Clinical Cases in Restorative and Reconstructive Dentistry / Edition 1

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Wiley-Blackwell's "Clinical Cases" series is designed to recognize the centrality of clinical cases to the profession by providing actual cases with an academic backbone. Clinical Cases in Restorative and Reconstructive Dentistry describes the principles and demonstrates their practical, every-day application through a range of representative cases building from the simple to the complex and from the common to the rare. This unique approach supports the new trend in case-based and problem-based learning, thoroughly covering topics ranging from infant oral health to complex pulp therapy. Highly illustrated in full color, Clinical Cases in Restorative and Reconstructive Dentistry's format fosters independent learning and prepares the reader for case-based examinations. The book presents actual clinical cases, accompanied by academic commentary, that question and educate the reader about essential topics in restorative and reconstructive dentistry. The book begins by laying the groundwork of the fundamental principles that apply to all cases and outlining the ten decisions to be made with all cases. The main sections of the book cover the cases themselves, examining them both by type of restoration / solution, and by type of problem. This unique approach enables the reader to build their skills, aiding the ability to think critically and independently. Clinical Cases in Restorative and Reconstructive Dentistry's case-based format is particularly useful for pre-doctoral dental students, post-graduate residents and practitioners, both as a textbook from which to learn about the challenging and absorbing nature of restorative and reconstructive dentistry, and also as a reference tool to help with treatment planning when perplexing cases arise in the dental office.

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Product Details

  • ISBN-13: 9780813815640
  • Publisher: Wiley
  • Publication date: 8/23/2010
  • Series: Clinical Cases (Dentistry) Series , #41
  • Edition number: 1
  • Pages: 488
  • Product dimensions: 8.60 (w) x 10.80 (h) x 1.10 (d)

Meet the Author

Gregory J. Tarantola, D.D.S. is former Clinical Director of the Department of Education at The Pankey Institute for Advanced Dental Education in Key Biscayne, Florida. In January of 2002, he opened a full time restorative practice and now lives and practices in Jacksonville, Florida. He also continues to lecture around the country and around the world on comprehensive, masticatory system dentistry in a relationship based setting.

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Table of Contents


Contributors to Appendices.



Part 1 Didactics.

Chapter 1 Fundamental Principles of the ComprehensiveApproach.

The Case for the Four-Part Comprehensive Evaluation.

The Details of the Four-Part Comprehensive Evaluation.

The Initial Conversation.

The Clinical System–Based Masticatory SystemExamination.


Articulated Diagnostic Casts.

Chapter 2 The People Side of Dentistry.

The Importance of Behavioral and Communication Skills.

The All-Important 5 Questions.

The Codiscovery Process.

Which Approach Is Best—The 4 Quadrants.

Dentistry: A Blend of Technical, Emotional, and IntellectualSkills.

Chapter 3 The 4 Essential Skills of the ComprehensiveDentist.

Section A Bite Splint Therapy.

Section B Definitive Occlusal Therapy: Equilibration.

Section C The Diagnostic Blueprint—Wax-Up.

Section D Provisionalization.

Chapter 4 The 10 Decisions.

Section A TMJ Diagnosis and Condylar Position.

Section B Vertical Dimension.

Section C Lower Incisal Edge Position.

Section D Upper Incisal Edge Position.

Section E Centric Stop Design.

Section F Anterior Guidance.

Section G Curve of Spee.

Section H Curve of Wilson.

Section I Cusp to Fossa Angle.

Section J The Aesthetic Occlusal Plane.

Part 2 Case Studies.

Chapter 5 Nonremovable Implant Restoration with NaturalTeeth.

Case 1 Nonremovable maxillary implant restorations with naturalteeth restorations including crowns, veneers, and fixed partialdentures.

Case 2 Transitioning a maxillary tooth-supported fi xed partialdenture to an implant-supported fi xed partial denture along withother single crowns and tooth-supported fi xed partialdentures.

Case 3 Lower reconstruction with lower left beingimplant-supported, important neutral zone consideration affectingdesign; upper reconstruction landmarks acceptable;temporomandibular disorder managed.

Case 4 Maxillary fi xed partial denture supported by both teethand implants along with other maxillary and mandibularimplant-supported crowns and tooth-supported crowns and fi xedpartial dentures.

Case 5 Maxillary extractions, periodontal surgery, orthodontics,veneers, and fi xed partial dentures on teeth; mandibularextractions, implants, fi xed partial dentures on teeth andimplants.

Case 6 Multiple congenitally missing teeth, pastorthognathics/orthodontics, tooth position inconsistencies handledrestoratively, multiple implants, tooth-supported crowns and fixedpartial dentures, implant-supported crowns and fixed partialdentures.

See also: Chapter 6 Case 1.

Chapter 7 Case 7.

Chapter 14 Case 4.

Chapter 6 TM Disorders Followed by Reconstruction.

Case 1 Osteoarthritis of the left TMJ managed with bite splinttherapy followed by implant-supported restorations andtooth-supported restorations.

Case 2 Intracapsular and muscular components of atemporomandibular disorder managed with bite splint therapyfollowed by occlusal therapy and a full reconstruction.

Case 3 Intracapsular and muscle disorder resolved with bitesplint therapy followed by occlusal reconstruction with maxillarylingual porcelain veneers.

Case 4 Intracapsular and muscle disorder with resultant occlusalplane asymmetry resolved with bite splint therapy and followed byocclusal therapy with restoration only on the lower left.

Case 5 Past condylar replacement due to avascular necrosisfollowed by posterior occlusal reconstruction.

Case 6 Temporomandibular disorder resolved with bite splinttherapy followed by defi nitive occlusal therapy including amaxillary reconstruction and mandibular functional changes withcomposite.

Case 7 Past mandibular orthognathic surgery to correct maxillaryto mandibular malrelationship caused by condylar degeneration;intracapsular and muscle pain resolved with bite splint therapyfollowed by defi nitive occlusal therapy with posteriorreconstruction and anterior composites.

See also: Chapter 15 case 1.

Chapter 16 case 1.

Chapter 7 Restorations to Achieve Aesthetic and FunctionalChanges.

Case 1 Restoration of anterior aesthetics and anterior guidancein a deep overbite damaged by bruxism with upper and lower anteriorreconstruction.

Case 2 Posterior reconstruction with severe interferences to thecentric arc of closure.

Case 3 Restoration of aesthetics and anterior guidance damagedby wear by increasing overbite with upper and lower anteriorcrowns.

Case 4 Maxillary reconstruction at open vertical dimension toimprove aesthetics, length, buccal profi les, and functionallandmarks; mandibular restorations only recontoured.

Case 5 Maxillary and mandibular aesthetic and functionalreconstruction with lab-processed composite restorations to treatamelogenesis imperfecta.

Case 6 Restorations maxillary bicuspid-to-bicuspid done first aspart of a comprehensive plan; maxillary left central incisorimplant and other functional discrepancies corrected with reshapingand equilibration.

Case 7 Maxillary and mandibular dental reconstruction including4 dental implants replacing unrestorable teeth; impaired aestheticsdue to recession handled with grafts and all porcelainrestorations.

See also: Chapter 16 case 1.

Chapter 8 Complete Implant-Supported Restorations.

Case 1 Complete implant-supported maxillaryreconstruction—transitioning the anterior teeth fromtooth-supported to implant-supported.

Case 2 Complete maxillary nonremovable restoration supported by6 implants converted from a completed removable restoration on 4implants.

Case 3 Complete implant-supported nonremovable maxillary andmandibular reconstructions; transitioning from natural teeth thatwere not predictably restorable.

Case 4 Maxillary extractions, immediate implant placement,immediate loading, and complete nonremovable zirconia restorationwith pink porcelain.

Case 5 Mandibular implant bar–supported full removabledenture converted to a nonremovable restoration to improve comfortof the neutral zone and phonetics.

Chapter 9 Orthognathics.

Case 1 Severe anterior open bite corrected with maxillary-onlyorthognathics and occlusal therapy with upper incisorrestorations.

Case 2 Mandibular orthognathic surgery and chin implant;managing a temporomandibular disorder during treatment; posteriorrestorative dentistry including implants.

Case 3 Maxillary and mandibular orthognathic surgery with chinadvancement; prerestorative occlusal therapy with equilibration andcomposite additions.

See also: Chapter 16 Case 1.

Chapter 10 Bruxism and Wear Reconstruction.

Case 1 Restoration of worn lower anterior teeth in a deep bitewithout changing other restorations.

Case 2 Severe wear from parafunctional habits restored with acomplete reconstruction at an increased vertical dimension ofocclusion.

See also: Chapter 16 Case 2.

Chapter 11 Perioprosthesis.

Case 1 Full maxillary periodontal-restorative reconstructionimproving aesthetics and function; lower posterior reconstructionfollowing conventional surgery, bone and soft tissue grafts,covering recession.

Case 2 Posterior reconstruction in conjunction with conventionalperiodontal surgery; root resection, pocket elimination.

Chapter 12 Implants in the Aesthetic Zone.

Case 1 Hopeless maxillary central incisor transitioned to animplant-supported restoration (delayed placement and delayedloading) with crowns on the remaining incisors along with occlusaltherapy.

Case 2 Extraction and immediate implant placement, delayedloading, and restoration maxillary central incisors; pink porcelainto simulate papilla.

Case 3 Congenitally missing maxillary lateral incisors,orthodontics to open lateral incisor space, dental implants, andother aesthetic improvements.

Case 4 Congenitally missing upper right cuspid; upper rightlateral incisor lost in an accident; implant placed in cuspidposition with 2-unit cantilever restoration, pink porcelain tosimulate gingival.

Case 5 Maxillary central incisor extracted and replaced with adental implant, delayed placement, and delayed loading.

See also Chapter 7 case 6.

Chapter 13 Removable Implant-Supported Restoration withNatural Teeth.

Case 1 Maxillary implant-supported bar-retained removablepartial denture along with tooth-supported restorations toreconstruct occlusion and vertical dimension.

Case 2 Combination mandibular fi xed anterior–removableposterior reconstruction with Locator attachments.

See also: Chapter 14 Case 4.

Chapter 14 Combination Fixed-Removable Restoration on NaturalTeeth.

Case 1 Maxillary bar–supported removable partial denture;lower crowns with semiprecision removable partial denture.

Case 2 Maxillary fi xed partial dentures with precisionremovable partial denture; mandibular bar–supported completedenture.

Case 3 Maxillary telescope case: alumina copings on naturalteeth and removable overstructure; mandibular telescope case:Galvano copings on natural teeth and nonremovableoverstructures.

Case 4 Mandibular anterior fi xed partial denture and posteriorremovable partial denture with implants and Locator attachments foradded support and retention; maxillary reconstruction, telescopecase with 1 dental implant included along with 6 teeth.

Chapter 15 Implant-Supported Complete Dentures.

Case 1 Maxillary extensive bone graft followed byimplant-supported bars and bar-supported overdenture after managinga temporomandibular disorder; flange needed for lip supportnecessitating a removable rather than a nonremovable approach.

Case 2 Severe maxillary and mandibular resorption; maxillarybone grafting; maxillary and mandibular implant-supported bar andbar-supported dentures; fl ange needed for lip and cheek supportnecessitating a removable rather than a nonremovable approach.

Chapter 16 Reconstructions on All Natural Teeth.

Case 1 Severe anterior overjet handled with occlusal/restorativetreatment in lieu of orthognathics; muscular component of atemporomandibular disorder also managed.

Case 2 Failed multiple reconstructions; original deep overbitewith current condition in provisionals with an opened verticaldimension and anterior overjet; managed with a new reconstructionharmonizing a physiologic deep overbite.

Case 3 Maxillary reconstruction combined with extractions andperiodontal surgery to improve periodontal architecture; landmarksof lower acceptable with minor modifi cation.

Case 4 Full mouth reconstruction utilizing crown-lengtheningsurgery, extractions, single crowns, veneers, and a fixed partialdenture sequenced over 2 years.

Case 5 Maxillary complete fi xed partial denture on 9 Galvanotelescopic copings; mandibular anterior fixed partial denture on 4Galvano copings.

See also: Chapter 6 Case 6.

Chapter 14 Case 3.

Chapter 14 Case 4.

Appendix 1 Defi nitive Occlusal Therapy Using the T-Scan III,by Robert B. Kerstein, D.M.D.

Appendix 2 What Your Laboratory Technician Needs to ProvideExcellence, by Jerry Ulaszek, C.D.T.


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    Posted June 18, 2012

    Brick breaker

    Not very exciting. Dull and slow. Better than nothing. I guess...

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    Posted June 7, 2012

    Angel's Shadow (ShadowAngel)

    Ah, I love to see clans in ruins. "A she-cat pads out of the shadows. Her pure black pelt seems to draw in every shadow around her, making her pelt blacker. Her silver eyes have malice and hatred reflected in them. Wings of black blood burst from her back. Ten foot claws shine in the light of the claw-moon." I, the leader of the Dark Forest, claim this territory as our own. Oh and if you try to resist, you'll just end up dying. Ta-ta!

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    Kyostar cant see posts, so Gearbolt is in charge until he/she (sorry, I dont know) gets his/her nook fixed. ~ An RP'er

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    Liz to leader

    Um.. I love the anime Fruit Baskets.. I forgot the charas though..

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    Akitostripe and Kyoclaw

    They stand back to back rearing and slashing staying near each other and killing all the cats that got near. Then Akitostripe was slashed in the neck. Kyoclaw heard a thump and saw him fall. Suddnly a rage came over him. He felt his pride spike out as he thought Who are these cats do destroy my clan? Then he atacked with morer vigor and strength then ever before. Soon all the cats that were still alive backed away from him then all atacked at the same time. He clawed and scratched francticlly and first 1 then another cat dies and falls away from him and he killed the rest of the cats.

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