Oral Rinses for a Proactive Intervention Approach to Periodontal Health
Fay Goldstep, DDS

Practitioners can help their patients protect their periodontal health with interventions based on an understanding of the bacterial etiology and inflammatory progression of periodontal disease. Available therapies—both mechanical and chemotherapeutic—attempt to break the microbiologic and inflammatory cascade that often progresses to periodontal disease. Among such therapies, oral rinses are minimally invasive and patient-friendly.

Titanium-Reinforced Interdental Peaks As a Simple Method for Papilla Preservation
Jacopo Castelnuovo, DDS, MSD; A. Burcin Sonmez, DDS, MSc; and John C. Kois, DMD, MSD

Esthetic failure within the esthetic zone can be caused by the presence of interdental black triangles due to the loss of interdental papillae. The position of the osseous crest represents the main determinant for the papilla height, and, therefore, interdental bone peaks should be preserved both during and following dental treatment. This case report illustrates how small titanium bars were surgically inserted within the interdental osseous peaks in order to prevent bone resorption and maintain papilla height.

Cumulative Survival Rate of Implants Placed “Fully Guided” Using CT-Guided Surgery: A 7-Year Retrospective Study
Gary Orentlicher, DMD; Andrew Horowitz, MD, DMD; Douglas Goldsmith, DDS; Rafael Delgado-Ruiz, DDS, MSC, PhD; and Marcus Abboud, DMD, PhD

This study evaluated the cumulative survival rates (CSRs) of dental implants placed “fully guided” using computed tomography (CT)–guided surgery, including cone beam CT (CBCT). Included in the study were 177 patients, who had 796 implants placed fully guided, using 212 surgical guides. There were 24 implant failures, for a 96.98% CSR. Among the authors conclusions were that fully guided implant CSR was comparable to “freehand” placement.

Maxillary Esthetics, Mandibular Function: A Rationale for Predictable Treatment of the Moderately Worn Dentition
Leon Hermanides, CDT, NHD Dent Tech; and Kim Larson, DDS

Treatment goals in this case involving a moderately worn dentition included lengthening maxillary teeth, leveling the posterior occlusal planes, opening the vertical dimension of occlusion, and establishing bilateral simultaneous posterior occlusion. Esthetic parameters were established with the maxillary arch, enabling the functional goals to be addressed with treatment in the mandibular arch.

Management of Pediatric Mandibular Fracture: A Case Series
Ravi M. Agarwal, BDS; Ramakrishna Yeluri, MDS, FPFA; Chanchal Singh, MDS; Kalpna Chaudhry, MDS; and Autar K. Munshi, MDS

Due to a number of factors, including the anatomical complexity of the developing mandible in a child, management of pediatric mandibular fractures differs from that of adults. Various treatment modalities of managing such fractures are available, such as closed/open cap splint with circummandibular wiring, arch-bar fixation, and cementation of the cap splint. This article reviews 19 cases in the management of pediatric facial fracture using varied treatment methods.

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