DE's Breakthrough Clinical | View online | May 7, 2015 | Forward to a Friend

Triathlons and dentistry: How your effort can be a measure of success

I love triathlons. The physical and mental challenges of the sport are addicting, especially when my fiercest competition is myself. I have found that if I keep my training simple, my ability to swim a little faster, bike up that hill with an oh-so-intense burn in my legs, and run a bit farther is a challenge I can rise up to. On race day (or even when I’m training for that matter) I don’t measure my results based on a clock or who passed who; rather, if I gave it my all, then I am satisfied. And that’s the beauty of it.

Dentistry is no different. How? Because even though we may be good at what we do, we always have an opportunity to do it better. If we defined success based on results alone, our impression and satiety of that accomplishment would not reach its full potential. So join me, and together we can swim a little faster, bike a little longer, and run a little farther. Without a doubt, we’d make one hell of an amazing team!

Dr. Stacey Simmons

Original Articles From Breakthrough Clinical

Thoughtful use of local delivery antimicrobial agents in periodontitis

$subtitles.get($x) Local delivery antimicrobial agents (LDAs) have long been readily available for treatment of periodontitis and more recently for peri-implantitis. But Dr. John Remien says LDAs are not a panacea for unstable periodontitis lesions/conditions. The ability of the clinician to “read” the tissues during maintenance visits using assessment of reprobing results, tissue form, firmness, and color, as well as probing assessment of root roughness/smoothness, is critical to the long-term successful maintenance of the periodontal patient. Arguments for or against the use of LDAs are numerous, and the practitioner needs to develop a thoughtful decision tree regarding when to consider their use.

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Treatment considerations for the congenitally missing maxillary lateral incisor

$subtitles.get($x) In the practice of dentistry, one of the more common dental anomalies we encounter is hypodontia, the condition in which a person is missing one to six teeth. Excluding wisdom teeth, hypodontia reportedly affects between 3% and 8% of the population. The long-term management of hypodontia in the esthetic zone is a particularly challenging situation. Here, Dr. James Schmidt identifies the available options and discusses some of the advantages and disadvantages of each. It is imperative to manage these patients from an interdisciplinary diagnostic and treatment perspective.

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ENDODONTICS: Endodontic insight into safety, efficiency, and cost savings

$subtitles.get($x) A good insight into endodontics is the understanding that the shapes an endodontic instrument imparts to the canal need not be conical in cross-section. While we need continuous tapers for effective irrigation and obturation, there is nothing in that need that requires the same taper in both planes with conical instrumentation being the unalterable result. Dr. Barry Musikant explains how the pathway out of this dilemma is the use of modified reamers and gives a detailed case report of how manipulating the canals in more than one dimension can lead to a more effective seal and subsequent obturation.

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New Exclusives From the DentistryIQ Network

Eye safety in dentistry

$subtitles.get($x) Authors Peter Arsenault, DMD, MS, and Amad Tayebi, ScD, Esq., discuss the inadequacy of the current dental mask and eyewear combination for protecting dental providers, as well as various types and sources of dental practice eye occupational hazards and the possible entry routes of dental debris toward practitioners’ eyes. The authors also present experimental work investigating the shortcomings of the current dental mask/eyewear combination for protecting dental providers’ eyes.

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Understanding and managing peri-implant bone loss

$subtitles.get($x) Although a high survival rate of implants has been documented in numerous long-term studies, peri-implant bone loss presents a problem that can compromise—or even result in the loss of—a successful dental implant restoration. Dr. Stuart J. Froum offers an in-depth look at how the dental professional can diagnose and prevent bone loss, and maintain a successful implant restoration.

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Pathology and Diagnosis

Breakthrough Clinical pathology case: No. 4—Two patients with the same diagnosis

$subtitles.get($x) Dr. R.F. John Holtzen, an oral and maxillofacial surgeon, describes two cases he encountered involving young teens who ultimately received the same histopathologic diagnosis, but were treated following different protocols.

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Answer to April’s Breakthrough Clinical pathology case: No. 3

$subtitles.get($x) In the April issue of Breakthrough Clinical, Editorial Director Stacey Simmons, DDS, presented a pathology case. Here, she discusses her diagnosis and recommended treatment. Is this the same conclusion you came to?

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Visit Breakthrough Clinical’s Facebook Group

$subtitles.get($x) To network with your colleagues and share information about cases, visit our new Facebook group. Here we have a place where we can freely discuss cases, treatment, clinical outcomes, and more. Come join us!

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Continuing Education and Sponsored Information

CE: Opioids: Overview, Uses and Management of Acute and Chronic Pain (3 CE credits)

$subtitles.get($x) 50% off this CE course through June 18, 2015. Regular cost: $59. Final cost after discount: $29.50. Use promotion code DEBCMAY15 at checkout.

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CE: Management of Erythematous Oral Lesions (2 CE credits)

$subtitles.get($x) 50% off this CE course through June 18, 2015. Regular cost: $49. Final cost after discount: $24.50. Use promotion code DEBCMAY15 at checkout.

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SPONSORED INFORMATION: Tango-Endo: It only takes two!

$subtitles.get($x) The Tango-Endo system from Essential Dental Systems includes its own reciprocating handpiece. You don't have to purchase an expensive rotary motor.

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SPONSORED INFORMATION: Advanced Invisalign Technology is designed to help your practice thrive and grow

$subtitles.get($x) As an Invisalign provider, you can stay on the leading edge of dental technology—a great way to position your practice for long-term growth and success.

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