Single Tooth Immediate Implants

Recovering Cases Using Single-Tooth Immediate Implants

Abstract

Loss of a key tooth after complex cosmetic rehabilitation can spell disaster for the case. This article discusses recovering from this predicament with the use of immediate implants. This method preserves tissue contour to set the stage for optimum clinical results. By using a fixed provisional beginning on the day of implant placement, patient satisfaction is maximized.

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Serving My Country and My Profession

American Academy of Cosmetic Dentistry

Serving My Country and My Profession

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Clinical Case Report: Direct Veneers

American Academy of Cosmetic Dentistry

Clinical Case Report: Direct Veneers

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307th CDA Article Pictures

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A volunteer experience that had some bite

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Jacqueline Madison said there’s one thing she won’t miss about Ursuline High School: the uniform.

“But I will miss the close-knit relationships I had with everyone, including my teachers,” she said. “Going from 160 in my class to 4,000 in college will be hard.”

The recent graduated will be heading to Santa Clara University in the fall. She’s interested in art and advertising. She also could see herself becoming a dentist.

Good thing she doesn’t have to declare her major in her freshman year.

“My dad always says make sure you do something you love and my mom is the same way. So, I’ll be exploring my options,” she said.

Madison, who finished with a 3.9 grade-point average, lives with her mom, Roselia, dad, James and brother, also named James, 14. The family has a Yorkie dog named Dolly.

Her favorite things include pesto pasta and ice cream, rock, rap and reggae music, swimming in the summer and snowboarding in the winter. Her favorite movies are either scary or funny and her reading-for-pleasure book list is topped by the Harry Potter series.

Her most recent embarrassing moment was a near slip at graduation, held outdoors at Sonoma State University.

“I usually wear wedges and I was wearing heels, trying not to sink into the grass when I nearly wobbled over,” she said.

She has had a quirky obsession since she was a youngster — that of looking forward to dental cleaning appointments.

“I’ve always had this weird fascination with teeth,” she said. “When I was little, I’d make a fake retainer out of bubble gum and make my mom look.”

When she had to decide on a senior community project, she gravitated toward that childhood passion. She was volunteering at The Family Support Center in Santa Rosa when inspiration struck.

“I was teaching children about eating healthy foods and brushing habits,” said Madison. “I realized that a lot of the children hadn’t been to the dentist.”

So she organized dentists and their staffs to provide a full day of screening of children who had never been to the dentist or who hadn’t been in a very long time.

“I had been working at my dad’s office, and I had saved money to pay for it. I understood that a child’s visit could cost up to $90,” she said.

She was pleased when her own dentist, Robert Didier, agreed to host a kid’s check-up day for free. A second dentist, Robert Erlach, also helped.

That event took place on February 21 when 19 children received dental screenings, a cleaning and a goodies bag that included a toothbrush, toothpaste and dental floss.

“The dentists, the hygienists, even the receptionist donated their time,” she said. “And they did it all for free, which is amazing.”

Madison credits her project mentor at the center, Carol Kempton, for helping her stay focused until the day was a reality. “She has an amazing job. Her whole job is helping these kids,” said Madison. “She really supported and encouraged me, too.”

Community service projects for Ursuline seniors are usually tackled by two or more teens. “I decided to go solo to see what it’s like,” she said. “Later in life, I’ll need to be independent, so this was a good experience for me.”

In her junior and senior years Madison traveled to Mexico with her school’s Esperanza International group to build houses for needy families. This spring she was joined on the trip by her mother, who speaks Spanish fluently.

“Sharing that experience with my mother was wonderful,” she said. “We helped each other while we volunteered.”

Her personal heroes include her father for his determination and hard work and her aunt, Margarita Farrell, who has been a mentor for as long as she can remember.

“She was an actress when she was little and she’s a dwarf, just a few inches over 3 feet tall,” said Madison. “She taught me never to give up. Her support has kept me motivated.”

This summer Madison will be working as a server at the Bohemian Grove in Monte Rio, as are many of her classmates. Then she’ll enjoy a vacation in Cabo San Lucas, Mexico, a family getaway destination since she was in the eighth grade.

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Santa Rosa West Rotary Bulletin

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Dr. Bob Erlach is a dentist who practices cosmetic and restorative dentistry. His practice is Fountaingrove Dentistry on Mendocino Avenue in Santa Rosa. In his other life he is a Reserve Lieutenant Colonel in the Medical (Dental) Service Corp of the United States Army. Bob has been a member of the U.S. Army for 23 years, and actually began his military career in Armor (tanks and artillery).

Uniquely enough, Bob is also Airborne qualified, and, speakin’ from experience, you don’t find many docs or dentists in the Army who can say that! “I Wanna Be An Airborne Ranger, I Wanna Live A Life Of Danger, Up the Hill! Up the Hill! All the Way! All the Way, Airborne! Airborne!…makes me winded just thinkin’ about those days!

Colonel Erlach has been involved in the Army on active duty and reserve status since 1981. During his career he has served as a both an armor and dental officer. He has provided dental care to US soldiers and local civilians in Korea, Honduras, Fiji Islands, Peru, El Salvador and Kosovo. He gave a Power Point presentation on the United Nations involvement in Kosovo and his experiences there.

Dr. Bob recently returned from a four-month tour of duty in Kosovo, where he served as a dental officer in the US Army. While there he treated both military and civilian folks. He provided a very educational and informative slide show on the country and how it has changed with the different occupations, as well as in interesting look at his practice while there.

Colonel Erlach’s commanding officer would have been proud to witness his knowledge of the country in which he was stationed, and the people he dealt with there both medically and militarily. He is a credit to the United States Army as well as his profession. Thanks for sharing your experience with us, Bob!

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Dr. Erlach Dental Services Company

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FORT HUNTER LIGGETT, Calif. – The 307th Medical Company (Dental Services) is one of the many units training in support of Global Medic, the U.S. Army Reserve Command’s premier medical training exercise.

The exercise’s goal is to replicate all aspects of combat service support on the battlefield so that Soldiers have the opportunity to practice an array of life-saving skills.

In one of the exercises, the 307th, based out of Valejo, Calif., responded to a simulated patient with a fractured jaw. This required the unit to coordinate with the combat support hospital to treat and evacuate the patient back to a facility with a higher care level.

Field training provides the medical units an opportunity to train on equipment and situations they would normally not encounter.

“In Iraq at this time,” said Army Col. Robert W. Erlach, 307th Med. Co. commander, “many of the facilities are fixed facilities that you’re just falling in on-a facility that’s already up and running.”

In this situation, the units are able to set up their own equipment, which gives them a chance to train for real-world situations where they might have to plan and set up from scratch.

Global Medic allows the unit to use its own equipment to train, so they can prepare for other important missions such as “Beyond the Horizon,” an operation conducted by U.S. Southern Command that provides medical, engineering and humanitarian assistance for countries in South and Central America.

Erlach, a native of Santa Rosa, Cali., said that in 2005, Soldiers from the 307th participated in operations in Panama, Honduras, El Salvador, Madagascar, Germany and the Balkans.

Not only is equipment training a focus for the unit, but communications with coordinating units is key as well.

“We’re new working with each other, connectivity’s always a problem,” said Erlach. He describes this as ‘battle rhythm’: learning the right person to talk to, getting everybody informed, and less time trying to do simple communications.

“Hopefully, when that amount of time gets streamlined and we’re communicating more efficiently we’ll have more time to provide patient care, and the mission will go smoother,” said Erlach

For three days prior to Global Medic beginning, the 307th has had time to communicate with other units on how to handle different situations together. Although these units may not be deployed together in the future, this is an opportunity for them to share experiences with one another for future deployments.

For instance, Erlach has 22 years of dental experience.

Erlach went on to say that in the Reserves, the doctors and dentists usually have more than 10 or 20 years of experience. He added that the clinical experience of Reserve medical staff is broader because they don’t always have to stay within the boundaries of Army regulations.

“In my practice, for instance, I might do things the way I feel that I do them the best,” said Erlach. “It may not exactly conform to Active Duty, but it’s all within the standard of care.”

Global Medic has given the unit an additional opportunity to train as they would in real situations. Next year, they are expecting to go to Nicaragua in support of Beyond the Horizon.

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What are the warning signs of gum disease?

Gums are usually a healthy shade of pink. Any time there is discoloration, such as being extra red or blotchy in appearance, there might be an infection. Also any swollenness, pain, sensitivity, or bleeding is a definite signal, so contact a dentist right away for an appointment. Furthermore the beginning stages of periodontal (gum) disease can have no symptoms, so it is important to have regular appointments every 6 months so your dentist can give a thorough examination and cleaning.

Am I a candidate for Invisalign?

Most likely, yes. Generally Invisalign isn’t recommended for children since they may experience problems wearing them regularly, but the only other disqualification is if your condition requires special orthodontic headgear to correct jaw alignment. These types of headgear attach to brackets on the teeth, and therefore are not compatible with the clear plastic retainers that Invisalign uses.

What are the advantages of dental implants?

What are the advantages of dental implants?
Dental Implants are just about the best solution for keeping dentures firmly secured in their desired position, and they do not require messy gels that can leave foul tastes. Your Santa Rosa dentist will mount two small implants into your mouth and then connect them with a small bar. This bar locks together with a corresponding piece on the denture plate to make sure your dentures never become dislodges unintentionally.