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Debt and practice profiles of beginning dental practitioners.

Escalating student debt for dental education has led some to speculate that beginning practitioners may undertake procedures that are beyond their competence in an effort to augment practice income. This hypothesis was tested directLy using a data set containing self-reports of practice profiles across a wide range of procedures and debt for education, practice, and personal purposes. Respondents were 113 individuals who had graduated from a private dental school from 1986 to 1997. Conservative dental practice was measured by comparing frequency of commonly and uncommonly performed procedures in the group as a whole against the profile for each respondent. There was no association between educationaL debt and propensity to engage in unconventional procedures. Older dentists and those who felt more competent at the time of graduation were less conservative. Amount of practice debt was a better predictor of unconventional practice than was educational debt.

California↗

[Dental ingenuity 2. Implant treatment using transitional implants].

The applications in oral implantology are strongly increased due to the advance in the field of osseointegration and in material technology. As a result of this gained knowledge the area of indications increased in both edentulous and partially dentate patients. With the extension of the indications of dental implants there also is a growing patients' demand for direct replacement of lost tooth. Sometimes it is possible to fulfill the expressed wish of immediate loading. In case of poor bone quantity or quality this is impossible. Transitional implants supply the prosthodontist with an additional possibility to fulfill the need for uninterrupted healing as well as patients' demands for immediate functional and esthetic restorations.

Dental Implantation, Endosseous↗

Materials and techniques in fixed prosthodontics.

If we have learned anything from our experiences with all-ceramic systems such as Cerestore, Cerapearl, and even Dicor, it is that it takes years to uncover the strengths, weaknesses, and limitations of new materials and technologies. Manufacturers' initial claims for fit, strength, esthetics, biocompatibility, wear characteristics, and clinical performance should be viewed as preliminary until supported by independent laboratory and clinical studies. Laboratory testing alone may not provide sufficient insight into the relative strengths and weaknesses of products or assure comparable performance in the commercial dental laboratory or the ultimate testing arena, the oral environment. Moreover, the diversity of the new materials and techniques discussed demonstrates the breadth and depth of the technologic changes in dental biomaterials. The rate at which these dental products enter the marketplace and their sheer number alone are indeed staggering. Furthermore, these advances are not emerging from any single nation but from manufacturers all around the world (Japan, Germany, as well as the United States), indicating our international reliance on one another. Clearly, the decade of the 1990s is emerging as an exciting period in the development of biomaterials in comprehensive fixed prosthodontics and dentistry in general.

Calcium Sulfate↗

Dahl appliances used for the restorative management of localized anterior tooth erosion.

Dahl partial bite-raising appliances have been used over the past 30 years for the management of occlusal tooth tissue loss, particularly in patients who have lost normal occlusal vertical dimension. The more recent use of Dahl-type appliances for individual teeth has changed the restorative management of patients with localized anterior tooth erosion. The Dahl treatment principle can be applied to those patients with and without the loss of occlusal vertical dimension. Palatal bite-raising platforms can be used to re-establish anterior tooth guidance for disocclusion of the posterior teeth without occlusal interferences. The treatment principle is illustrated with clinical cases.

Cuspid↗

[Economic evaluation in oral care. Methods and examples in restorative dentistry].

This article briefly outlines the principles of economic evaluation in dentistry. It discusses the different types of analyses, such as cost-effectiveness analysis, cost-benefit analysis and cost-utility analysis. Furthermore, it makes clear when these analyses are most appropriate for use. Having a basic understanding of the most common analyses can be helpful to make choices between different interventions. Increasing demand for dental interventions and limited budgets necessitate the allocation of scarce resources efficiently. By identifying, measuring, valuing and comparing costs and outcome of interventions, economic evaluation can also help patients and carers in choosing between interventions. The article gives some examples in restorative dentistry to explain the relevance of economic evaluation.

Cost-Benefit Analysis↗

[Composite materials in pedodontics].

A brief account is given of the features of 1st and 2nd generation compounds and their clinical applications. Reference is made to many years of personal experience in an assessment of their long-term results.

Child↗

A delayed subopaquing technique for treatment of stained dentition: clinical protocol.

Teeth with severe tetracycline staining can present a restorative challenge to the clinician. While a variety of options facilitate predictable aesthetic treatment of patients with such dentition, they often require significant tooth reduction in order to provide the dentist and the laboratory technician with adequate space for the restorative material to conceal the discoloration. This presentation outlines an alternative to this treatment that uses resin cement to mask the discolorations prior to the cementation of the porcelain laminate veneers.

Anti-Bacterial Agents↗