Oral surgical procedures necessitate some degree of trauma to the bone in the upper and lower jaws. When the patient is taking prescribed medications that impact how bone heals after dental surgery, the potential for medication-related osteonecrosis of the jaw (MRONJ) exists.
Three key rules to consider for whole face beautification and optimal long-term results. Despite being a cosmetic surgeon focused on injectable based treatments, I have come to appreciate the importance of a beautiful smile and the role it plays in facial esthetics. The lips are an important esthetic subunit in repose, but the smile in animation is equally, if not more, important.
Using digital radiography to estimate pre-operative root lengths can help clinicians better evaluate endodontic cases. An estimate is nothing more than a prediction. It is an approximation or projection of something based on experience and/or available information, with the understanding that all the facts remain uncertain. Depending on the content, an estimate can be leveraged to address multiple goals. In the context of endodontics, that leverage comes in the form of digital radiography.
Doctors are starting to prescribe these drugs for anticoagulation instead of Coumadin. Here’s what you need to know about them. Much like for patients taking Coumadin (Warfarin), these drugs can be continued for simple dental procedures. In instances where complicated dental procedures are planned, it’s critical to consult with the patient’s physician to discuss the feasibility of temporarily withholding these drugs to avoid excessive bleeding.
This minimally invasive treatment isn’t used often, but it can be a great affordable option for patients experiencing wear. The Dahl Principle is a technique taught in the UK but not widely understood around the world. There certainly are studies and research,1 but arguably there is not much in the way of protocols or how or even when to use it.
How to incorporate this three-step procedure into your practice. The possibility of rehabilitating an arch with a fixed prosthesis with predictable long-term success has been an important goal in dentistry.2 However, the rehabilitation of a completely edentulous maxilla is often associated with anatomical limitations from decreased bone volume, especially in the premolar and molar regions. Bone atrophy progresses rapidly during the first year after tooth loss and continues thereafter. It is affected by long-term use of removable prostheses and relative maxillary sinus pneumatization.3
How looking at the whole face opens up new opportunities for dental practices and leads to better patient outcomes. Dentists have been dabbling in injectable esthetic procedures for more than a decade now. We have been talking about facially driven planning for smile enhancement for longer. But are we really looking at the whole face and its animated expressions before we treat our patients? Are plastic surgeons and dermatologists even looking at the teeth and smile before enhancing the face? Could the deeper integration of the two esthetic worlds bring us closer than ever to a truly whole face assessment and a set of solutions provided by a single practice?
A look at the medications that lead to issues and how you can combat problems in your patients. Normal responses to bone injury involve a complex system of metabolic processes that lead to remodeling, which is the removal of injured or necrotic bone and the deposition of new bone. Two naturally occurring cells that play a major role are osteoblasts (deposition) and osteoclasts (resorption). Pathology, chemical agents, or age-related hormonal changes can shift the balance in the way bone metabolism occurs, leaving bones weak and more susceptible to fracture. Over the last several decades, medications have been introduced to shift the balance back to less resorption of bone and more bone deposition.
The role, which I held for three and a half years, gave me unprecedented access to how the esthetics market is evolving and those within it adapting. Following this spell, I decided to head back into full time clinical practice, and I now primarily focus on non-surgical and minimally invasive esthetic procedures.
While medical emergencies occur infrequently, they are 5.8 times more likely to happen in the dental office than in the medical office. Increasingly, more complicated patients are presenting to the dental office for procedures that are often deemed stressful. The dental interventions often take hours, increasing the risk of adverse events. It is therefore critical for dental offices to be adequately prepared for these infrequent occurrences.