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John C Kois

Publications and source records attributed to John C Kois.

12 recordsLinked to original sources
PubMed2006

Consensus conference panel report: crown-height space guidelines for implant dentistry-part 2.

The International Congress of Oral Implantologists sponsored a consensus conference on the topic of Crown Height Space on June 26-27, 2004 in Las Vegas, Nevada. The panel communicated on several occasions before, during, and after the meeting, both as a group and among individuals. A consensus of one opinion was not developed for most issues. However, general guidelines emerged related to the topic. The following article is Part 2 of a summary of several of the guidelines that should be of benefit to the profession at large. (Part 1 appeared in Implant Dentistry 2005;14:312-321.).

Alveolar Ridge Augmentation↗
PubMed2006

Detecting oral cancer: a new technique and case reports.

The VELscope is an important aid in patient assessment, and when added to a well-thought out clinical assessment process that takes into consideration the age of the patient and risk factors that include tobacco, alcohol, and immunologic status, it increases the clinician's ability to detect oral changes that may represent premalignant or malignant cellular transformation. False positive findings are possible in the presence of highly inflamed lesions, and it is possible that use of the scope alone may result in failure to detect regions of dysplasia, but it has been our experience that use of the VELscope improves clinical decision making about the nature of oral lesions and aids in decisions to biopsy regions of concern. Where tissue changes are generalized or cover significant areas of the mouth, use of the scope has allowed us to identify the best region for biopsy. As with all clinical diagnostic activities, no single system or process is enough, and all clinicians are advised to use good clinical practice to assess patients and to recall and biopsy lesions that do not resolve within a predetermined time frame. Lesions that are VELscope-positive and absorb light need to be followed with particular caution, and if they do not resolve within a 2-week period, then further assessment and biopsy are generally advised. It is much better to occasionally sample tissue that turns out to be benign than to fail to diagnose dysplastic or malignant lesions. In our fight to protect patients from cancer, the VELscope improves our odds for early detection, hopefully resulting in fewer deaths from oral cancer.

Aged, 80 and over↗
PubMed2005

Consensus conference panel report: crown-height space guidelines for implant dentistry-part 1.

The International Congress of Oral Implantologists sponsored a consensus conference on the topic of crown height space on June 26 and 27, 2004, in Las Vegas, Nevada. The panel communicated on several occasions before, during, and after the meeting, both as a group and among individuals. A consensus of 1 opinion was not developed for most issues. However, general guidelines emerged related to the topic. The following article is part 1 of a summary of several guidelines that should be of benefit to the profession at large.

Bite Force↗
PubMed2005

Universal paradigms for predictable final impressions.

The master blueprint for indirect restorations is the final impression. The challenge for the clinician is to establish a protocol that ensures a predictably excellent final impression. The purpose of this article is to provide a protocol that integrates the many detailed steps of impression making, from patient comfort to dental laboratory communication. Understanding the biology of the dentogingival junction, dental materials and their interactions, and proper technique all contribute to the final results.

Dental Impression Materials↗
PubMed2004

Diagnostically generated anterior tooth preparation for adhesively retained porcelain restorations: rationale and technique.

A diagnostically based protocol for anterior tooth preparations for adhesively retained porcelain restorations offers dentists and laboratory technicians new options to approaching these restorations. Rather than designing a preparation and restoration based more on the needs of the products used than on the preservation of the remaining tooth structure, practitioners can enhance the predictability of these restorations by concentrating simultaneously on three distinct zones of the tooth (incisal, middle, and cervical) and four diagnostic categories (periodontal, biomechanical, functional, and dentofacial). The result of following the technique presented in this article is achieving an individualized design that offers a predictable option with minimal risks to the remaining tooth structure.

Cementation↗
PubMed2004

Predictable single-tooth peri-implant esthetics: five diagnostic keys.

The creation of an esthetic implant restoration with gingival architecture that harmonizes with the adjacent dentition is a formidable challenge. The predictability of the peri-implant esthetic outcome may ultimately be determined by the patient's own presenting anatomy rather than the clinician's ability to manage state-of-the-art procedures. To more accurately predict the peri-implant esthetic outcome before removing a failing tooth, 5 diagnostic keys are discussed. These keys include relative tooth position, form of the periodontium, biotype of the periodontium, tooth shape, and position of the osseous crest.

Alveolar Process↗
PubMed2003

Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans.

BACKGROUND: Attempts have been made to evaluate the biologic dimension of osseointegrated implants, however, most are histologic studies in animals, and the effect of soft tissue support from adjacent teeth on the interproximal dimension of the peri-implant mucosa for anterior single implants has not been addressed. This study clinically evaluated the dimensions of the peri-implant mucosa around 2-stage maxillary anterior single implants in humans after 1 year of function. The influence of the peri-implant biotype was also examined. METHODS: Forty-five patients (20 males and 25 females) with a mean age of 47.3 years were included in this study. A total of 45 maxillary anterior single implant crowns with a mean functional time of 32.5 months (range, 12 to 78) were evaluated. The dimensions of peri-implant mucosa were measured by bone sounding using a periodontal probe at the mesial (MI), mid-facial (F), and distal (DI) aspects of the implant restoration and the proximal aspects (MT, DT) of adjacent natural teeth. In addition, the peri-implant biotype was evaluated and categorized as thick or thin. Statistical analysis was performed using an independent t test (P<0.05). RESULTS: The means and standard deviations of the dimensions of peri-implant mucosa at MT, MI, F, DI, and DT were 4.20 +/- 0.77 mm, 6.17 +/- 1.27 mm, 3.63 +/- 0.91 mm, 5.93 +/- 1.21 mm, and 4.20 +/- 0.64 mm, respectively. The dimensions of peri-implant mucosa in the thick biotype were significantly greater than the thin biotype at MT, MI, and DT (P<0.05). CONCLUSIONS: The mean facial dimension of peri-implant mucosa of 2-stage implants is slightly greater than the average dimension of the dentogingival complex. The level of the interproximal papilla of the implant is independent of the proximal bone level next to the implant, but is related to the interproximal bone level next to the adjacent teeth. Greater peri-implant mucosal dimensions were noted in the presence of a thick peri-implant biotype as compared to a thin biotype.

Adult↗
PubMedDate not supplied

An implant-supported, screw-retained, provisional fixed partial denture for pontic site enhancement.

Due to remodeling of the edentulous ridge following tooth extraction, clinicians and dental technicians face a variety of challenges when attempting to deliver an aesthetic fixed partial denture for the anterior maxilla. An implant-supported, screw-retained fixed partial denture provisional restoration can be utilized in order to manipulate the pontic site with predictable success. This technique can create the illusion of pontics emerging from the soft tissue, creating a natural-looking effect for seating of the definitive restoration.

Dental Abutments↗