The metal-free practice: myth? Reality? Desirable goal?
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Ceramics↗
Biomedical subjects
F M Spear
Publications and source records attributed to F M Spear.
Guidelines for managing the orthodontic-restorative patient.
Occasionally, patients require restorative treatment during or after orthodontic therapy. Patients with worn or abraded teeth, peg-shaped lateral incisors, fractured teeth, multiple edentulous spaces, or other restorative needs may require tooth positioning that is slightly different from a nonrestored, nonabraded, completely dentulous adolescent. Generally, orthodontists are not accustomed to dealing with patients who require restorative intervention. Should the objectives of orthodontic treatment differ for the restorative patient compared with the nonrestorative patient? How should the teeth be positioned during orthodontic therapy to facilitate specific restorations? Should teeth be restored before, during, or perhaps after orthodontics? The answers to these and other important questions are vital to the successful treatment of some orthodontic patients. This article will provide a series of eight guidelines to help the interdisciplinary team manage treatment for the orthodontic-restorative patient.
Dental Restoration, Permanent↗
Interdisciplinary management of single-tooth implants.
Orthodontists treat many patients who are missing maxillary lateral incisors and/or mandibular second premolars. In the past, if the canines could not be substituted for lateral incisors, conventional full-coverage bridges were the common restoration. Recently, resin-bonded Maryland bridges became a popular substitute for conventional bridges to avoid crowns on the nonrestored abutments. However, resin-bonded bridges have a poor long-term prognosis for retention, lasting on average about 10 years. Since implants were introduced into dentistry by Swedish researchers in the mid-1980s, they have become a promising substitute for conventional or resin-bonded bridges. However, to successfully place and restore single-tooth implants in young orthodontic patients several questions must be answered. This article will discuss the many interdisciplinary issues that are involved in placing and restoring single-tooth implants in orthodontic patients.
Adolescent↗
The future of dentistry: a clinician's perspective.
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Dental Care↗
Periodontal prosthesis: creating successful restorations.
When the dentition is mutilated by periodontal disease, it's hard to restore. The authors outline the mechanical and biological problems to overcome in treating advanced periodontal disease.
Esthetics, Dental↗
Dentofacial aesthetics poses puzzles teamwork can solve. Interview by Phillip Bonner.
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Esthetics, Dental↗
Maintenance of the interdental papilla following anterior tooth removal.
Soft and hard tissue recession following the removal of an anterior tooth presents a unique restorative challenge for the treatment team. The dental literature has examined postextraction tissue loss and proposed multiple solutions for this aesthetic complication. The majority of these techniques have focused on the prevention of buccolingual recession of the residual ridge, while the maintenance of the interdental papilla following extraction has received less attention. The purpose of this article is to present a clinical technique for maintaining papillary height and form following single anterior tooth removal.
Cuspid↗