Dental Tribune Canada
Clinical
10 facts about dental implants

June 4, 2015

Dental implant marketing often emphasizes “simplicity,” underplaying an inherent complexity in the product, procedure — and patient. Prosthetic dentistry is not simple. And patients rarely have simple problems. Potential complications can be far from simple to correct. To ease your learning curve with implant dentistry, following are some core variables that can be managed based on proven research.

Patient behaviour and dental treatment: ‘Meeting of the minds’

February 16, 2015

Dentistry is a highly skilled professional service. Its success is based on a multitude of clinical variables that need to be recognized, managed and coordinated in an appropriate way to achieve the end product of treatment. It is increasingly recognized that the provision of dental care should not be viewed in isolation from the psychological makeup and social background of the person receiving the care.

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Schick 33: An eye-opening experience

December 14, 2014

I have a passion for technology, because it bridges the gap of communication between clinician and patient. This year, I decided to give myself something that would make my experience as a dentist more enjoyable — appropriately, on my 33rd birthday. I write this article to express my enthusiasm for that “gift” to myself, a product that has honestly blown me away: the Schick 33 intraoral digital sensor.

Natural dentition: Risk of extinction?

November 7, 2014

During the past few years, there appears to be an increase in continuing education. Many of the courses are about implant dentistry. The conventional courses that form the basis of learning the skills of saving teeth have been fewer in number. Everybody wants to learn how to surgically place a dental implant. It appears that some apparent “need” of patients has driven clinicians to subscribe to these weekend courses in surgery so they can respond to these patient “needs.”

Storing ortho models digitally saves space, dollars

November 2, 2014

The concept of digital study models has often been talked about — particularly in orthodontic circles — as a solution to the considerable physical space required to store plaster models. If a model could be scanned in three dimensions to a high degree of accuracy, stored electronically and then reconstituted (should the need arise), then the need for physical storage of models could potentially be eliminated.

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Dentistry’s future is digital: Don’t be left behind

October 21, 2014

I regretted one thing when our practice switched from film X-rays to digital X-rays: I wish we had done it sooner. To say that we gained return on our investment is an understatement. It has greatly improved our practice management, the patient experience and overall communication. Our investment has paid off exponentially. More importantly, it is a value-added service that patients may not have experienced previously at other dental offices.

Digital radiography system takes clarity, ease to new level

October 5, 2014

I have a passion for technology, because it bridges the gap of communication between clinician and patient. This year, I decided to give myself something that would make my experience as a dentist more enjoyable — appropriately, on my 33rd birthday. I write this article to express my enthusiasm for that “gift” to myself, a product that has honestly blown me away: the Schick 33 intraoral digital sensor.

Ensure earnings capability with ergonomic seating

September 29, 2014

The list is disturbing: fatigue; injury problems; serious neck, upper-back and shoulder pain; and posture so poor that it affects general physical performance. All are alarmingly common symptoms experienced by practitioners across the dental profession. The result: Forced early retirement caused by neck, shoulder and back problems is a frequent occurrence for dental professionals.

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Advances in dentistry: At what cost and … worth it?

September 22, 2014

There have been many advances in dentistry during the past 10 years. Some can be considered improvements for the betterment of patient services, others are marketing techniques disguised as improvements. For example, the field of implant dentistry has seen some significant improvements in implant design. In fact, it is one of the true areas of dental sciences in which improvements and needs were based on retroactive analyses justifying the direction of the sciences.

Today’s successful practice has a chief operations officer. Do you?

September 17, 2014

In today’s world, dentists have to be savvy businesspeople as well as excellent clinicians. Organizing a successful dental practice has become more time consuming and definitely more complex as each year passes. The list seems endless: ever-changing human resource issues, complex government/provincial/dental regulations, the need to train new team members, promoting the practice in a highly competitive marketplace, meeting patient needs and expectations, mastering new technology — all while keeping the schedule full.

Endodontic irrigants and irrigant delivery systems

July 31, 2014

Endodontic treatment is a predictable procedure with high success rates. Success depends on a number of factors, including appropriate instrumentation, successful irrigation and decontamination of the root-canal space to the apices and in areas such as isthmuses. These steps must be followed by complete obturation of the root canals, and placement of a coronal seal, prior to restorative treatment.

Interview: ‘It is a time of unprecedented change in our profession’

July 15, 2014

NEW YORK, N.Y., USA: Robert S. Roda, DDS, MS, was installed as president of the American Association of Endodontists during AAE’s annual session, held recently in Washington, D.C. Roda runs a private endodontic practice in Scottsdale, Ariz., and serves as a visiting lecturer at the Arizona School of Dentistry and Oral Health and as an adjunct assistant professor at Baylor College of Dentistry in Dallas.

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Implant site preservation using a novel post and crown

July 8, 2014

Implant site preservation is an important component of diagnosis and treatment planning. Through CAD (computer aided design), prosthesis can be designed with ideal characteristics. By utilizing CAM (computer aided manufacturing), the clinician has the ability to mill the designed prosthesis with great accuracy. IPS e.max has been selected as the material for this investigation due to strength and esthetics.

Does your implant training meet the new guidelines?

February 14, 2014

Until recently, implant dentistry was considered to be a therapy that was primarily provided by dental specialists, and as such, training regulations were not an issue because most specialties incorporate implant therapy into their residency programs. With implant dentistry becoming more mainstream and being incorporated into general practices, educators and licensing bodies are starting to set training guidelines and parameters for practice.

Treating the cause of malocclusions, not the consequence

September 26, 2013

Extraction versus non-extraction treatment in orthodontics has been a matter of controversy since the beginning of the specialty. Edward H. Angle debated, “The best balance, the best harmony, the best proportions of the mouth in its relation to the other features require, in all cases, there shall be the full complement of teeth, and each tooth shall be made to occupy its normal position.”

Interview: Diagnosing fibro-osseous lesions

March 7, 2013

Dr. David MacDonald is known across dental sectors for his 2011 book “Oral & Maxillofacial Radiology: a Diagnostic Approach,” published by Wiley-Blackwell. He is associate professor and chairman of the Division of Oral and Maxillofacial Radiology, Faculty of Dentistry, University of British Columbia. He trained in the United Kingdom and held appointments at the universities of Hong Kong, Edinburgh and Bergen.

Detecting caries at the margins of restorations with The Canary System

February 12, 2013

Caries detection around the margins of restorations is a major challenge in clinical practice. Typically, the restorative material will impede the detection system from accurately examining the margins for caries. However, The Canary System, powered by an energy conversion technology (PTR-LUM), provides the solution. The Canary System directly examines the status of the tooth crystal structure.

Advances in teeth whitening

February 11, 2013

Dentistry’s primary concerns are establishing and maintaining optimal patient oral health. Our responsibilities include identification and control of disease, patient education, clinical and radiographic examination, health and family history evaluations, risk factors, bacterial identification and a constellation of treatment modalities. How does whitening fit into our professional responsibilities?

Don’t believe all you read on fraud

October 16, 2012

A recent Google search for dental embezzlement articles located approximately 30 articles, many written by some of the “stars” of dental consulting. Most followed a common theme; they offer tips for fraud prevention that include control procedures, each designed to block a specific fraud technique. While I agree that certain controls and techniques advocated by those authors are good ideas for reasons unrelated to fraud, I categorically disagree with the suggestion that more or different controls will prevent fraud.

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Tips on terminating an associate (that you should know when hiring)

September 20, 2012

In my previous column, I addressed critical issues to consider when hiring an associate and deciding if his or her relationship with your practice should be as an employee or as an independent contractor. This relationship doesn’t just set parameters on how you and the associate will work together, it also applies directly to what must occur should it become necessary for you and the associate to part ways.

Tips on hiring associates: Independent contractor or employee?

August 9, 2012

A crucial first step for any dentist hiring a new associate is deciding how to structure the employment relationship. Associates may be hired either as employees or as independent contractors. It is important to clearly define the nature of the relationship, as this distinction has significant effects on a number of areas important to the employer’s practice.

3-D Vision: Let the journey begin with a passport to the future

June 21, 2012

Three-dimensional diagnostic vision in dental radiography is making waves in dentistry around the world. With multiple indications, we lack clarity with regard to proper indications and guidelines for use of cone-beam computed tomography (CBCT) imaging for dental diagnostics and therapeutic treatment. My journey with CBCT technology began four years ago.

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An evidence-based endodontic implant algorithm; untying the Gordian Knot

January 26, 2010

Over the years, endodontics has diminished itself by enabling the presumption that it is comprised of a narrowly defined service mix; root canal therapy purportedly begins at the apex and ends at the orifice. Nothing could be further from the truth. It is the catalyst and precursor of a multivariate continuum, potentially the foundational pillar of all phases of any rehabilitation.

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