This week we have the pleasure of learning from Dr. Nekky Jamal, on the basics of PRF and how to incorporate it in your daily practice. Dr. Nekky Jamal is a faculty member at the Bites Institute and a full time practitioner in Alberta, Canada. PRF What is it? Platelet rich fibrin also known as…
It’s Friday afternoon. You’re ready to go home. You’ve extracted a tooth on the maxilla, and now you see an itty-bitty hole in bottom of the tooth socket. Could it be…a sinus perforation? This can lead to a lot of problems down the road for the patient. In fact, tooth extractions are not the only way oroantral communications (OAC) can happen. Dental…
Platelet Rich Fibrin also known as PRF Platelet rich fibrin also known as PRF has gained popularity for use in surgical procedures to help heal the site more rapidly and effectively through it’s potential ability to stimulate regeneration of a variety tissue types. What is it? It is the patient’s own blood collected at the…
Amalgam tattoos in the esthetic zone is a tricky problem to solve. Recent research shows that superficial pigmentations can be treated easily with lasers. However, deeper tattoos can involve soft-tissue, bones and periosteum – as can be seen in areas with endodontic amalgam retro- fills. Case Report A 45 years old female presented to the clinic…
“The gingival flap distal to an erupting molar, an operculum, can cause a lot of havoc.” An operculum can lead either to pain caused by the occlusion of the opposing maxillary molar or by local inflammation/infection (pericoronitis) because of food debris and plaque accumulation between the tooth surface and the gingival flap. The painful and/or inflamed/infected operculum…
The following presentation is part of three case series on management of macrodontia of fused anterior maxillary incisors. Tune in each week as we discuss each unique scenario. Part 1 Macrodontia of anterior teeth may be an isolated condition or occur as a result of fusion, gemination, or concorcense of teeth. Just to refresh: Fusion of…
Case Presentation A 19-year-old man presented to the dental office with pain and swelling around tooth 4.6. The tooth had a history of an initial root canal treatment, 5 years ago, due to a diagnosis of symptomatic irreversible pulpitis. The tooth was retreated two times by endodontists, due to continued symptomatic apical periodontitis. Intraoral examination revealed a…
When placing implants in the esthetic zone, the response of the peri-implant soft tissue is just as important as the final restoration. What creates a pleasing smile is not only the size and shape of the teeth, but also the frame that they’re held in – the gingiva. The margin, color, texture, and height of…
Following the extraction of a tooth, we can expect short-term and long-term resorption of the hard and soft tissues. Even with bone grafting of the extraction socket, there is still 1-2 mm loss of volume. This loss of volume is increased when we delay implant placement or socket preservation, leading to more invasive procedures being needed…
Immediate implant placement following tooth extraction is a predictable treatment with a high success rate. However, when it is done in the anterior esthetic zone, bone and gingival recession can be expected following extraction of the natural tooth. It has even been shown that this soft and hard tissue remodeling takes place, irrespective of if an implant…