Microsurgical endodontics with the aid of CBCT imaging
View online | February 4, 2016 | Forward to a Friend

Dentistry 101: Always place the patient first

“Always place the mission first.” Those words were drilled into my head last weekend at a Spartan race, where I carried a 60 lb. sand bag in the dark for four hours while doing various obstacles meant to test my physical and mental strength. Crazy? Maybe (yes!), but when we apply that concept to dentistry, it makes sense. Patients are, after all, the reason we are able to do what we love to do. We must always have their best interests in mind, despite the clinical challenges that so often accompany treatment. The articles in this month’s edition can help us with those clinical barriers that sometimes cause us to forget to “place the patient first.”

Obstacle No. 1: Unsuccessful root canal. What are your options? Dr. Brian McCormack shows us how the use of CBCT can enhance the outcome of microsurgical endodontics.

Obstacle No. 2: Chronic periodontal disease. Do you treat it with or without adjuncts? The answer may surprise you in this article by American Academy of Periodontology President Dr. Joan Otomo-Corgel.

Obstacle No. 3: Patient complains of a “lump under her tongue.” Dr. Kevin Connor is back with another thought-provoking pathology case.

Enjoy, my friends!

—Stacey L. Simmons, DDS, Editorial Director

Original Articles from Breakthrough Clinical

Nonsurgical periodontal disease treatment: The periodontist’s point of view

$subtitles.get($x) For patients who present in the early stages of periodontal disease, nonsurgical periodontal therapy (NSPT) is often the first line of defense against further disease progression . . . and dentists have access to an entire arsenal of options at their disposal. Dr. Joan Otomo-Corgel, president of the American Academy of Periodontology, shares the periodontist’s view with respect to NSPT, as she references the American Dental Association’s clinical practice guidelines and offers her years of experience in the comprehensive management of chronic periodontitis.

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Microsurgical endodontics with the aid of CBCT imaging

$subtitles.get($x) Dr. Brian McCormack says nonsurgical endodontic retreatment should be our first treatment choice when we encounter a situation where endodontic treatment is failing. He presents two cases that show how the aid of CBCT imaging, along with proper case selection, can help us maintain our patient’s natural dentition. Both cases are ideal for microsurgical endodontics and both deal with the esthetic zone, which, in turn, has its own challenges for implant treatment planning. See how he plans for possible implant placement in the future.

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My Picks from the DentistryIQ Network

So you shot a lion and you are public enemy No. 1: Now what do you do?

$subtitles.get($x) During the summer of 2015, Dr. Walter Palmer, a dentist from Bloomington, Minnesota, sparked international outrage when he killed a lion in Zimbabwe named Cecil. This tragic event led to a public outcry calling for Dr. Palmer’s dental license to be revoked, forced the closing of his office for more than a month, led to death threats against him and his family, and a barrage of negative reviews against his private and professional life. This event raises the question of what steps a person (in this case, a dentist) who relies on public sentiment should take when a negative event occurs in order to “mitigate a crisis.” Perio-Implant Advisory Editorial Director Dr. Scott Froum lists some key elements of post-crisis management that must not be ignored.

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'Pearls' Enhanced: Joshua Austin, DDS, FAGD, discusses Orascoptic's EyeZoom loupes (VIDEO)

$subtitles.get($x) Joshua Austin, DDS, FAGD, editorial director of Pearls for Your Practice: The Product Navigator, discusses Orascoptic’s EyeZoom loupes. After demoing a pair, he says that EyeZoom will change the future of magnification in dentistry. Watch the video to hear his thoughts.

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Dental coding with Kyle: D4341 and D4342, scaling and root planing

$subtitles.get($x) Kyle Summerford, editorial director of Dental Assisting Digest, focuses on codes D4341 and D4342, scaling and root planing, as he discusses what insurance companies are looking for, and some of the reasons they may turn down your claims. This article is a good read to help your practice collect more in claims.

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America's ToothFairy Celebrates 10 Years in 2016

$subtitles.get($x) America’s ToothFairy: National Children’s Oral Health Foundation was formed in 2006 as a collaborative effort of clinicians, academicians, corporate leaders, and caring individuals to promote the importance of oral health and address the national pediatric dental health crisis. View this slideshow as we celebrate National Children’s Dental Health Month.

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Pathology and Diagnosis

Breakthrough Clinical oral pathology case: No. 12

$subtitles.get($x) Dr. Kevin Connor presents this month’s oral pathology case: A healthy 21-year-old female presents to the dental office referred from her primary-care physician for evaluation of a “lump” under her tongue that has been present for about two months. The lump has been very slowly growing and is totally asymptomatic. The patient did say she noticed it “popped” at one time, but it came back a few weeks later. The physician thought it merited a further evaluation from a dental professional. The physical exam showed a 2.5 cm painless, fluctuant mass under the left ventral portion of her tongue.

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Diagnosis and treatment for Breakthrough Clinical oral pathology case: No. 11

$subtitles.get($x) Dr. Stacey Simmons, editorial director of Breakthrough Clinical, gives her diagnosis and recommended treatment for last month’s pathology case. A 62-year-old female presents for her biannual cleaning and checkup. Health history is noncontributory; she is taking Vitamin D supplements and reports no other changes or concerns. During her routine oral screening and exam, a 9 mm x 3 mm white leukoplakic patch of tissue on the left ventral surface of the tongue was noted. It was not tender to palpation, could not be scraped off, and the patient was unaware of its presence. At the follow-up appointment two-and-a-half weeks later, the lesion was still present.

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Visit Breakthrough Clinical’s Facebook Group

$subtitles.get($x) To network with your colleagues and share information about dental cases, treatment plans, clinical outcomes, and more, visit our Breakthrough Clinical Facebook group. You can post your own cases, pose questions to the group about ongoing treatment and diagnoses, and join in on discussions. We'd love to have you become a part of our growing number of dentists!

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CE, Resources, and Our Sponsor

CE: Establishing and maintaining oral homeostasis: The role of arginine in modulating the oral environment (3 CE credits)

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CE: Child abuse awareness in the dental profession (3 CE credits)

$subtitles.get($x) 50% off this CE course through March 18, 2016. Regular cost: $59. Final cost after discount: $29.50. Use promotion code DEBC216 at checkout.

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SPONSORED INFORMATION: Essential Dental Systems

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