Implications For Practice

Implications For Practice

Based on the results of the included randomized controlled trials (RCTs), there was no evidence showing that any particular sort of implant has superior long-term success over another sort of implant. There was limited evidence showing that implants with relatively smooth (turned) surfaces are less vulnerable to lose bone because of chronic infection (peri-implantitis) than implants with much rougher surfaces (titanium – plasma-sprayed). These findings were supported by several RCTs, often at high risk of bias, with few participants and relatively short follow-up periods.

Implications For Research

More well-designed, long-term RCTs are required to understand if there is any design, surface modification, or material able to improve the effectiveness of oral implants significantly. It is recommended that such trials include:

  • Test and control implants placed within the same way when possible;
  • A sufficient number of participants to disclose a real difference, if any;
  • A proper group allocation concealment;
  • Independent outcome assessors when blinding isn’t possible to attenuate detection bias;
  • A sufficient duration (five years or more).

Such trials should be reported according to the Consolidated Standards of Reporting Trials (CONSORT) guidelines ( www.consort‐ ). Ideally, these trials should investigate only one aspect, such as the role of various degrees of surface roughness or the role of calcium-phosphate coatings, or some specific implant design or materials thus minimizing the numerous confounding factors such as different implant shapes or clinical procedures.Implications For Practice

Choosing the best dentist for your little one can be a difficult decision. Should your child’s first dental visit be with a general or pediatric dentist? Maybe you don’t know what the difference is between the two. All dentists can see children, but pediatric dentists receive extra training to do so. To make things easier for you and to arm you with more information, we’re going to take a closer look at the differences between pediatric and general dentists.

Specialized Training

After completing their bachelor’s degree, a pediatric dentist will take more time to receive additional training because their little ones need it. This specialized training is named pediatric residency; these dentists spend a further two to 3 years honing their skills. Pediatric dentists observe children exclusively, from the time their first tooth erupts through their teenage years. Just as your little one sees a pediatrician for physical problems, he/she needs a dedicated dental professional.

Custom Action

A pediatric dentist has the skills to effectively help your little one have a bright smile. This includes helping children who require specialized treatment and understanding the needs of each patient. This may involve planning all the processes and plans that must be done to improve the oral health of your little ones. Unlike general dentists, pediatric dentists receive extra training to learn how to use equipment that is specifically designed to treat children.

A Victory

Let our team of specialized dentists help your little one achieve better oral health! The reality is that no one is going to give your child the most effective treatment like a pediatric dentist. Call us today at any of our locations to help you find the perfect smile.

Dental Care For Rabbits

Dental Problems Of Rabbits – Tooth Correction

I have a lot of trouble when I have to explain to the owners what tooth correction looks like and why it sometimes needs to be performed. That is why I decided to write this article, to which I will always refer you when I find dental problems in some of my little rabbit patients. I also invite you to read all other owners of ears – because as you know – you can never have enough knowledge. Considering that dental problems are not uncommon, it is worth reading the basic information on this topic.

Rabbits are naturally herbivorous animals that eat a variety of light grass, but also harder plants. A rabbit’s teeth grow throughout its life. The rabbit has a total of 28 teeth: 6 incisors (the teeth that we can see from the front), 2 upper sets, and one lower set – no canines. The molars include 3 upper premolars, 3 upper molars, 2 lower premolars, and 3 lower molars on each side. 

Teeth grow up to 3mm per week. The normal structure of the jaw allows the incisors to touch, but not the molars. A rabbit can use incisors to cut food without the help of molars. Food is picked up with the mouth and incisors and then moved with the tongue to the molars. When the food is ready to chew the rabbit changes the position of the jaw and then uses the molars. From now on, the incisors are no longer in contact, allowing the rabbit to chew. Dental diseases can start with both molars and incisors, and if left untreated, they automatically spread to both types of teeth.

Dental Care For Rabbits

How Should A Rabbit Be Examined?

Each rabbit should have its jaw cavity thoroughly examined by a veterinarian at least once a year. It should be remembered that the earlier the problem is detected, the greater the chance of a faster and successful recovery. Rabbits previously diagnosed with dental problems should have an X-ray taken to ascertain where the source of the infection is. In some cases, a rabbit blood test is also recommended.

When We Install Retractors:

We are prompted by the following circumstances to conduct such a study:

Changing the behavior of the bunny  – when the animal, so far cheerful, starts sitting in the corner, it is depressed. The bunny so far calm can become aggressive. This could mean that he is in pain. Teeth may be the cause. 

Changing the diet  – if our rabbit has liked to eat hay so far, munch on carrots, and suddenly introduces significant changes to his menu, you should think about why. Rabbits with dental problems begin to avoid hard foods and foods that require long chewing. They switch to foods that are easier to eat (e.g. granules, apples, banana, dry bread, soft greens) and which are less painful to eat. Rabbits with severe dental problems may stop eating completely!

Drooling  – Soreness in the mouth leads to increased salivation. In rabbits with dental problems, we often see drooling on the chin and hair loss in this area.

Bad coat appearance  – a rabbit who feels unwell neglects his daily toilet. Rabbits with overgrown incisors are not able to properly care for their hair and very often they get tangled.

Stuck with it – when they clean themselves, they drool over the entire fur. It then takes on a characteristic, sticky appearance.

Digestive tract disorders  – if a rabbit stops eating an adequate amount of high-fiber food (requiring long chewing) due to pain, serious intestinal disorders may develop. Adequate fiber levels in the diet are essential to ensure proper gut motility. 

The reduction in the amount of fiber may lead to slower bowel function, food stagnation in the intestines, and gastrointestinal blockage. Stress (related to the rabbit feeling pain) also slows down the gastrointestinal motility. A reduction in the amount of fiber consumed also leads to the excretion of less frequent feces.

Dental Care In Young Children

Why Is Tooth Decay Especially Dangerous In Young Children?

The resulting caries disease in small patients is very dangerous, especially for deciduous teeth, which are much less mineralized and therefore not as well cured as permanent teeth. Bringing to a strong development of caries disease of deciduous teeth can quickly lead to their weakening and then to their falling out.

However, this should not be allowed, because the too rapid loss of milk teeth will prevent the maxilla and mandible from developing properly, and thus there will not be enough space in the dental arches for permanent teeth to appear. That is why caring for milk teeth, and if necessary treating them, is so important.

Dental Care In Young Children

How To Treat Bottle Caries?

The treatment process depends on the stage of development of bottle caries. It exposes not only dairy but also solids. Therefore, you should react as soon as possible in the interests of the future appearance of the smile and the child’s comfort.

Fluoridation – the dentist performs the procedure when the initial symptoms of bottle caries (white spots) are visible in a young patient. After checking the condition of the teeth, the dentist puts a suitable preparation for them.

Teeth impregnation – the dentist performs the procedure when dark discoloration is visible on the teeth due to bottle caries. The dentist applies a silver nitrate solution to the teeth. As a result, caries does not develop further, but the dentition has a dark, characteristic shade.

Cavity treatment or extraction – the dentist chooses this mode of treatment when the teeth are heavily damaged by caries and other methods will not bring improvement.

What Is Caries?

Dental cavities are caused by an infectious, infectious disease caused by cariogenic bacteria, mainly Lactobacilli and Streptococcus mutans. These break down the sugars your baby consumes and build upon their teeth as plaque.

What Is The Cause Of Tooth Decay?

The most common cause of tooth decay is improper oral hygiene and genetic predisposition. In newborns and toddlers, it is the result of the night feeding, after which the cleaning of the mouth was abandoned.

In older children, tooth decay usually occurs due to poor eating habits. Drinking sweet drinks and juices, as well as eating foods with high sugar content, such as cookies, crisps, or candies, which are often used by children not to brush their teeth, negatively affects the condition of the teeth.

Caries Treatment

Caries of primary teeth should be treated by a dentist. As milk is much weaker than solid milk, reaction time is important. When you find the first signs of caries, you should visit your dentist immediately, because, within just a few weeks, a small spot may develop into a large carious focus.

Treatment of milk teeth is very important because diseased teeth may break in the gingival area. This way, the gums are full of bacteria and rooted roots. This, in turn, negatively affects the developing new tooth, which grows deformed, with missing enamel or underdeveloped dentin.

When caries affects the contact surfaces on most teeth, it will be necessary to lap, i.e. cover the teeth with a bactericidal preparation.

A vintage classic fold out camera from the 1930s

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