PubMed Health⌕ Search

Biomedical subjects

D F Reikie

Publications and source records attributed to D F Reikie.

3 recordsLinked to original sources

Orthodontically assisted restorative dentistry.

As treatment expectations of dental patients continue to escalate we, as restorative dentists, must provide an interdisciplinary treatment approach to ensure optimum results for our patients. In recent years the disciplines of periodontics, endodontics and oral surgery have continued to develop closer working relationships with the field of restorative dentistry. Unfortunately, this is not the common relationship that exists with the discipline of orthodontics. Most orthodontic therapy is directed at the treatment of malocclusion and is conducted with limited or no input from the restorative dentist. Orthodontics offers countless ways of assisting the restorative dentist in achieving treatment goals. Several of these orthodontic opportunities to enhance the restorative treatment plan are reviewed.

Dental Occlusion↗

Restoring gingival harmony around single tooth implants.

One of the biggest challenges to restoring a single tooth implant in the esthetic zone of the mouth is the creation of harmonious gingival contour around the restoration. Soft- or hard-tissue deficiencies of the edentulous space are the most common obstacles to achieving gingival symmetry around the proposed restoration. Numerous gingival and osseous grafting and regeneration techniques are available but may complicate treatment by increasing the number of surgical procedures and sites necessary. This article describes a technique for treating mild-to-moderate ridge defects without the required additional surgical procedures or a surgical donor site. Soft-tissue overcontouring is provided around the healing abutment by modification of the surgical flap at second-stage implant surgery. Subsequent gingivoplasty allows establishment of anatomic gingival architecture that surrounds the single implant prosthesis.

Connective Tissue↗

Esthetic and functional considerations for implant restoration of the partially edentulous patient.

Many esthetic and functional considerations are reviewed for the partially edentulous implant candidate. With the availability of adjunctive grafting procedures, it is time for the implant team to change the traditional treatment planning approach that allows patient anatomy to dictate implant position and prosthesis design. Dimensions of the edentulous space and evaluation of occlusal relationships are discussed. Soft tissue ridge contour and creation of favorable cervical harmony are also reviewed. Functional demands unique to the partially edentulous patient are outlined in addition to the challenges of creating a prosthesis with natural cervical form and emergence profile.

Dental Implantation, Endosseous↗