hydrochloride. Since its introduction in 1948, lidocaine has maintained a status as the most widely used local dental anesthetic in most countries. Proven efficacy with low allergenicity and toxicity over long-term clinical use and research have confirmed the value and safety of this drug. Thus, it became the gold standard to which all new local anesthetics are compared. Despite the gold standard status of lidocaine, numerous reports and editorials have supported and recognized the use of articaine. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948056 Fri, 10 Sep 2010 07:04:15 +0100 3948056 http://www.medworm.com/index.php?rid=3948055&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000625%2Fabstract%3Frss%3Dyes Phentolamine mesylate, at dosages from 0.4 to 0.8 mg in adults and adolescents and at dosages from 0.2 to 0.4 mg in children aged 4 to 11 years, has been proven to be safe and effective for the reversal of soft tissue anesthesia (lip and tongue numbness) and the associated functional deficits resulting from a local dental anesthetic injection containing a vasoconstrictor. Its ability to block a-adrenergic receptors on blood vessels induces vasodilation and enhances the redistribution of the local anesthetic away from the injection site. The low dosages administered for dental local anesthetic reversal in all likelihood accounts for the lack of significant cardiovascular effects that are associated with the medical use of the drug for hypertensive conditions associated with catecholamine ex... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948055 Fri, 10 Sep 2010 07:04:15 +0100 3948055 http://www.medworm.com/index.php?rid=3948054&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000613%2Fabstract%3Frss%3Dyes Infiltration is preferred to regional block techniques in the maxilla as the former offers a number of advantages. This paper considers the evidence for the efficacy of infiltration anesthesia in the mandible in the adult dentition, both as a primary and as a supplemental method. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948054 Fri, 10 Sep 2010 07:04:15 +0100 3948054 http://www.medworm.com/index.php?rid=3948053&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000601%2Fabstract%3Frss%3Dyes This article reviews the clinical use of long-acting local anesthetics, presents current clinical research findings, and makes recommendations for their use. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948053 Fri, 10 Sep 2010 07:04:15 +0100 3948053 http://www.medworm.com/index.php?rid=3948052&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000595%2Fabstract%3Frss%3Dyes This article reviews the types and uses of local anesthesia in anesthesiology. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948052 Fri, 10 Sep 2010 07:04:15 +0100 3948052 http://www.medworm.com/index.php?rid=3948051&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000741%2Fabstract%3Frss%3Dyes The development of safe and effective local anesthetic agents has possibly been the most important advancement in dental science to occur in the last century. The agents currently available in dentistry are extremely safe and fulfill most of the characteristics of an ideal local anesthetic. These local anesthetic agents can be administered with minimal tissue irritation and with little likelihood of inducing allergic reactions. A variety of agents are available that provide rapid onset and adequate duration of surgical anesthesia. This introductory article provides a brief update of the clinical pharmacology of local anesthetic agents and formulations used in dentistry at present. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948051 Fri, 10 Sep 2010 07:04:15 +0100 3948051 http://www.medworm.com/index.php?rid=3948050&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000777%2Fabstract%3Frss%3Dyes Possibly the most important skill required of all dental practitioners is the ability to provide safe and effective local anesthesia. The agents and anesthetic delivery equipment available today provide the practitioner an array of options to effectively manage the pain associated with dental procedures. We have come a long way from the time when the numbing properties of cocaine were first recognized; to its topical application for ophthalmologic surgery; to the introduction of needles and syringes to permit nerve block anesthesia; to the synthesis of procaine and ester anesthetics; and to the development of the amide anesthetics used today. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948050 Fri, 10 Sep 2010 07:04:14 +0100 3948050 http://www.medworm.com/index.php?rid=3948049&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000959%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948049 Fri, 10 Sep 2010 07:04:14 +0100 3948049 http://www.medworm.com/index.php?rid=3948048&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000947%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948048 Fri, 10 Sep 2010 07:04:14 +0100 3948048 http://www.medworm.com/index.php?rid=3948047&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000935%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948047 Fri, 10 Sep 2010 07:04:14 +0100 3948047 http://www.medworm.com/index.php?rid=3948058&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000650%2Fabstract%3Frss%3Dyes Dentistry has two medications in its pain management armamentarium that may cause the potentially life-threatening disorder methemoglobinemia. The first medications are the topical local anesthetics benzocaine and prilocaine. The second medication is the injectable local anesthetic prilocaine. Acquired methemoglobinemia remains a source of morbidity and mortality in dental and medical patients despite the fact that it is better understood now than it was even a decade ago. It is in the interest of all dental patients that their treating dentists review this disorder. The safety of dental patients mandates professional awareness. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3948058 Sun, 08 Aug 2010 23:00:00 +0100 3948058 http://www.medworm.com/index.php?rid=3692498&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000492%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692498 Fri, 25 Jun 2010 05:25:35 +0100 3692498 http://www.medworm.com/index.php?rid=3692497&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000194%2Fabstract%3Frss%3Dyes Studies have shown a growing trend toward increasing prevalence of dental erosion, associated with the declining prevalence of caries disease in industrialized countries. Erosion is an irreversible chemical process that results in tooth substance loss and leaves teeth susceptible to damage as a result of wear over the course of an individual's lifetime. Therefore, early diagnosis and adequate prevention are essential to minimize the risk of tooth erosion. Clinical appearance is the most important sign to be used to diagnose erosion. The Basic Erosive Wear Examination (BEWE) is a simple method to fulfill this task. The determination of a variety of risk and protective factors (patient-dependent and nutrition-dependent factors) as well as their interplay are necessary to initiate preventive ... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692497 Fri, 25 Jun 2010 05:25:35 +0100 3692497 http://www.medworm.com/index.php?rid=3692496&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000388%2Fabstract%3Frss%3Dyes This article focuses on glass-ionomer cement (GIC) and its role in the clinical management of caries. It begins with a brief description of GIC, the mechanism of fluoride release and ion exchange, the interaction between GIC and the external environment, and finally the ion exchange between GIC and the tooth at the internal interface. The importance of GIC, as a tool, in caries management, in minimal intervention dentistry (MI), and Caries Management by Risk Assessment (CAMBRA) also will be highlighted. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692496 Fri, 25 Jun 2010 05:25:35 +0100 3692496 http://www.medworm.com/index.php?rid=3692495&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000170%2Fabstract%3Frss%3Dyes There would appear to be little logic in the current practice of caries removal. Biologically, it would appear to be potentially damaging even to attempt to remove all infected dentin in a symptomless, vital tooth. It is neither possible nor necessary to achieve this. The evidence would seem to show that, provided a restoration is placed that seals the cavity, infected dentin may be left. It does not prejudice pulpal health, and the caries lesion does not progress. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692495 Fri, 25 Jun 2010 05:25:34 +0100 3692495 http://www.medworm.com/index.php?rid=3692494&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000364%2Fabstract%3Frss%3Dyes This article reviews the evidence for saliva diagnostics and some antibacterial concepts with potential to interfere with the caries process. It concludes that there is incomplete evidence to evaluate the role of chair-side tests and to recommend general topical applications of antibacterial agents to prevent caries lesions. However, such measures may be considered to control the disease in caries-active individuals. There is evidence that xylitol has antibacterial properties that alter the oral ecology but the clinical evidence for caries prevention is rated as fair. However, preventive programs should include as many complementary strategies as possible, especially when directed toward caries-active patients. Therefore, any antibacterial intervention should always be combined with a fluo... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692494 Fri, 25 Jun 2010 05:25:34 +0100 3692494 http://www.medworm.com/index.php?rid=3692493&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000327%2Fabstract%3Frss%3Dyes This article provides a state-of-the-art overview of clinically relevant evidence regarding effective, noninvasive management strategies to prevent, arrest, and remineralize caries lesions. With the rapidly increasing knowledge about oral biofilms and the process of caries in itself, the profession is embarking on new strategies. This is an exciting time, with several promising new agents and novel treatment modalities at the horizon to prevent and manage caries lesions. Some are already available in clinical practice. Studies, however, have yet to show conclusive evidence of clinical efficacy. None have shown to be more effective than fluoride and protection by sealant. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692493 Fri, 25 Jun 2010 05:25:34 +0100 3692493 http://www.medworm.com/index.php?rid=3692492&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185321000039X%2Fabstract%3Frss%3Dyes This article suggests a practical methodology to implement the scientific information presented in the earlier articles into clinical practice. The Caries Balance/Imbalance Model and a practical caries risk assessment procedure for patients aged 6 years through adult illustrate evidence-based treatment options. Neither the forms nor the clinical protocols are meant to imply that there is currently only one correct way that this can be achieved; they are used in this article only as examples. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692492 Fri, 25 Jun 2010 05:25:34 +0100 3692492 http://www.medworm.com/index.php?rid=3692491&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000339%2Fabstract%3Frss%3Dyes This article reviews the current methods for detection and assessment of caries lesions focusing on applicability for daily clinical practice. The end point is to arrive at a diagnosis for each caries lesion. Visual inspection aided by a ball-ended probe is essential for caries lesions assessment and the method must be used for all patients. Use of indices, for example, the International Caries Detection and Assessment System (ICDAS), can improve the performance of this method. Using visual inspection, the clinician must decide about the presence, severity and activity of lesions. After this process, additional methods could aid the dentist in reaching a more appropriate treatment decision in some cases. The ICDAS, including the activity assessment system or the Nyvad system, seems to be t... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692491 Fri, 25 Jun 2010 05:25:34 +0100 3692491 http://www.medworm.com/index.php?rid=3692490&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000200%2Fabstract%3Frss%3Dyes Dental caries is a site-specific disease that undergoes many cycles of demineralization and remineralization during lesion development. Because of its developmental characteristics dynamics, the caries lesion can be arrested and even repaired at its early stages without operative intervention by increasing the net mineral gain during the demineralization and remineralization cycles. This result can be accomplished by reducing the effect of etiological factors such as cariogenic biofilms and diet, and increasing the efficacy of remineralizing agents such as saliva and fluoride. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692490 Fri, 25 Jun 2010 05:25:34 +0100 3692490 http://www.medworm.com/index.php?rid=3692489&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000352%2Fabstract%3Frss%3Dyes The pathogenicity of the dental biofilm is modified by salivary and dietary factors, as well as by the characteristics of the tooth structure. The composition of the acquired pellicle can modify the mineral homeostasis of the tooth surfaces and the attachment of bacteria for the development of the biofilm. The substitution of sucrose from the diet by other less cariogenic sugars and/or sugar substitutes can contribute to reducing the pathogenicity of the biofilm. Saliva clears, dilutes, neutralizes, and buffers acids produced by the biofilm. In addition, saliva provides the biofilm/tooth structure with Ca2+ PO43– and F– ions, which can positively affect the equilibrium between demineralization-remineralization toward the remineralization and modify the susceptibility of the tooth struc... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692489 Fri, 25 Jun 2010 05:25:34 +0100 3692489 http://www.medworm.com/index.php?rid=3692488&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000182%2Fabstract%3Frss%3Dyes Dental plaque is the biofilm found naturally on teeth. Dental plaque is also implicated in dental caries, which is associated with shifts in the microbial balance of the biofilm resulting in increased proportions of acid producing and acid tolerating bacteria, especially (but not exclusively) mutans streptococci and lactobacilli. The regular intake of fermentable dietary sugars, or impaired saliva flow, produces persistent conditions of low pH within the biofilm, which selects for these cariogenic bacteria. Clinicians should prevent this disruption to the natural microbial balance of the biofilm (relevant approaches are described) rather than merely treating its consequences by restoring cavities. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692488 Fri, 25 Jun 2010 05:25:34 +0100 3692488 http://www.medworm.com/index.php?rid=3692487&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000340%2Fabstract%3Frss%3Dyes This introductory article provides an overview of the caries disease process that will help guide readers into the world of evidence-based caries management in the beginning of the twenty-first century and help them understand the ongoing need to update in this field. This issue of Dental Clinics of North America provides clinically relevant reviews, full of chair-side recommendations based on best available evidence, on epidemiology, nomenclature, disease process, and management. A glossary of common terms in cariology is included. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692487 Fri, 25 Jun 2010 05:25:34 +0100 3692487 http://www.medworm.com/index.php?rid=3692486&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000406%2Fabstract%3Frss%3Dyes The evolution of a paradigm shift may take decades and usually involves several stakeholders. In the case of caries management by risk assessment (CAMBRA), the main premise is based on the fact that traditional restorative repair of teeth did little to treat the actual cause and risk factors of the disease; thus, by using CAMBRA principles it is possible to assess the risk of individual patients and establish evidence-based management strategies based on that risk. For several decades the role of bacteria and the chemistry of the remineralization-demineralization process were well understood, yet the scientific evidence alone did not result in significant change in clinical practice. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692486 Fri, 25 Jun 2010 05:25:34 +0100 3692486 http://www.medworm.com/index.php?rid=3692485&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000418%2Fabstract%3Frss%3Dyes We dedicate this issue to our friend and mentor, John Featherstone, as it was he who brought each of us together to collaborate several years ago, which led to many advancements in caries management and ultimately this publication. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692485 Fri, 25 Jun 2010 05:25:33 +0100 3692485 http://www.medworm.com/index.php?rid=3692484&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000480%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692484 Fri, 25 Jun 2010 05:25:33 +0100 3692484 http://www.medworm.com/index.php?rid=3692483&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000479%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692483 Fri, 25 Jun 2010 05:25:33 +0100 3692483 http://www.medworm.com/index.php?rid=3692482&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000467%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3692482 Fri, 25 Jun 2010 05:25:33 +0100 3692482 http://www.medworm.com/index.php?rid=3455323&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000133%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455323 Wed, 31 Mar 2010 23:00:00 +0100 3455323 http://www.medworm.com/index.php?rid=3455322&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185320900127X%2Fabstract%3Frss%3Dyes Dental professionals are often faced with challenges when formulating a treatment plan for patients presenting with a compromised tooth. A common dilemma involves the decision between tooth retention using endodontic treatment with crown restoration, and extraction and an implant-borne restoration. In this article the authors evaluate the 2 treatment modes, and observe that because outcomes are similar with both treatments, decisions should be based on the patient's informed decision concerning restorability, costs associated with the procedures, esthetics, potential adverse outcomes, and ethical factors. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455322 Wed, 31 Mar 2010 23:00:00 +0100 3455322 http://www.medworm.com/index.php?rid=3455321&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853209001104%2Fabstract%3Frss%3Dyes While endodontic microsurgery has been making tremendous strides in the past 20 years, there are still basic concepts that are confusing or frustrating for the novice and experienced surgeon alike. These issues, such as microscope positioning and the relationship with the surgeon's ergonomics and line of sight to the surgical field, making use of natural hand movements and positions, are addressed in this article. Other topics include major flap designs and guidelines for their implementation, effective hemostasis using materials with less tissue toxicity, root end preparation techniques and guidelines, site-determined choice of root end filling material, and placement and finishing tips for Mineral Trioxide Aggregate. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455321 Wed, 31 Mar 2010 23:00:00 +0100 3455321 http://www.medworm.com/index.php?rid=3455320&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS001185320900113X%2Fabstract%3Frss%3Dyes Successful endodontic treatment depends on the restorative treatment that follows. The connection between endodontic treatment and restorative dentistry is well accepted, but the best restorative approaches for endodontically treated teeth have always been somewhat controversial. A plethora of information from various sources contributes to the controversy and much of it is contradictory. With the emergence of implants in mainstream dentistry, there has been more emphasis on long-term outcomes and on evaluating the “restorability” of teeth prior to endodontic treatment. The long-term viability of endodontically treated teeth is no longer a “given” in the implant era. In consequence, some teeth that might have received endodontic treatment in the past are now extracted and replaced ... Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455320 Wed, 31 Mar 2010 23:00:00 +0100 3455320 http://www.medworm.com/index.php?rid=3455319&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853209001128%2Fabstract%3Frss%3Dyes This article reviews the development of resin-based sealers and biocompatibility tests. The many, mostly opposing views are analyzed to put what has been published thus far in perspective. A critical analysis of the facts leads to the consensus that methacrylate based resin sealers are here to stay and offer a suitable alternative to conventional endodontic treatment. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455319 Wed, 31 Mar 2010 23:00:00 +0100 3455319 http://www.medworm.com/index.php?rid=3455318&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853209001141%2Fabstract%3Frss%3Dyes Traditional methods of treatment of immature root with necrotic pulp and apical periodontitis pose multiple challenges. These challenges include disinfection of the root canal with standard protocols that aggressively use endodontic files, filling the root canal with an open apex that provides no barrier for stopping the root filling material before impinging on the periodontal tissues, and the susceptibility of the teeth to fracture because of their thin roots. Disinfection using sodium hypochlorite, apical barrier formation using calcium hydroxide as well as mineral trioxide aggregate, and pulp revascularization of fractured tooth with the help of blood clot and collagen-enhanced matrix has been discussed in detail in this article. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455318 Wed, 31 Mar 2010 23:00:00 +0100 3455318 http://www.medworm.com/index.php?rid=3455317&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853209001098%2Fabstract%3Frss%3Dyes This article summarizes the chemistry, biology, and procedures for safe and efficient irrigation and provides cutting-edge information on the most recent developments. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455317 Wed, 31 Mar 2010 23:00:00 +0100 3455317 http://www.medworm.com/index.php?rid=3455316&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000042%2Fabstract%3Frss%3Dyes The following case studies provide insight into the integration of the principles set forward in the preceding article. Each case is evaluated first on the endorestorative principles that form the basis of the modern endo-endorestorative–prosthodontic continuum. Case 1 is provided by Dr Clark, and cases 2 to 6 are provided by Dr Khademi. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455316 Wed, 31 Mar 2010 23:00:00 +0100 3455316 http://www.medworm.com/index.php?rid=3455315&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000029%2Fabstract%3Frss%3Dyes This article discusses molar access and failures of endodontically treated teeth that occur not because of chronic or acute apical lesions but because of structural compromises to the teeth that ultimately render them useless. The authors believe that the current models of endodontic treatment do not lead to long-term success, and that the traditional approach to endodontic access is fundamentally flawed. This article introduces a set of criteria that will guide the clinician in treatment decisions to maintain optimal functionality of the tooth and help in deciding whether the treatment prognosis is poor and alternatives should be considered. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455315 Wed, 31 Mar 2010 23:00:00 +0100 3455315 http://www.medworm.com/index.php?rid=3455314&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853209001116%2Fabstract%3Frss%3Dyes This article looks at the strategies a dentist can use to help achieve adequate pulpal anesthesia for the patient, thereby eliminating or reducing treatment pain. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455314 Wed, 31 Mar 2010 23:00:00 +0100 3455314 http://www.medworm.com/index.php?rid=3455313&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853209001153%2Fabstract%3Frss%3Dyes Imaging is an important clinical aid for the diagnosis of endodontic bone lesions. Traditional radiology performs more accurately than any other diagnostic tool. Computed tomography has been used for the last 20 years with important implications in the management of lesions in bone. Among the newest systems, digital volume tomography is becoming a new standard and real-time echotomography is gaining an interesting space in the diagnostic field of endodontics. These techniques offer some advantages for the increased safety and the amount of detailed information they can provide. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455313 Wed, 31 Mar 2010 23:00:00 +0100 3455313 http://www.medworm.com/index.php?rid=3455312&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000030%2Fabstract%3Frss%3Dyes This article provides basic information on how an OM is used in clinical endodontic practice and also gives an overview of its clinical and surgical applications. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455312 Wed, 31 Mar 2010 23:00:00 +0100 3455312 http://www.medworm.com/index.php?rid=3455311&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000054%2Fabstract%3Frss%3Dyes The focus of this issue is on contemporary clinical endodontics. As there have been several fundamental changes in the specialty of endodontics over the last years, the purpose of this issue is to inform our dental colleagues about these changes. Each article offers realistic information, most of which can be put to immediate use in clinical practice. As such, the clinician will benefit directly from the up-to-date information in this issue. (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455311 Wed, 31 Mar 2010 23:00:00 +0100 3455311 http://www.medworm.com/index.php?rid=3455310&cid=s_33220_11_f&fid=33220&url=http%3A%2F%2Fwww.dental.theclinics.com%2Farticle%2FPIIS0011853210000121%2Fabstract%3Frss%3Dyes (Source: Dental Clinics of North America) Dental Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3455310 Wed, 31 Mar 2010 23:00:00 +0100 3455310