Conventional extraction techniques, using only elevators and forceps cause immediate and long-term changes to ridge integrity. Immediately following extraction, we see buccal plate fracture in 10% of cases, dehiscence in 28% of cases, and even buccal plate loss (4% of cases). In the long-term we can see ridge collapse 23% of the time. All these…
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…
How do you answer your patient when they ask you why their TMJ clicks? The truth is that the answer is not very clear, and there hasn’t been any consistent research to tell us why. Temporomandibular disorders (TMDs) can present with pain, limited jaw mobility or clicking sounds. The most common thought is that malocclusion…
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…
The most common indication for the removal of third molars is pericoronitis, non-restorable caries or internal resorption. Yet, when a third molar is close to the inferior alveolar nerve, the risk of nerve injury is high. So the practitioner is put in a tough spot, having to accept the high risk of eventual parasthesia or…
Ectodermal dysplasia can present with a variety of manifestations. 1/10,000 people are affected in different ways. Patients can show up with signs of sparse hair, malformed sweat glands, abnormally developing nails, skin diseases, vision disturbances, hypo or anodontia. Considering that this is a hereditary condition present at birth, the psychosocial effects on the patient are…
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…
Case Presentation A 65-year-old woman presents to the clinic for periodontal treatment and during the routine intraoral exam, a firm nodule is noticed in the right buccal mucosa. The nodule is well circumscribed in the posterior right buccal region, measuring 2.5 cm in diameter. The mucosa overlying the nodule appears normal. Patient is unaware of…
You will always remember the day you found hair growing in someone’s mouth. The oral cavity is derived from the stomodeum, and ectodermal derivatives like sebaceous glands are not unheard of. However, the presence of sebaceous glands and hair growth together is extremely rare. So rare that only 5 cases have been reported so far. The first case was…