Missing lateral incisors: implant-related dilemmas

2021 ◽  
Vol 14 (3) ◽  
pp. 139-145
Author(s):  
Nicola Wade ◽  
Andrew Shelton ◽  
Matthew Gahan
Keyword(s):  
Dental Implant ◽  
Dental Care ◽  
Clinical Relevance ◽  
Clinical Situation ◽  
Lateral Incisor

This article provides an overview of the management of developmentally missing lateral incisors. When prosthodontic replacement of the missing lateral is required, wherever possible, implant-supported prostheses are considered the preferred definitive replacement option. The developmentally missing lateral incisor presents a unique aesthetic challenge. Developments in dental implant systems have implications in the management of this particular clinical situation. CPD/Clinical Relevance: To highlight the importance of interdisciplinary dental care, including the orthodontist and restorative dentist, in treatment of patients with missing lateral incisors.

Dental care for the bariatric patient

Dental Update ◽  
2021 ◽  
Vol 48 (4) ◽  
pp. 302-306
Author(s):  
Jessica Hamilton ◽  
Mary Gittins ◽  
Andrew Geddis-Regan ◽  
Graham Walton
Keyword(s):  
General Anaesthesia ◽  
Dental Care ◽  
Clinical Relevance ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Careful Consideration ◽  
Equitable Access ◽  
Bariatric Patient ◽  
Access To Dental Care ◽  
Obese Population

As the overweight and obese population increases, one must be mindful of the implications on the delivery of dental care to this group. Appropriate facilities must be available, which may warrant structural and equipment adaptations to clinical and non-clinical areas. The complexity of dental treatment planning and delivery may be compounded by medical comorbidities, and careful consideration must be given to the suitability and safety of conscious sedation and general anaesthesia in order to facilitate treatment. This article aims to discuss how safe provision and equitable access to dental care can be achieved for the bariatric population. CPD/Clinical Relevance: This article aims to discuss the challenges posed by the increase in the overweight and obese population and considerations to be taken for provision of safe and equitable bariatric dental care.

scholarly journals Crown-Root Angulation of Central Incisors in Cases With Maxillary Lateral Incisors Agenesis

2017 ◽  
Vol 13 (15) ◽  
pp. 330
Author(s):  
Alexandru Ogodescu ◽  
Ramona Ştefănescu ◽  
Emilia Ogodescu ◽  
Andreea Igna ◽  
Magda Luca ◽  
...  
Keyword(s):  
Early Detection ◽  
Dental Implant ◽  
Treatment Plan ◽  
Interdisciplinary Approach ◽  
Frontal Area ◽  
Lateral Incisor ◽  
Crown Root ◽  
Maxillary Lateral Incisor

Dental agenesis of the maxillary lateral incisor is a frequently seen anomaly in children and teenagers nowadays. It can alter the esthetics as well as the functions in the frontal area of the maxilla and therefore, early detection and therapy would be beneficial. The treatment often implies an interdisciplinary approach between orthodontics and implantology. One of the particularities of this kind of treatment is given by the distal angulation of central incisor’s root, which invades the space required by the dental implant. Any treatment plan should begin with a thorough radiographical analysis of the space and morphological particularities of the central incisors.

scholarly journals Dental Implant for a Patient with Narcolepsy: A Case Report

2020 ◽  
Author(s):  
Hani Mawardi ◽  
Yasser Mahfouz ◽  
Siraj Dakhil ◽  
Mohammed Zahran ◽  
Lena Elbadawi
Keyword(s):  
Dental Implant ◽  
Lateral Incisor ◽  
Periodontal Pocket ◽  
Collagen Membrane ◽  
Allogenic Bone ◽  
First Case ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
Narcolepsy Patient ◽  
Allogenic Bone Graft

Narcolepsy is a neurological disorder characterised by cataplexy, sleep paralysis and excessive daytime sleepiness. The literature on dental managements of patients with narcolepsy is lacking with no set guidelines for dental practitioners. A 31-year-old female presented to the dental office with a dull pain related to the maxillary left lateral incisor with Grade 2 mobility and isolated 8 mm periodontal pocket. In addition, there was loss of buccal gingiva with radiographic changes suggestive of caries and fractured crown. The patient had a history of narcolepsy with cataplexy and hypertension controlled with bisoprolol and desvenlafaxine in addition to clonazepam 1 mg/day as needed to prevent episodes of cataplexy. Patient was asked to take 2 mg clonazepam and 600 mg ibuprofen one hour before procedure. The maxillary left lateral incisor was extracted atraumatically and an immediate implant combined with allogenic bone graft and collagen membrane was placed. The procedure was uneventful, and patient left conscious and stable. After three months, the implant was restored with porcelain fused-to-metal crown and followed-up for six months without any complications. This is the first case describing a narcolepsy patient who successfully received a dental implant without developing a cataplexy episode. Clonazepam prophylaxis may be considered prior to dental procedures for similar situations.

The Establishment of an Intravenous Conscious Sedation Service for Adult Patients in a Primary Dental Care Setting

Dental Update ◽  
2020 ◽  
Vol 47 (1) ◽  
pp. 22-36
Author(s):  
Rebecca SL Binnie ◽  
Nigel D Robb ◽  
Sarah L Manton ◽  
Stephen J Bonsor
Keyword(s):  
Surgical Procedures ◽  
Dental Care ◽  
Clinical Relevance ◽  
Care Setting ◽  
Conscious Sedation ◽  
Dental Anxiety ◽  
Adult Patients ◽  
Behaviour Management ◽  
Dental Practitioners ◽  
Management Techniques

Dental anxiety is common within the population and can detrimentally affect the delivery of dental care for those patients affected. Non-pharmacological-based behaviour management techniques are available to the clinician but may not be sufficient or applicable for every patient. In such cases, intravenous conscious sedation with midazolam has been demonstrated to be safe, effective and well tolerated. The present article reviews the criteria and guidance which must be addressed by the dental team when establishing an intravenous conscious sedation service in a primary dental care setting. CPD/Clinical Relevance: General dental practitioners may wish to consider establishing a conscious sedation service in their practices to facilitate the care of nervous patients or those undergoing prolonged, unpleasant treatments such as surgical procedures. The present paper aims to highlight the considerations which require to be addressed in order to establish such a service for adult patients using intravenous midazolam.

Tooth autotransplantation part 4: Alternative treatment options

2020 ◽  
Vol 13 (2) ◽  
pp. 78-86
Author(s):  
Sophy Barber ◽  
Ahmed Al-Khayatt ◽  
Nadine Houghton
Keyword(s):  
Alternative Treatment ◽  
Clinical Relevance ◽  
Treatment Options ◽  
Treatment Strategies ◽  
Clinical Situation ◽  
Treatment Choice ◽  
Tooth Replacement ◽  
Missing Teeth ◽  
Tooth Transplantation ◽  
Successful Technique

Tooth autotransplantation is a versatile and successful technique if used in suitable cases; however, it is not always the optimal treatment choice. This article will explore alternative treatment strategies for managing failing or missing teeth, including methods for managing the bone, orthodontic options and techniques for tooth replacement. These methods may be considered as an adjunct to tooth transplantation, or an alternative, if transplantation is not deemed appropriate. Indications for alternative treatments are discussed with illustrations from treated cases. CPD/Clinical Relevance: A number of approaches are available for managing failing or missing teeth and are dependent on the clinical situation. It is important for dental specialists to understand these options and to work collaboratively to determine the best option for patients on an individual basis.

Too old to sedate: How old is too old?

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 106-113
Author(s):  
Natalie Bradley
Keyword(s):  
Older People ◽  
General Anaesthesia ◽  
Old Age ◽  
Dental Care ◽  
Clinical Relevance ◽  
Older Patients ◽  
Dental Treatment ◽  
Anxiety Control ◽  
The Uk ◽  
Dental Work

The UK population is ageing with over a quarter of people predicted to be over 65 by 2040. People are retaining their teeth into old age, often having experienced complex restorative dental work over the years. The increasing complexity of dental treatment that older people require will create challenges for those who provide care for this population, including dental treatment under sedation or general anaesthesia. This article discusses the medical, dental and social considerations that need to be taken into account when planning dental care for older patients under sedation or general anaesthesia. CPD/Clinical Relevance: Dentists who provide sedation must be able to appropriately assess and manage their older patients safely if considering this method of pain and anxiety control for dental treatment.

Redeployment of dental teams during the covid-19 pandemic: A review of experiences and lessons learned

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 152-155
Author(s):  
Christopher Platais ◽  
Francesca Siodlak ◽  
Ishpinder Toor ◽  
Louise Ormondroyd
Keyword(s):  
Dental Care ◽  
Service Provision ◽  
Clinical Relevance ◽  
Healthcare Systems ◽  
Routine Care ◽  
Lessons Learned ◽  
Early Career ◽  
Healthcare Staff ◽  
Health Crisis ◽  
Medical Wards

The COVID-19 pandemic has spread across the globe, causing millions of cases and disrupting the lives of people worldwide. The increase in the number of critically unwell patients has put healthcare systems under immense strain, requiring them to adapt their service provision to cope with increased demand. At Guy's and St Thomas' NHS Foundation Trust (GSTFT) in London, redeployment of healthcare staff has been used to relieve pressure on the most overburdened hospital sectors, and this saw clinical dental teams involved in auxiliary medical roles throughout much of 2020. On the cusp of the New Year, COVID-19 cases continued to soar and GSTFT opted to cancel routine care and re-implement a second round of clinical redeployment. Here, we discuss our experiences and present positive feedback of early-career dentists being redeployed to medical wards during the UK's greatest health crisis of recent years. CPD/Clinical Relevance: Clinical dental teams can positively contribute to the national COVID-19 response through the provision of urgent dental care, inpatient mouthcare services and auxiliary medical roles.

The Maxillary Sinus: What the General Dental Team Need to Know Part 4: Dental Implant Treatment and the Effect on Maxillary Sinus Function

Dental Update ◽  
2020 ◽  
Vol 47 (7) ◽  
pp. 584-593
Author(s):  
Colin Campbell ◽  
Garmon W Bell ◽  
Iain MacLeod ◽  
James C Darcey
Keyword(s):  
Maxillary Sinus ◽  
Dental Implant ◽  
Clinical Relevance ◽  
Normal Function ◽  
Surgery Complications ◽  
Post Surgery ◽  
And Function ◽  
The Impact ◽  
Implant Treatment

This paper, the last of a 4-part series, will discuss the impact of dental implant treatment on the health of the maxillary sinus. The need for assessment of maxillary sinus health and function, both clinically and radiographically, will be discussed. Strategies for implant planning that can reduce and mitigate complications will also be discussed, along with common surgical/post-surgery complications and the impact of these on patients. CPD/Clinical Relevance: The Dental Team should be aware of the factors taken into consideration when implants involving the atrophic maxillary alveolus are planned, or provided, in relation to normal function of the maxillary sinus.

Effect of Cyclic Loading on the Bond Strength of Class II Restorations with Different Composite Materials

10.2341/07-65 ◽  
2008 ◽  
Vol 33 (2) ◽  
pp. 163-168 ◽  
Author(s):  
A. N. Cavalcanti ◽  
F. H. O. Mitsui ◽  
F. Silva ◽  
A. R. Peris ◽  
A. Bedran-Russo ◽  
...  
Keyword(s):  
Composite Materials ◽  
Cyclic Loading ◽  
Bond Strength ◽  
Clinical Relevance ◽  
Resin Composite ◽  
Clinical Situation ◽  
Class Ii ◽  
Selection Of

Clinical Relevance New resin composite technologies, such as nano-filled-based systems, have been developed. The assessment of such materials in a simulated laboratory chewing condition may assist with the selection of composites in a clinical situation.

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