Dentaltown April 2013 - (Page 137)

case presentation feature by Paresh B. Patel, DDS Fig. 1 It’s kind of hard to imagine the past (extractions) and the future (implants) working well in the present, but they do! With so many potential patients out there who have put off dentistry, the need for extractions and overdentures is astronomical. Let’s make 2013 the year where implant placement increases for everyone. We have made excuses on why we have not stabilized dentures with implants for more than a decade since the McGill Consensus statement came out in 2002. Most people don’t wear their conventional dentures for one reason – they will not stay in place. We all know dental implants have success rates of more than 90 percent, one of the highest rates of any implanted surgical device. This year I encourage any general dentist who is surgically oriented to commit the time and get the proper training to help patients replace the teeth we extract with implants and overdentures. Why Overdentures and Small Diameter Implants? • • • • Minimally invasive No more adhesive Restores confidence, improves speech Improves function and dietary needs Case Report Fig. 2 A 56-year-old female presented at our office with the chief complaint that her upper teeth were movable, hurt and her partial was ill-fitting (Fig. 1). She wanted to discuss how she could replace her teeth with implants. The upper arch was most important to her, as that is what caused her the most discomfort. The maxilla had six remaining teeth and two unerupted wisdom teeth. After a full workup, a CT scan (GBX-500 i-CAT) was obtained (Fig 2). The primary reason was to confirm the bone sounding measurements that demonstrated a thin ridge in the buccal/lingual dimension as well as pneumatized sinuses. As expected, the i-CAT slices showed <3mm of width in most areas. After much discussion it was decided to stage her continued on page 22 dentaltown.com « SPECIAL SUPPLEMENT 21 http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown April 2013

Dentaltown.com Highlights
Howard Speaks: What Winners Do and Losers Don’t
Professional Courtesy: Three Cheers for IT
Continuing Education Update
Dentaltown Research: Lasers
“Funny Feeling” on Lower Right Jaw
Missing Laterals, Bonded Maryland Bridges, Ribbond or Something Else?
Corporate Profile: Henry Schein
New Products
Office Visit: A Giant in Dentistry
Do-it-Yourself Finance, Part V: Insurance
Two Techniques to Make a Bite Record for a Full-arch Case
Team Strength: What Drives Your Team to Do More?
Living by the Golden Dozen
Diagnosing Aesthetic Disharmonies
Cosmetic Case Presentation
Using Tetric EvoCeram Bulk Fill to Easily and Predictably Place Direct Posterior Restorations
Continuing Education: Utilizing Laser Procedures for Restorative Access
Product Profile: Imaging Sciences International’s i-CAT FLX
In This Issue: Preparing for the Future
Perio Reports
Ad Index
Profile in Oral Health: The RDH’s Approach to Periodontal Therapy: Past, Present and Future
Perio Maintenance
Dentally Incorrect
Dentaltown Special Supplement
Product Profile: Zimmer Dental
Full Lower – Converted to Immediate Load
Immediate Placement #19 and 20 with BSB
American Academy of Implant Dentistry 62nd Annual Meeting Preview
Raising Your Denture Patient to a Higher Standard
Back to the Future – Extractions and Small Diameter Implants for Overdentures
Continuing Education: Top Implantology Breakthroughs for the GP: Part 2

Dentaltown April 2013