Drs. Samuel B. Low and Paul Chang look at multiple peri-implantitis scenarios and discuss treatment modalities from monitoring (watch and wait) to replacement with a new implant fixture. Several treatments are discussed, including erbium laser therapy for decontamination, degranulation, and decortication.
Dr. Brian J. Jackson discusses the clinical management of a deficiency of the facial plate of bone and shares a case that uses the immediate implant placement and provisionalization approach to resolve a horizontal fracture.
Dr. David L. Hoexter emphasizes the necessity of the preservation of the osseous walls of the extraction site during the surgical extraction. He demonstrates new proper surgical instruments that allow the practitioner to remove roots while preserving both the buccal and lingual walls of the osseous socket.
Dr. Brian J. Rosen uses an electronic caries detection device to show that it significantly takes the guesswork out of detecting early cavitated occlusal lesions and helps us avoid unnecessary restorations.
Dr. Clifford J. Ruddle describes canal disinfection using sonics. He shares a system integrated technology that may be utilized for 3D cleaning in root-appropriate shapes to yield a canal ready to fill.
Dr. Clarence Tam notes that large, complex restorative defects are becoming increasingly treated with direct, superfilled composite resins. This expanded function drives a pragmatic solution that simultaneously addresses the need for both cost efficiency and preservation of tooth structure.