In modern implantology, the debate isn’t about which system is “better,” but rather which design is most compatible with the patient’s specific anatomy. Implant positioning dictates everything-from how the bone reacts in the first six months to how easily the patient can clean the restoration ten years later. To achieve long-term success, we must understand […]
Why “Selection” Matters More Than “Material” Determinants of Impression Material Selection in Clinical Practice 1. Clinical Determinants Driving Material Choice 2. Dimensional Accuracy: Static vs. Dynamic Accuracy 3. Hydrophilicity: What Actually Works in a Wet Mouth 4. Elastic Recovery & Strain-in-Compression: Removal Reality 5. Surface Detail Reproduction vs. Cast Quality 6. Interaction With Digital Dentistry […]
In the contemporary implant practice, the question is rarely if we should graft, but rather which matrix will yield the highest quality of vital bone for the specific defect at hand. As experienced clinicians, we know that successful osseointegration and long-term ridge stability are not merely products of surgical skill, but of biological synergy. Material […]
In modern implantology, we often focus on thread design or surface macro-topography. However, the long-term success of a restoration frequently hinges on what happens at the “handshake”-the implant–abutment interface. This connection directly influences mechanical stability, peri-implant bone behaviour, and prosthetic longevity. While Internal Hex and Conical Connections dominate the market, their clinical behaviour differs significantly. Understanding where and why each performs better […]
Introduction In modern restorative dentistry, the posterior composite is a staple of daily practice. For decades, the Incremental Layering Technique was the undisputed gold standard for managing polymerization shrinkage. However, the rise of Bulk-Fill Composites has challenged this tradition, promising to simplify workflows and save precious chair time. The critical question for every clinician is: Does the speed of bulk-filling compromise […]
IntroductionIn a small dental practice, the stakes for infection control are just as high as in a major hospital. Sterilization is the foundation of patient safety, staff protection, and strict legal compliance. However, efficiency is often the secondary challenge; in a limited space with a small team, a clunky protocol can bottleneck your entire daily […]
Endodontic shaping has transitioned from the use of rigid stainless steel hand files to flexible nickel-titanium (NiTi) instruments capable of conforming to complex root canal anatomy. Modern NiTi files utilize either continuous rotation or reciprocating motion. The choice between this kinematics directly impacts clinical efficiency, instrument longevity, and the overall quality of the canal preparation. Understanding the Mechanisms of Motion Continuous Rotary Motion Continuous rotary motion […]
Frenectomy- the surgical removal or repositioning of restrictive oral frenum-are performed across all ages to improve speech, oral hygiene and orthodontic stability. For decades the standard method has been a simple scalpel excision with sutures. Over the last two decades, however, various surgical lasers have been introduced for soft tissue procedures. Clinicians therefore face a practical question: when is a laser the […]
Introduction Loss of maxillary premolars and molars often leads to pneumatization of the sinus and resorption of the alveolar ridge. When implant therapy is planned in these sites, the surgeon must decide how to increase the available bone height safely and predictably. Two broad approaches are used to elevate the sinus floor: the lateral (open) sinus […]
Composite restorations remain the most common direct treatment in dentistry-yet they are also among the most technique-sensitive. Composite Failures often occur not because of the material but due to small deviations in bonding, moisture control, preparation design, or occlusal planning. Understanding these hidden factors helps clinicians achieve predictable, long-lasting restorations. Why Composite Restorations Fail 1. […]
