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The Different Options of Dental Implant

Le 2 septembre 2017, 06:20 dans Humeurs 0

Dental implants have the mechanical availability to attach many different prosthetic options, many factors must be taken into consideration before a final prosthetic choice is made for the patient. The decision amongst the prosthetic choices available to attach to a implant is based upon treatment planning.

This is a broad topic in the field of dental implants, one where we find that there are now many treatment choices for the patient. While dental implants which doing by dental implant machine have the mechanical availability to attach many different prosthetic options, many factors must be taken into consideration before a final prosthetic choice is made for the patient. The decision amongst the prosthetic choices available to attach to an implant is based upon treatment planning.

One of the first questions ask patients is if they are open to wearing a removable implant-supported option. While a removable implant-supported prosthesis can be a more affordable than a fixed option, there are disadvantages to consider. The main disadvantage to a removable implant-supported prosthesis is that this choice is less like natural teeth than fixed options. Removable implant-supported options that are partially tissue-supported also are susceptible to bone loss in the tissue-supported areas and the inherent problems associated with any bone loss. Unless finances are the determining factor, in my experience I have found that most patients would rather have a fixed implant-supported option.

From a fixed prosthetic standpoint, it seems that fewer screw-retained acrylic hybrid options are now being chosen and utilized as a treatment option. The success rate of zirconia as a screw-retained option has increased the use of zirconia for full-arch implant-supported prostheses. Zirconia, especially as a monolithic option, reduces and virtually eliminates the problems of porcelain chipping and the loss of teeth from the prosthesis. While there might be slightly higher laboratory costs associated with the fabrication of a full-arch screw-retained zirconia prosthesis, these costs should be compared to the financial impact (and stress) for the clinician and patient that can result from fractured teeth seen often with acrylic and metal hybrids.

There are other clinical benefits of zirconia versus acrylic. Zirconia, having the highest modulus of elasticity of any product available in dentistry along with its inherent low porosity and susceptibility to attract debris, allows for the observed high success rate with this prosthetic option. In addition to the cost of repairs, there is often a loss of patient confidence seen with hybrid acrylic bridges that can negatively affect the dental practice. Some thoughts when choosing among the different treatment options for a patient.

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The Information about Digital Scanning Systems

Le 17 août 2017, 10:30 dans Humeurs 0

The manufacturers are out in full force with the end of the year push on scanners to send digital files to the labs. We continue to get calls almost every day for advice. First, understand digital scanning represents only a VERY small percentage of the work out there. Less than 5%. So please don’t feel like you’re the only doctor left still using impression material. We had several using scanning systems just a couple years ago but almost all have gone back to traditional techniques and materials.

Our recommendation continues to be to wait on any of the digital scanning systems. Trust us on this, when something is working we will tell you and support it. We have heard first hand from doctors who made the purchase with each of the major systems and NONE are delivering as promised. The problem continues to be the model printing technology even more so than the scanner. The lab must have a model for the case and that technology is still lagging several years behind the progress of the scanning and milling( dental lab equipment ).

Printed models will eventually become practical, but it is not here yet for sure. In the mean time, here are a few questions to ask your sales rep in case they “forget” to mention it the next time they are trying to sell you one of these systems. These systems are all really closed. They like to claim they are “open” but that is only to labs in their network. Ask about the cost of the system after the final payment is made. The licensing and service agreement are almost the same cost as the monthly payment has been. Ask about the models and the data transfer process. There is a data transfer fee, then a fee for someone to digitally “build” the model, a fee to digitally trim and mark the die, a fee to print the model, and another extra fee for each individual die, and a fee for shipping.

Depending on the system it can run over $50 for a single model and die. The technology for printing of models is also still lagging in accuracy. By their own admission, the models are barely in the 60 micron range in accuracy. This will all continue to evolve and improve rapidly. We evaluate models throughout the year; every time a new system or technology is developed.

The accuracy of the model work is critical and the foundation on which everything we do, so it is essential that the standard of digital printed models be equal to or better than what we can do by hand. Any less, and we lower the standards and quality of the work before we even begin. I hope you can appreciate our concern over this critical aspect of the dental delivery system and the implications for doctor, lab, and most of all patient.

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The Development of Root Canal Treatment

Le 31 juillet 2017, 10:54 dans Humeurs 0

Root canal treatment by root canal treatment equipment is the process of going inside the pulp space and removing the infected, dead tissue. The procedure involves removing the damaged area of the tooth (the pulp), cleaning and disinfecting it and then filling and sealing it. The common causes affecting the pulp are a cracked tooth, a deep cavity, repeated dental treatment to the tooth or trauma.  The space is then disinfected and sealed with special materials.

Generally speaking, whatever the cause of root canal or pulpal disease, root canal or endodontic treatment will be necessary to save the tooth. All dentists receive training in endodontic treatment and can perform root canal procedures, but often a general dentist will refer individuals who need endodontic treatment to an endodontist, a root canal specialist.

Endodontists are dentists who have completed an additional two or more years of advanced residency training in the diagnosis and management of diseases and disorders of the dental pulp tester, and in the diagnosis of dental pain; their focus is therefore on saving teeth. In order to make a proper assessment and accurate diagnosis of which tooth is affected and exactly what is causing the pain, a thorough history and examination is necessary, together with a radiographic picture (x-ray) of the tooth or area.

Your dentist or endodontist will check your medical history and current medications to ensure your health and treatment safety. If you are very nervous, an oral sedative or anti-anxiety medication may be helpful — discuss the options with your dentist or endodontist ahead of time.

Preliminary treatment to remove the decay and the source of infection of the pulp is necessary, along with a determination of whether the lost tooth structure can be restored. If a fracture of the tooth has reached the pulp, or infection is associated with gum disease, it could be more difficult, if not impossible, to save the tooth.

Nowadays, root canal treatments are performed with advanced techniques and materials, making them far more comfortable and faster. After root canal treatment is complete, your restorative dentist will usually place a crown on your tooth to safeguard against fracture.

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