Dental clinics of North America

Publisher: WB Saunders

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Other titles Dental clinics of North America (Online), Dental clinics of North America
ISSN 1558-0512
OCLC 60626363
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

WB Saunders

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    • Publisher last reviewed on 03/07/2015
    • 'WB Saunders' is an imprint of 'Elsevier'
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Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Teeth are housed in mandible and maxilla and are known to undergo variations in clinical presentation depending on the degree of abnormality during growth and development. It is essential to identify these variations in normal anatomy so that appropriate treatment can be initiated to address the anomaly. Some normal anatomic variations are harmless and best left alone, whereas others require intervention. Radiology plays a vital role in identification of such anomalies. This article focuses on the diagnostic radiographic interpretation and strategies to include pertinent differential diagnosis. Also discussed is the importance of advanced imaging and its appropriateness in the diagnosis and interpretation.
    Dental clinics of North America 01/2016; 60(1):39-90. DOI:10.1016/j.cden.2015.08.002
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article discusses the radiographic manifestation of jaw lesions whose etiology may be traced to underlying systemic disease. Some changes may be related to hematologic or metabolic disorders. A group of bone changes may be associated with disorders of the endocrine system. It is imperative for the clinician to compare the constantly changing and dynamic maxillofacial skeleton to the observed radiographic pathology as revealed on intraoral and extraoral imagery.
    Dental clinics of North America 01/2016; 60(1):235-264. DOI:10.1016/j.cden.2015.08.008
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    ABSTRACT: The common aspect of all granulomatous diseases is the typical form of chronic inflammatory response with distinct microscopic granulomas that are formed secondary to either definitive etiologic agents, like bacteria, fungal, or parasitic, or due to an unknown etiologic agent, such as trauma, autoimmune, or even neoplastic process. Although they can be histologically distinct, granulomatous diseases demonstrate a variety of clinical features that may not seem to be inflammatory. Two types of granulomas are typically encountered: foreign body granulomas and immune granulomas. The differences between the two types of granulomas lie in the pathogenesis.
    Dental clinics of North America 01/2016; 60(1):195-234. DOI:10.1016/j.cden.2015.08.007

  • Dental clinics of North America 01/2016; 60(1):xi-xiii. DOI:10.1016/j.cden.2015.10.001
  • [Show abstract] [Hide abstract]
    ABSTRACT: There are both odontogenic and nonodontogenic benign lesions in the maxilla and mandible. These lesions may have similar imaging features, and the key radiographic features are presented to help the clinician narrow the differential diagnosis and plan patient treatment. Both intraoral and panoramic radiographs and advanced imaging features are useful in assessing the benign lesions of the jaws. The location, margins, internal contents, and effects of the lesions on adjacent structures are important features in diagnosing the lesions.
    Dental clinics of North America 01/2016; 60(1):125-141. DOI:10.1016/j.cden.2015.08.005
  • [Show abstract] [Hide abstract]
    ABSTRACT: Periodontal examination involves evaluation of soft and hard tissue parameters to gauge gingival inflammatory changes and quantify attachment loss. Conventional radiographs are vital components of this process and can be used to assess the presence of calculus and other local factors to establish a diagnosis, prognosis, and periodontal treatment plan. The 2-dimensional nature of these images limits their utility. The advent of high-resolution cone beam computed tomography (CBCT) offers 3-dimensional images that might overcome these limitations. We discuss the use of conventional radiographic techniques as well as CBCT for evaluating, diagnosing, and treatment planning patients presenting for periodontal and/or implant therapy.
    Dental clinics of North America 01/2016; 60(1):91-104. DOI:10.1016/j.cden.2015.08.003
  • [Show abstract] [Hide abstract]
    ABSTRACT: Osteonecrosis of the jaw is a major public health concern throughout the world. Use of radiotherapy for head and neck cancer and bone antiresorptives and antiangiogenic agents have increased its incidence. Medication-related osteonecrosis of the jaw is more common relative to other types of osteonecrosis. Osteoradionecrosis occurs despite better treatment planning and shielding to minimize collateral damage to bone. Other related necrotic lesions are secondary to usage of recreational drugs and steroids. This article provides comprehensive information about these different types of bone necrosis; provides the readers with radiographic diagnostic criteria and updates on current theories on pathophysiology of osteonecrosis.
    Dental clinics of North America 01/2016; 60(1):265-277. DOI:10.1016/j.cden.2015.08.009
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    ABSTRACT: Though rare, malignancies of the orofacial region often have serious consequences. Malignancies of the orofacial region are typically discovered during a clinical examination or from a patient complaint. Initial discovery from a radiograph is rare. Three-dimensional imaging using advanced imaging techniques often provides adequate information about the aggressive nature of a lesion. Radiographically based imaging demonstrates mainly hard-tissue destruction and, rarely, bone deposition. MRI provides excellent visualization of soft-tissue densities without using ionizing radiation. Functional imaging is used to visualize increased metabolic activity associated with malignancies, and is excellent for determining the metastatic spread of a lesion.
    Dental clinics of North America 10/2015; 60(1). DOI:10.1016/j.cden.2015.08.006
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    ABSTRACT: Fibro-osseous lesions are grouped together because histologically they show similar cellular and mineralization patterns. Despite the histologic ubiquity, their behaviors vary significantly. Because of the histologic similarity and the broad range of morbidity among them, it is important to be able to differentiate between them in the preliminary diagnostic process. The radiographic presentations along with the location of the bony changes are often extremely critical diagnostic features to help render a differential or working diagnosis in lieu of an automatic biopsy procedure. Therefore the unique and specific radiographic presentations may be one of the main criteria for preliminary diagnosis.
    Dental clinics of North America 10/2015; 60(1). DOI:10.1016/j.cden.2015.08.010
  • [Show abstract] [Hide abstract]
    ABSTRACT: Temporomandibular disorders (TMD) affect 5% to 12% of the United States population. This article discusses common conditions related to temporomandibular joints, including disc displacements, inflammatory disturbances, loose joint bodies, traumatic disturbances, and developmental conditions. Also addressed are the appropriate imaging modalities and diagnostic criteria for TMD.
    Dental clinics of North America 10/2015; 60(1). DOI:10.1016/j.cden.2015.08.004
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    ABSTRACT: This article provides the reader with the knowledge and skills of identification and diagnostic interpretative skills using planar images, tomographic images, CBCT, MDCT, pertinent MR images, as well as bone scans and PET images. The goal is to provide sufficient in-depth knowledge of the technique, anatomy, and radiographic identifiers for the diagnosis of local and systemic pathoses. The information will train the reader to be an advocate of selection criteria as well as a follower of the "Image Gently" campaign and philosophy supported by the organized dentistry in the United States, especially in Diagnostic Radiology.
    Dental clinics of North America 10/2015; 60(1). DOI:10.1016/j.cden.2015.08.001
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article describes the concepts of treating a complex aesthetic interdisciplinary case in a traditional approach. Copyright © 2015 Elsevier Inc. All rights reserved.
    Dental clinics of North America 07/2015; 59(3). DOI:10.1016/j.cden.2015.04.002
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    ABSTRACT: This article demonstrates the use of a smile evaluation form as an adjunct in arriving at diagnosis and developing a treatment plan for a patient desiring Diastema closure. It also shows the importance of the diagnostic wax-up for temporization and visualization of case outcome. The case also demonstrates the use of soft tissue lasers to create a gingival harmony that enhanced the resulting esthetics. Feldspathic porcelain was used for the final restorations because they provide optimal esthetics and translucency. Copyright © 2015 Elsevier Inc. All rights reserved.
    Dental clinics of North America 07/2015; 59(3). DOI:10.1016/j.cden.2015.03.010
  • [Show abstract] [Hide abstract]
    ABSTRACT: When patients seek cosmetic dentistry, their main concern is how their new smile is going to appear. In trying to achieve a patient's desire for a more beautiful smile, a careful and comprehensive analysis must be completed to insure the desired outcome is achievable and will function for many years to come. The clinician's primary goal is to restore the patient's dentition to ideal form and function. Full mouth rehabilitations need to be done in a systematic way to ensure all the parameters of an esthetic and functional outcome are achieved. Copyright © 2015 Elsevier Inc. All rights reserved.
    Dental clinics of North America 07/2015; 59(3). DOI:10.1016/j.cden.2015.03.004
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    ABSTRACT: This article describes a multidisciplinary approach to a functional and aesthetic rehabilitation. In this case study, we successfully corrected an anterior open bite and an exaggerated curve of Spee using restorative modalities while still maintaining a highly aesthetic outcome. The maxillary anterior teeth no longer appear to have a disproportional width/length ratio and are now in harmony with the mandibular veneers. Posterior function was re-established, mostly with implant-retained crowns. Occlusal harmony and stability are maintained through cuspid guidance and anterior disclusion. Proper selection of final restorative materials is imperative for the long-term survival of the restorations. Copyright © 2015 Elsevier Inc. All rights reserved.
    Dental clinics of North America 07/2015; 59(3). DOI:10.1016/j.cden.2015.03.014
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    ABSTRACT: This case report presents an interdisciplinary approach to achieve functioning occlusion and an aesthetically pleasing smile. This patient's concerns were spacing between upper front teeth and a gummy smile. The case was evaluated, and treatment was planned using a multidisciplinary approach. The patient rejected the option of orthognathic surgery to correct a skeletal problem. Treatment included orthodontics, osteoplasty, gingivoplasty, and porcelain veneer restorations to achieve the desired aesthetic result. Comprehensive orthodontics resulted in a functionally stable occlusion. Space distribution between maxillary anterior teeth with adequate overjet and overbite relationships allowed for conservative preparation to receive porcelain veneer restorations. Copyright © 2015 Elsevier Inc. All rights reserved.
    Dental clinics of North America 07/2015; 59(3). DOI:10.1016/j.cden.2015.03.002
  • [Show abstract] [Hide abstract]
    ABSTRACT: A 26-year-old woman was referred to a periodontal surgical practice for concerns related to gingival recession. After several consultations among the orthodontist, periodontist, and cosmetic/restorative dentist, she decided to have surgically facilitated orthodontic therapy as part of a collaborative, interdisciplinary treatment planning process to correct her constricted maxillary arch form, augment thin dentoalveolar facial bone, simultaneously with gaining root coverage as well as improving attached gingiva width and mucogingival thickness. As a consequence of changing the arch form, an improvement in the buccal corridor space was gained which optimized her smile display. Copyright © 2015 Elsevier Inc. All rights reserved.
    Dental clinics of North America 07/2015; 59(3). DOI:10.1016/j.cden.2015.03.011