Infiltration anesthesia with or without vasoconstrictor, depending on the general anamnesis normally applies. Mandibular block anesthesia should be considered in the distal areas of the lower jaw, since diffusion of local anesthetics is prevented by a thick mandibular cortex...

The prosthodontic literature has documented the use of cantilever restorations on teeth. The specific guidelines for the use of cantilevers in conventional fixed prosthodontics can be found in traditional prosthodontic text books (Schillenburg, etc). The use of a single...

With the development of the NB posterior solution the ability to restore posterior dentition in a predictable, esthetic, functional and cement free option is available. The component parts of the system are: The NobelActive WP (Wide Platform) implant, PEEK anatomic-shaped...

Special attention should be paid on oral hygiene, health condition of adjacent teeth (active caries lesions, former restorative treatment, periodontal status) and other oral tissues (remaining alveolar bone volume, pathology within alveolar bone, mucosa...

Following the placement of an end osseous implant the clinician will need to decide on the choice of retention for the final restoration. When there is a choice one will need to choose from the cement or screw retained options. The advantages and disadvantages have be...

The first choice the clinician will be faced with once the implant is placed is to whether to immediate load the implant. This decisions is related to the implant stability, implant relationship to hard and soft tissue, esthetics, functional demands, occlusion, patient...

Prior to implant placement in the posterior site, a thorough radiographic examination by means of panoramic x-ray and/or dental CT or CBCT scan is recommended. This allows visualization of possible anatomic pitfalls, bone quantity and neuro-vascular...

In the posterior jaw areas, tooth loss is usually associated with alveolar bone resorption and sinus pneumatization or alveolar nerve superficialization. Today, the most commonly used implant design is a tapered body, with a moderately rough implant surface, and conical...

After some period of healing and soft tissue manipulation, the temporary abutment is replaced with a final abutment in preparation for the final restoration. Often, a final abutment can be placed at the time of provisionalization, and therefore the abutment and any attached soft...

The first choice the clinician will be faced with once the implant is placed is to whether to immediate load the implant. This decisions is related to implant stability, implant relationship to hard and soft tissue, esthetics, functional demands, occlusion...

Prior to implant placement a thorough radiographic (e.g. conventional/panoramic x-ray, CT scan, cone beam CT) and clinical evaluation (Angle's class, adjacent teeth, gingival biotype, recessions, mesiodistal width) is indicated. Anatomic landmarks of...

Today, the most commonly used implant design is a tapered screw, with a moderately rough implant surface, thus facilitating one-stage surgical procedures and allowing for immediate or early loading protocols. A root-form implant design with a variable-threaded geometry, and a...

Residual cement is considered a main causal risk factor for peri-implant disease. Cement remnants causing microbial activity, immune reaction, allergic response, activation of titanium surface may be the route by which bone is lost around implants. Dr Wadhwani discusses the...

The ability to correct implant deviation from the long axis of ideal tooth position with angled abutments and custom abutments is well documented. With the custom abutment it many times results in a cement retained final restoration. Current evidence suggests there may be an...

The choice of whether to screw or cement retain an implant restoration remains one considerable debate amongst dental professionals. The literature is consistent that the success of both options are very high. Complication rates of both are essentially...