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.
The availability of various technologies has made it possible to “think traditional but process digital,” allowing more general dentists to integrate dental implant treatments into their practices. However, successful implant treatments are predicated on knowledge and skill, which can only be cultivated through proper education, hands-on training, and mentoring through programs like the Little Implant Co.’s Mentor In A Box.
Dr. Fradeani’s esthetic checklist, which is included in this amply illustrated book, is an invaluable tool that guides dentists in creating restorations perfectly integrated from both an esthetic and functional point of view. Volume one is an easy-to-read book that outlines a systematic approach to facial evaluation during esthetic treatment planning. Evaulating the patient’s expectations and correctly analyzing facial features and lip movements in relation to the teeth are crucial to any treatment plan.
I have heard people say it is dangerous for general dentists to carry out orthodontics. If they don’t have an understanding of the full benefits of orthodontics and how to diagnose and assess, then there may be some truth to that. However, I would argue it is just as dangerous for general dentists NOT to carry out ortho-restorative dentistry.
Attracting new patients is something many dentists struggle with—no matter how many years they’ve been practicing. This can be especially difficult for new dentists, however, as they’re still trying to figure out the best services to offer and the best products to invest in—all while working to pay off their debt and learning the business side of running a practice.
No matter how much experience you have as a dentist, getting patients to accept treatment can be challenging. Patients are always looking for reasons to say no, and often convince themselves they don’t need what you’re recommending, or that it can wait. This can be frustrating, and certainly doesn’t do much to grow your practice or your bottom line.