Dental Tribune International
Clinical
Retreatment of a carrier-based root filling with bypassing of two ledges

November 11, 2021

In symptomatic periapical periodontitis, sufficient preparation and disinfection of the root canal is usually the only way to eliminate pain. Particularly in difficult initial situations, a reliable and efficient file system is therefore needed to provide a sufficient restoration. Using a current patient case as an example, I demonstrate in this article how a retreatment can be achieved quickly and confidently despite the presence of ledges and a carrier-based root canal filling.

Calcium silicate-based endodontic materials: A clinical perspective

November 8, 2021

Root canal decontamination and adequate sealing play an important role in endodontic success. However, the obturation process represents a challenge to the clinician owing to the complex anatomy and irregularities of the root canal system, making selection of the obturation material a key step during treatment.1 Calcium silicate-based endodontic materials are ceramic compounds that present good sealing properties owing to their similarity to human hydroxyapatite.2 One of their great advantages is excellent biocompatibility, which prevents rejection by the surrounding tissue, as it contains calcium phosphate, thereby improving the biochemical properties, providing a crystalline structure similar to the bone and dentine apatite.3 The calcium silicate-based materials include in their composition alumina, zirconia, bioactive glass, glassceramics, hydroxyapatite and resorbable calcium phosphates.4

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Target endodontic microsurgery

October 5, 2021

Endodontic microsurgery (EMS) has become a more effective treatment compared with more traditional surgical approaches. Regardless of the technique improvements, it can be challenging to locate the root apex, especially in cases of difficult access, intact thick buccal cortical bone and anatomical obstacles. This article describes a new approach with the use of a 3D-printed template to guide osteotomy in order to access the root apex.

Aesthetic crown lengthening, exostosis removal and veneer restorations

August 26, 2021

A 31-year-old female patient presented to our care with esthetic concerns regarding the appearance of her gummy smile and bony protuberances above her maxillary dentition. The patient had photographs taken at the initial visit and an in-action video of her speaking and smiling to better understand and document the patient’s concerns. We treated her gummy smile with esthetic crown lengthening and restored her dentition with veneers and removed the bony protuberances.

Full-mouth restoration with Zolid FX— a successful concept for sophisticated prostheses

August 25, 2021

The patient case outlined here describes the challenges that prostheses have to meet under high stress. The patient presented to the practice with pronounced abrasion and asked to have his natural dental appearance restored. Full-mouth restorations have their own challenges, and this was particularly so for this patient, who tended to relieve his daytime stress by grinding his teeth at night. After completion of pretreatment and splint therapy, the patient presented to us with the status shown in Figures 1 and 2.

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Achieving anatomical shape, support and colour with an Atlantis patient-specific abutment

August 19, 2021

The aim of this case presentation is to show a step-by-step workflow with Atlantis patient-specific abutments. The case is of a 36-year-old patient with a vertical fracture of tooth #46 who was referred to our clinic.

Lane keeping assistance systems in endodontics

August 10, 2021

A fully automatic navigation assistant for root canal therapy? What may initially sound like robo-doc treatment or treatment by remote control will take endodontics a significant step forward on the way to sustainable, reliable preparation. Cases presented in this article illustrate how digital endodontic assistance systems will revolutionise everyday treatment in the future.

Celebrities’ Smile Makeup—the MiCD way

August 4, 2021

In today’s beauty-adoring society, most people have the desire to look and feel their best, since facial and physical appearance have a crucial role to play in an individual’s self-esteem, happiness and eventual success. It is undeniably human nature to attribute positive personality characteristics to attractive individuals, and such people customarily receive favourable treatment in a variety of situations.1 Beauty is subjective and difficult to delineate, as it lies in the eyes of the beholder, and the same applies to a beautiful smile. A substantial amount of research has suggested that smiles are powerful social forces that positively influence interpersonal judgements in innumerable ways. In global business, beautiful smiles are widely used as a marketing tool to produce positive impressions among fans and other consumers.

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