Joseph E. Pechter, DMD Periodontics and Dental Implant Surgery

Dental Implant Failures, Penicillin and Systemic Medications

8/9/2022

I thought you might be interested in reading the following two articles.

Earlier this year, another study associated Dental Implant Failure with Penicillin Allergy. You can read an article explaining the results of this study here:

Click here:
https://www.perioimplantadvisory.com/clinical-tips/article/14276269/dental-implant-failure-and-penicillin-allergy-explained?fbclid=IwAR1bt0F70_fXXbtSz_PjYiUyC5XS_Nw8HetrYjorneZu1N9014vWrvkHEOU

Here is another article regarding Osseointegration and other Systemic Medications such as Bisphosphonates, SSRIs, Steroids, Alcohol, and NSAIDs:

Click here: https://jcda.ca/g7

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Current protocols regarding the use of Chlorhexidine Varnish and Fluoride Varnishes during periodontal/peri-implant maintenance visits.

4/21/2020

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Check out the latest articles regarding the use of varnishes in conjunction with perio/implant maintenance visits:

Click here: 3/1/2020 - RDHMAG - Biofilm-focused care protocols for natural teeth, implants, and restorations.
Click here: 3/1/2020 - RDHMAG - Maintenance and disease treatment protocols for natural teeth, implants, and restorations.
Click here: 9/7/2018 - Dimensions of Dental Hygiene - What Is the Efficacy of Chlorhexidine Varnish for Root Caries?

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Combining Lip Repositioning, Crown Lengthening, and Veneers

1/16/2018

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I thought you might be interested in a few good recent articles combining lip repositioning and crown lengthening surgeries. This can be useful for patients with anterior veneers or crowns:

Click here: Modified Lip Repositioning Combined with Crown Lengthening. 2017
Click here: Lip Repositioning to Eliminate the Gummy Smile. Inside Dentistry. Mahn. 2017
Click here: Eliminating Gummy Smile. Clinical Sciences. Simon. 2007

Feel free to comment with your own experiences with these types of procedures.

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Teeth in One Hour

8/28/2017

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See the following guide for how to restore implants with a Nobel-style immediate temporary. Feel free to comment on your own experiences.

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Managing dental implant complications

4/27/2017

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I thought you would like to read the following recent articles regarding managing dental implant complications during maintenance therapy:

Click here: Managing Implant Complications

Click here: Implant Complications During Maintenance Therapy

Click here: Post-Surgical Implant Care - Great for Hygienists

Please feel free to comment!

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Managing Broken, Stripped, or Loose Implant Abutment Screws

1/25/2017

1 Comment

I thought you might like to read the following recent articles regarding managing broken, stripped, or loose implant abutment screws.

Click here: 3 Techniques to Remove Broken Abutment Screws

Click here: Tips to Removing a crown from a tooth with a loose abutment

Click here: Dealing with a loose implant crown

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Overdenture Innovation: The R-Tx Denture Attachment

12/20/2016

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I thought you might be interested in information regarding the new locator R-Tx denture attachment:

Advantages:
Can treat a 60 degree (rather than 40 degree) convergence/divergence between implants eliminating the need for angled abutments.
Patient is able to more easily align and seat the denture due to the tapered dual engaging geometry of the abutment.
Horizontal grooves in the housing allow for enhanced pivot range of motion and better resistance to vertical and rotational movements.
Pink color is more esthetic.
All in one packaging includes abutment and processing components.
And more! (See above)

Keep in mind:
Uses a different torque driver .050”/1.25mm Hex.
Uses a new locator tool.

For more information:
Click here for video: Clinical Demonstration: Pick-up of Zest Locator R-Tx Denture Attachment Housings
Click here for guide and manual: Locator R-Tx Technique Manual
Study: Load Transfer Characteristics of Various Designs of Three-Implant-Retained Mandibular Overdentures

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Emerging Dental Implant Complication : Open Contacts

12/5/2016

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I thought you might be interested in reading recent articles concerning the emerging dental implant complication : open contacts:

Click here: Implant Dilemma: What's Going on with Open Contacts?
Click here: Open contacts adjacent to dental implant restorations: Etiology, incidence, consequences, and correction
Click here: Occlusal Considerations for Dental Implant Restorations

Please feel free to comment or share your own experiences concerning this dilemma.

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All-On-4 Implants - Fixed Hybrid Treatment Model

10/24/2016

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I have found the following information extremely helpful in treatment planning and restoring patients using the All-On-4 Fixed Hybrid Treatment Model:

Click here for article: How to Develop a Successful Fixed Hybrid Treatment Model
Click here for ebook: 98% of Patients Would Recommend All-On-4
Click here for video: Watch the Surgical Procedure and Denture Conversion
Click here for guide: All-On-4: Restorative Quick Guide

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Gingival Recession - Graft, Restore, or Both?

10/24/2016

2 Comments

Below is a great guide for treatment planning and restoring teeth with gingival recession:

Gingival Graft-only:
• There is no attached gingiva.
• No enamel defects are present.
• There is Class I or II recession (no loss of interdental bone or soft tissue).
• Papilla length and fullness are adequate.
• Esthetics is important.

Restoration-only:
• There is adequate attached gingiva.
• The defect is mainly in enamel.
• The lesion is deeper than 2 mm horizontally.
• There is sensitivity.
• There is a Class 3 recession (loss of interdental bone height making complete root coverage not possible)
• Esthetics is not of primary importance.

Graft and Restore:
• There is no attached gingiva.
• There is a defect in the enamel and the cementum/dentin.
• There is sensitivity.
• Recession is significant (≥ 2mm).
• Papilla length and fullness are inadequate.
• Esthetics is important.

Here are some informative recent articles describing the combined surgical and restorative approach:
Click here for article: Treating Noncarious Cervical Aesthetic Zone Lesions: Using Acellular Dermal Matrix and Tunnel-Grafting Techniques
Click here for article: Addressing Cervical Class V Lesions

Here is an good article describing the restorative-only technique:
Click here for article: Spear - Treatment of Class V Lesions

Here is an good article describing the combined approah to treat gingival recession:
Click here for article: Interdisciplinary Approach to Treat Cervical Lesions

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<<Previous

Dental Implant Failures, Penicillin and Systemic Medications

Current protocols regarding the use of Chlorhexidine Varnish and Fluoride Varnishes during periodontal/peri-implant maintenance visits.

Combining Lip Repositioning, Crown Lengthening, and Veneers

Teeth in One Hour

Managing dental implant complications

Managing Broken, Stripped, or Loose Implant Abutment Screws

Overdenture Innovation: The R-Tx Denture Attachment

Emerging Dental Implant Complication : Open Contacts

All-On-4 Implants - Fixed Hybrid Treatment Model

Gingival Recession - Graft, Restore, or Both?

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