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Biomedical subjects

Jack D Griffin

Publications and source records attributed to Jack D Griffin.

6 recordsLinked to original sources

Efficient, conservative treatment of symptomatic cracked teeth.

Every practice has patients who complain of cold sensitivity and pain on biting while showing no obvious signs of irreversible pulpitis. After loading each cusp and fossa in a symptomatic quadrant and ruling out pulp and periodontal pathology, definitive treatment can be performed to alleviate the patient's symptoms in a consistent, conservative manner using esthetic computer-aided design/computer-aided manufacturing porcelain restorations. Single-appointment definitive restorations can be advantageous for the patient because of the elimination of many steps involved in laboratory fabrication of porcelain or metal restorations.

Ceramics↗

Correction of congenitally missing lateral incisors with porcelain veneers.

The ability of the dental professional to improve a patient's smile has become a benchmark in modern aesthetic dentistry. When one type of tooth is transformed into another through the restorative process, special care must be taken to ensure correct preparation and gingival contours to create the illusion that the teeth are in their correct position. With accurate digital photographic planning, active patient consultation, detailed tooth preparation, and a meticulous laboratory sequence, porcelain laminate veneers can be functional and can achieve the aesthetic expectations of the patient.

Adult↗

Immediate definitive CAD/CAM restoration of a non-submerged implant.

Implant placement has become a widely accepted treatment for tooth replacement. There are many restorative options, but it is best for the patient and most efficient for the office if the implant is placed and restored in as few appointments as possible. If diagnosis is thorough and accurate, placing the implant and doing a definitive restoration in 1 appointment can be as predictable as the traditional 2 appointment technique. Restoring the implant with computer-assisted designed and machined porcelain can provide predictable fit, esthetics, and restoration and be clinically efficient.

Bicuspid↗

Efficient correction of endodontic obturation and single-appointment CAD/CAM restoration.

Endodontic treatment, when performed with proper instrumentation, canal disinfection, and obturation can be a tremendous service to a dental patient and a key component of any restorative practice. It can be complicated by factors such as poor diagnosis, incomplete canal debridement, ineffective obturation, bacterial invasion, and insufficient restorative treatment. Retreatment or even tooth loss can occur when the canal space is not handled properly. This article demonstrates a procedure for the correction of pre-existing obturation and subsequent treatment with an all-ceramic restoration in a single visit.

Adult↗

Practical posterior composites. Efficient placement and predictable results.

Certainly, we could spend more time matching shades, applying characterizations, placing secondary anatomy, and even finishing. However, if posterior composite restorations are to be a viable alternative to amalgam in appropriate cases, we must accomplish efficient and predictable placement so that fees for the two types of restorations are somewhat in line. Contact must be solid, sensitivity must be kept to a minimum, and placement and finishing must be fairly simple and organized. If the problems with posterior composites aren't kept to a minimum, all of dentistry will suffer. Our contacts are excellent most of the time, but occasionally we need to redo a "light" one. Our best estimate is that about one in 100 fillings that had no preoperative symptoms needed some postoperative care after restoring. Usually these complaints are corrected by occlusal adjustment, and very rarely by replacing the restoration. We have not yet made a perfect restoration in our practice--we are still trying.

Bicuspid↗