Dental Tribune U.S. Edition

DENTAL TRIBUNE The World’s Dental Newspaper · U.S. Edition HYGIENE TRIBUNE The World’s Dental Hygiene Newspaper · U.S. Edition AD DentalTribuneAmerica 213West35thStreet Suite#801 NewYork,NY10001 Greater N.Y. Dental Meeting It may be seven weeks away still, but it’s not too early to plan your schedule. Arthritis symptoms You might think you are too young to get CMC arthritis, but think again. upage 1Cu page 9A Fall conference preview The AAE invites you to ‘jazz up your practice’ Nov. 3–5 in New Orleans. HYGIENE TRIBUNE The World’s Dental Hygiene Newspaper · U.S. Edition ENDO TRIBUNE The World’s Endodontic Newspaper · U.S. Edition g DT page 6A g DT page 4A Is your office OSHA compliant? The Occupational Safety and Health Administration (OSHA) will likely be ramping up its inspections of dental offices in the upcoming months. Learn what you can be doing now to have the best possible outcome in case of an inspection. (Photo/Boguslavovna, www.dreamstime.com) g See page 8A Ready to take a closer look at the benefits of getting a closer look at everything you’re doing in the opera- tory? The perfect opportunity presents itself Nov. 10–12 (Thursday, Friday and Saturday), when the Academy of Microscope Enhanced Dentistry (AMED) opens its 2011 Annual Meet- ing and Scientific Session with an extensive offering of live, online pre- sentations. The switch to a webcast-based meeting comes on the 10th anniversa- ry of the event, which is dedicated to encouraging, inspiring and educating dentists and other dental profession- als on all matters relating to micro- scopic dentistry. This year’s theme is “Foundations and Expansions.” Seeing how global economic con- ditions were affecting event-atten- dance across the industry, Dr. Terry Pannkuk, the 2011 AMED program chair, proposed the virtual conference as a way to better serve the member- ship and expand the potential for par- AMED goes virtual for 10th anniversary Fig. 1: Pre-treatment, B-view: Please notice the shortened, worn lower anteriors appearing as stubs with tan-colored dentin; shortened, square-shaped and uneven maxil- lary incisors and occlusally worn and abraded mandibular posteriors. (Photos/Provided by David L. Hoexter) AMED EDition OctOber 2011 www.dental-tribune.com VOl. 6, NO. 16 Esthetics, prosthetics, periodontics, implants and bisphosphonates Controversy involving the oral cavity and the effects of using bisphosphonates is causing an obstacle for dentists to help patients achieve optimal health. The follow- ing case presentation demonstrates that the continuous use of oral bisphosphonates before, during and after treatment did not prevent an esthetic result involving implants, sinus augmentations, periodontal regenerative techniques, extrac- tions and prosthetic restorative treatments. This case presentation revolves around a 56-year-old woman who, for the past 10 years, had taken prescribed oral bisphosphonates for her osteoporosis. Her medical history, outside of her bisphospho- nates, was non-contributory. The patient, whom we’ll call Mrs. G, is a lovely woman who enjoys trav- eling throughout the world. She was unhappy with her oral appear- ance and wished to improve it. She related a desire for oral health with a gracious glowing smile. She expressed that didn’t want an overt- ly white smile, or one that looked too “fabricated,” but rather a bright and glowing smile. Medically, Mrs. G’s sole abnor- mal note was the fact that she had been taking oral bisphosphonates for more than 10 years. Her medical doctor had prescribed these as an aid in treating osteoporosis. Reviewing her existing image, radiographs, study models, and probing and charting all possible aids helped guide us toward our diagnostic goal. Most notable to Mrs. G was the mobility of her max- illary right posterior teeth, the worn smaller lower anterior teeth as well as the dull appearing smile. Prepar- ing a sequential treatment plan, we initially recognized an occlusal relation discrepancy, among her other deficiencies. By David L. Hoexter, DMD, FACD, FICD By Robert Selleck, Dental Tribune America PRSRTSTD U.S.Postage PAID SanAntonio,TX Permit#1396 u page 1B