Why Your Dental Marketing Online Reputation Matters

Why does dental marketing online matter so much? Simply put, your patients are relying more and more on the Internet and search engines as a way of researching for a new dentists. They consult online reviews and social media sites before committing to a new practice or elective services—and they keep their eyes open for any potential online complaints or negative reviews.

If an online search turns up only positive information about your practice, that is great news. Sadly, not all business owners can say that all of their practice’s ratings and reviews are positive. With traditional reviews systems negative reviews and unwanted listings can come from any number of sources—real patients, business rivals, and frustrated employees—and their veracity matters very little. If your practice is associated with negative online listings, you can bet that it will lead to decreased new patients, lost current patients, and overall embarrassment. 

That’s why so many practices are trusting PracticeMojo dental marketing to handled their online reviews and ratings. PracticeMojo utilizes a 3 point system for dental marketing and online reputation management.

• Surveys – If you are new to online reviews, you’ll want to start by gathering patient feedback with our surveys. PracticeMojo surveys allow your patients to give valuable feedback about their visits that is only visible to you and your staff.  Doing so, gives your office the ability to start gathering patient feedback via surveys and then switch to online reviews once you are confident the reviews will be as good as you hoped.
• Online Reviews (via RateADentist.com) – You’ll love our online reviews because you get to decide if you want to share the patient reviews on your website or Facebook page after you’ve seen them.  Your patients will love it because it doesn’t require an account or log-in credentials to leave feedback, which also increases response rates.  Plus, posting reviews on Rateadentist.com, your own website and your Facebook page help promote your practice in Google search. 
• Direct Reviews – If you want the most visible reviews, that with help the most with your SEO and Page Rank, we can direct your patients directly to any site you would like to collect reviews. We can link your patients to Google, Yelp, Yahoo and many more review sites to leave ratings. These targeted reviews, along with the rateadentist.com reviews combined with the directory listing information and the keywords on your website will help it show up much more prominently in search results.

Are reviews the most important factor in my dental marketing plan?

No. Recall is the engine for a highly productive practice and for generating new patient referrals. Imagine your dental marketing as a car. Because PracticeMojo has over 40 years experience in dental marketing, we know that the engine of this car is recall. It brings patients to your practice, and drives your practice forward achieving new and higher goals. Recall, remains the #1 way for dental practices to acquire, reactivate and retain patients. Demandforce doesn’t reach past due hygiene patients – period.

At PracticeMojo, we know recall. We also know and utilize other popular marketing channels. Social media, reviews, surveys, newsletters, phone calls, and other dental marketing channels are all great ways to also drive your practice forward. These marketing methods make up the wheels, battery, steering wheel and other key components that make your car a reliable machine.

No other service was designed and executed with dentists in mind.  They may have shinier racing stripes and performance rims but those are not essential for making your practice more productive and more profitable. You need a service with a high performance engine (recall) and that ensures the other elements are in balance (online reviews, social marketing, newsletters, etc.) is key to a successful dental practice marketing strategy – That is PracticeMojo.

Call 800.556.2580 for a FREE 10 minute demo

mention the SmartPractice Blog

Your dental website is the face of your practice online. It’s where your patients and prospects head to when they’re ready to find out about various dental services with the future intentions of availing of them. For this reason, your dental site should be filled with content that is geared towards converting visitors into paying prospects. To do just that, here are some of the tried and tested methods of producing great content:

1. Choose your words.

While you may have learned various dental jargon in school, it’s time to reserve those highfaluting terms for when you’re publishing a research or speaking to professionals who are in the same field as you are. But if your aim is to convert visitors into paying patients, you need to engage them at their level. Use words that are easy to understand but also veer away from using slang or embarrassingly basic terms reserved for third graders.

2.  Focus on them.

One of the most common mistakes that dentists commit when trying to promote their practice online is that they overly promote that they come off as obnoxious and self-obsessed. While the entire reason for marketing is to blow your horn, you should also reserve some of the praises for your prospects. Talk about how much you care for your patients and how your patients deserve nothing but the best kind of dental care.

One neat trick that seasoned copywriters turn to all the time is to substitute “we” with “you”. For instance, instead of saying “we have the most competent dentists in town”, say instead “you deserve the best dentists in town”.

3. Streamline your content.

While there are people who visit your website with no specific agenda in mind except to look and read around, know that the most important people who do click on your website are the ones who have already made up their mind to avail of your services. Maybe they’re just looking for your contact information or more information about the treatment they wish to avail of. To make things easier for them, giving them more incentive to convert, streamline the content found on your page. This is done by conspicuously placing well-labeled links at the top of your webpage.

4.  Make your content easy to read.

Instead of presenting a ten-paragraph article with kilometric sentences on your website, opt for something more readable. Incorporate bullets and number your points. Make sure to have a subheading if you’re going to present new information. This way, your visitors can easily skim through the article and still absorb the things that you want them to know.

DIAGNOSIS AND TREATMENT PLANNING IN FIXED PARTIAL DENTURES

Introduction

-         Fixed prosthodontic treatment can offer exceptional satisfaction for both patient and the dentist.

-         Fixed prosthodontics can transform an unhealthy, unattractive dentition with poor function into a comfortable, healthy occlusion capable of giving years of further service while greatly enhancing esthetics.

-         To achieve success, requires meticulous attention to every detail from initial patient interview through the active treatment phases to a planned schedule of follow-up care.

-         Problems encountered during treatment can often be traced to errors and omissions during history taking and initial examination.

-         Diagnosis: It is the examination of the physical state, evaluation of mental or psychological makeup and understanding the needs of each patient to ensure a predictable result.

-         Treatment planning: It means developing a course of action that encompasses the ramifications and sequelae of treatment to serve the patient’s needs.

Chief Complaint:

            It should be recorded in patients own words. The accuracy and significance of patient’s primary reason /reasons should be analyzed first. This will reveal problems and conditions of which the patient is often unaware.

History:

            A patient’s history should include all necessary information concerning the reasons for seeking treatment, along with any personal details and past medical and dental experiences that are pertinent. A screening questionnaire is useful for history taking.

Medical History:

            An accurate and current general medical history should include any medication the patient is taking as well as all relevant medical conditions.

a)     Any disorders that necessitate the use of antibiotic premedication, any use of steroids or anticoagulants and any previous allergic responses to medication or dental materials should be recorded.

b)     Any conditions affecting the treatment plan e.g.: various radiation therapy, haemorrahgic disorders etc. should be recorded.

c)     Possible risk factors to the dentist and auxiliary personnel, e.g. carriers of Hepatitis B, Aids or Syphilis are recorded so that adequate measures can be followed when treating known carriers.

Dental History:

            Periodontal, restorative and endodontic history are first noted.

Orthodontic history should be an integral part of the assessment of a prosthodontic dentition. Occlusal adjustment may be needed to promote long term positional stability of the teeth and reduce or eliminate parafunctional activity. Restorative treatment can often be simplified by minor tooth movement. When a patient is contemplating orthodontic treatment, much time can often be saved if minor tooth movement for restorative reasons is incorporated from the start.

TMJ dysfunction history

            A history of pain or clicking in the temporomandibular joints or neuromuscular symptoms, such as tenderness to palpation, may be due to TMJ dysfunction which should be treated before fixed prosthodontic treatment begins.

EXTRAORAL EXAMINATION

            Cervical lymph nodes, TMJ and muscles of mastication are palpated.

Temporomandibular joints:

            The TMJ is palpated bilaterally just anterior to the auricular tragic while having the patient open and close his lower jaw.

Tenderness, clicking or pain on movement is noted. Maximum jaw opening less than 40mm indicates jaw restriction, because the average opening is greater than 50mm. Any deviation from the midline is also recorded. Maximum lateral movement can be measured (normal is about 12mm).

Muscles of mastication

            A brief palpation of masseter, temporalis, medial pterygoid, lateral pteregoid, trapezius and sternocleido mastoid muscles may reveal tenderness. The patient may demonstrate limited opening due to spasm of the masseter or temporalis, muscle.

Lips:

Next, the patient is observed for tooth exposure during normal and exaggerated smiling. This may be critical in treatment planning and particularly for margin placement of metal-ceramic crowns.

INTRAORAL EXAMINATION

-         First the patient’s general oral hygiene is observed.

-          The presence or absence of inflammation should be noted along with gingival architecture and stippling. The existence of pockets should be entered in the record and their location and depth chartered.

-          The presence and amount of tooth mobility should be recorded with special attention paid to any relationship with occlusal prematurities and to potential abutment teeth.

-          Check for a band of attached gingiva around all the teeth, particularly around teeth to be restored with crowns. Mandibular 3^rd molars frequently do not have attached gingiva around the distal segment (30% to 60% of cases).

-          The presence and location of caries is noted. The amount and location of caries, coupled with an evaluation of plaque retention, can offer some prognosis for new restorations that will be placed. It will also help the preparation designs to be used.

-          Finally an evaluation should be made of the occlusion. The amount of slide between the retruded position and the position of maximum intercuspation should be noted. Non-working interferences if present, should be evaluated. The presence or absence of simultaneous contact on both sides of the mouth should be observed.

DIAGNOSTIC CASTS

            Articulated diagnostic casts are essential in planning fixed prosthodontic treatment. They provide critical information not directly available during the clinical examination, static and dynamic relationships of the teeth can be examined without interference from protective neuromuscular reflexes. They also reveal those aspects of occlusion not detectable within the confines of the mouth.

            To accomplish their intended goal, they must be accurate reproductions of the maxillary and mandibular arches made from distortion free alginate impressions. (The casts should contain no bubbles as a result of faulty pouring, nor positive nodules on the occlusal surfaces ensuing from air entrapment during the making of the impression).

            The diagnostic casts should be mounted on a semiadjustable articulator with a face bow. By the use of lateral interocclusal records or check bites, a reasonably accurate simulation of jaw movements will be possible. It is important that the mandibular cast be set in a relationship determined by the patient’s optimum condylar position (centric relation position).

Advantages of diagnostic casts:

1)     For diagnosing problems and arriving at a treatment plan.

2)      Allow an unobstructed view of the edentulous spaces and an accurate assessment of the span length, as well as occlusogingival dimension.

3)      Curvature of the arch in the edentulous region can be determined so that it will be possible to predict whether the pontic/pontics will act as a lever arm on the abutment teeth.

4)     Length of the abutment teeth can be accurately gauged to determine which preparation designs will provide adequate retention and resistance.

5)     The true inclination of the abutment teeth will also became evident, so that the problems in a common path of insertion can be anticipated.

6)     Mesiodistal drifting, rotation and faciolingual displacement of prospective abutment teeth can be clearly seen.

7)     A thorough evaluation of wear facets – their number, size and location is possible.

8)     Discrepancies in the occlusal plane become very apparent on the articulated casts.

9)     Occlusal discrepancies can be evaluated and the presence of centric prematurities or excursive interferences can be determined.

10)   Teeth that have supraerupted into the opposing edentulous spaces are easily spotted and the amount of correction needed can be determined.

11)   Diagnostic wax-up can be carried out in situations calling for the use of pontics which are wider or narrower than the teeth that would normally occupy the edentulous space.

Full-mouth Radiographs

            Radiographs provide the information to help correlate all the facts that have been collected in listening to the patient, examining the mouth and evaluating the diagnostic casts.

-         Radiographs should be examined carefully for signs of caries, both on unrestored proximal surfaces and recurring around previous restorations.

-         The presence of periapical lesions, as well as the existence and quality of previous endodontic treatments, should be noted.

-         General alveolar bone levels, with particular emphasis on prospective abutment teeth should be observed.

-         The crown-root ratio of abutment teeth can be calculated. The length, configuration and direction of these roots should also be examined.

-         Any widening of periodontal ligament should be correlated with occlusal prematurities or occlusal trauma.

-         Any evaluation of the thickness of cortical plate of bone around the teeth and of the bone trabeculae can be made.

-         The presence of retained root tips or other pathosis in the edentulous areas should be recorded.

Vitality Testing

            Prior to any restorative treatment, pulpal health must be assessed, usually by measuring the response to percussion and thermal and electrical stimulation. A diagnosis of non-vitality can be confirmed by preparing a test cavity before the administration of local anesthetic.

SELECTION OF AN ARTICULATOR

            A distinction must be made between mounting for diagnosis and mounting for treatment. The attachment of casts to an articulator for diagnosis will be done with the condyles in a centric relation position. Also when the casts are articulated for restoration of a significant portion of occlusion, it may also be done with condyles in centric relation position. Mounting casts for restoration of only a small part of occlusion will be done with teeth in a portion of maximum intercuspation.

            Articulators vary widely in the accuracy with which they reproduce the movements of the mandible.

1)     At the lower end of scale is a non-adjustable articulator. It is usually a small instrument that is capable of only a hinge opening. The distance between the teeth and the axis of rotation on the small instrument is considerably shorter than in the skull with a resultant loss of accuracy. Drastic differences between the radius of closure on the articulator and in the patient’s mouth can affect the placement of morphologic featuers such as cusps, ridges and grooves on the occlusal surface of the teeth being restored.

2)     A semi-adjustable articulator is an instrument whose larger size allows a close approximation of anatomic distance between the axis of rotation and the teeth. If the casts are mounted with a facebow using no more than an approximate transverse horizontal axis, the radius of movement produced on the articulator will reproduce the arc of closure with relative accuracy and any resulting error will be slight. The semiadjustable articulator reproduces the direction and endpoint, but not the intermediate track of some condylar movements. Inter condylar distances are not totally adjustable on semiadjustable articulators. They can be adjusted to small, medium and large configurations. This type of articulator can be used for the fabrication of most single units and fixed partial dentures.

3)     A fully adjustable articulator is designed to reproduce the entire character of border movements, including immediate and progressive lateral translation, and the curvature and direction on condylar inclination. Intercondylar distance is completely adjustable. Since this instrument is very expensive and demands high degree of skill and time, it is used primarily for extensive treatment, requiring the reconstruction of an entire occlusion.

            (To set the condylar inclinations on a semiadjustable instrument, interocclusal records or check bites are used, when the interocclusal record is removed from an arcon articulator, and the teeth are closed together, the condylar inclination will remain the same. However, when the teeth are closed on a non-arcon articulator, the condylar inclination changes, becoming less steep).

            Arcon articulators are more widely used because of their accuracy and the ease with which they disassemble to facilitate the occlusal waxing required for cast restorations. This feature makes this type of articulator (arcon) more difficult for arranging denture teeth. The centric position is less easily maintained when occlusion on all of the posterior teeth is being manipulated. Therefore the non-arcon instrument has been more popular for the fabrication of complete dentures.

Locating the transverse hinge axis

            To achieve the highest possible degree of accuracy from an articulator, the casts mounted on it should be closing around an axis of rotation that is as close as possible to the transverse horizontal axis of the patient’s mandible.

A)    The most accurate way to determine the hinge axis is by the “trial and error” method developed by McCollum and Stuart in 1921 (using a kinematic face bow).

B)    Arbitrary face bows can also used. But they must have an acceptable accuracy. Caliper style ear face bows possess a relatively high degree of accuracy with 75% of the axes located by it falling within 6mm of the true hinge axis. These face bows are designed to be self centering, so that little time is wasted in centering the bite fork and adjusting individual side arms.

TREATMENT PLANNING FOR SINGLE TOOTH RESTORATIONS

            The most common question arising in treatment planning for single tooth restorations is than in what circumstances should cemented restorations made from cast metal or ceramic be used instead of amalgam or composite resin restorations. The selection of the material and design of the restoration is based on several factors:

1. Destruction of tooth structure: If the amount of destruction previously suffered by the tooth is such that the remaining tooth structure must gain strength and protection from the restoration, cast metal or ceramic is indicated over amalgam or composite resin.
2. Plaque control: The use of cemented restoration demands the institution and maintenance of good plaque-control program to increase the changes for success of the restoration. Many teeth are seemingly prime candidates for cast metal or ceramic restorations, based solely on amount of tooth destruction that has previously occurred. However, when these teeth are evaluated from the oral environment, they may in fact be poor risks for cemented restorations.
3. Retention: Full veneer crowns are unquestionably the most retentive. However, maximum retention is not nearly as important for single-tooth restorations as it is for fixed partial denture retainers. It does become a special concern for short teeth and removable partial denture abutments.

INTRA CORONAL RESTORATIONS

            When sufficient coronal tooth structure exists to retain and protect a restoration under the anticipated stresses of mastication, an intracoronal restoration can be employed. Here the restoration itself is dependent on the strength of the remaining tooth structure for structural integrity.

a)     Glass ionomer:

i)                   In small lesions where extension can be kept minimal.

ii)                Useful for restoring Class 5 lesions caused by erosion or abrasion.

iii)              Also employed for incipient lesions on the proximal surfaces of posterior teeth by the use of “tunnel” preparation which leaves the marginal ridge intact.

iv)              Very useful for the restoration of root caries in geriatric and periodontal patients.

v)                 Serves as an interim treatment restoration to assist in the control of a mouth with rampant caries.

b)     Composite resin

i)                   In minor to moderate-lesions in esthetically critical areas.

ii)                Due to polymerization shrinkage and insufficient abrasion resistance, its use on posteriors should be restricted to small occlusal and mesio-occlusal restorations on first molars.

c)     Simple amalgam

i)                   Simple amalgam, without pins or other auxiliary retention is widely used for one-to-three-surface restoration of minor-to-moderate sized lesions in esthetically non-critical areas.

ii)                They are best used when more than half of coronal dentin is intact.

d)     Complex amalgam

i)                   Augmented by pins or other auxiliary means of retention, it can be used to restore teeth with moderate to severe lesions, in which less than half of the coronal dentin remains.

ii)                It can be used as a final restoration when a crown is contraindicated because of limited finances.

Ideally, however, a crown should be constructed over the pin retained amalgam, using it as a core or foundation restoration.

e)     Metal inlay

i)                   Minor to moderate lesions on teeth where the esthetic requirements are low can be restored with this restoration.

ii)                Pre-molars should have one intact marginal ridge to preserve structural integrity.

iii)              Additional bulk of the tooth structure found in a molar, permits the use of this type in a MOD configuration.

f)      MOD Inlay:

i)                   Can be used for restoring moderately large lesions on premolars and molars with intact facial and lingual surfaces.

ii)                It can accommodate a wide isthmus and up to one missing cusp on a molar.

iii)              Cannot be used as a retainer for fixed partial denture.

EXTRA CORONAL RESTORATIONS

            If insufficient tooth structure exists to retain the restoration within the crown of the tooth, an extracoronal restoration, or crown is needed.

a)     Partial veneer crown:

i)                   Leaves one or more axial surfaces unveneered.

ii)                It will provide moderate retention and can be used as a retainer for short span fixed partial dentures.

b)     Full metal crown:

i)                   To restore teeth with multiple defective axial surfaces or when less than half of coronal dentin remains.

ii)                Provides maximum use restricted to situations, where there are no esthetic requirements.

c)     Metal-ceramic crown

i)                   Provides maximum retention.

ii)                Combines full coverage with good cosmetic result.

d)     All-ceramic crown

i)                   Their use must be restricted to situations likely to produce low to moderate stress usually used for incisors.

e)     Ceramic veneer

i)                   Produces good cosmetic result on otherwise intact anterior teeth that are marred by severe staining or developmental defects restricted to facial surface of the tooth.

TREATMENT PLANNING FOR REPLACEMENT OF MISSING TEETH

            Several factors must be weighed when choosing the type of prosthesis to be used in any given situation. Important ones are:

a)     Biomechanical factors.

b)     Periodontal factors.

c)     Esthetics.

d)     Financial factors.

e)     Patient’s wishes.

Abutment Evaluation

-         Abutment teeth are called upon to withstand the forces normally directed to the missing teeth, in addition to those usually applied to the abutments.

-         Whenever possible an abutment should be a vital tooth. However, a tooth that has been endodontically treated which is asymptomatic with radiographic evidence of a good seal and complete obturation of the canal, can be used as an abutment. If the endodontically treated tooth does not have sound tooth structure, it must treated through the use of a dowel core, or a pin-retained amalgam or composite resin core.

-         Teeth that have been pulp capped in the process of preparing the tooth should not be used as FPD abutments unless they are endodontically treated.

-         The supporting tissues surrounding the abutment teeth must be healthy and free from inflammation before any prosthesis can be contemplated.

-         Normally, abutment teeth should not exhibit mobility, since they will be carrying an extra load.

The roots and their supporting tissues should be evaluated for 3 factors:

1. Crown-root ratio.
2. Root configuration.
3. Periodontal ligament area.

1)     Crown root ratio

            It is a measure of the length of the tooth occlusal to the alveolar crest of bone compared with the length of the root embedded in the bone. As the level of the alveolar bone moves apically, the lever arm of that portion out of bone increases and the chance for harmful lateral force is increased.

-         The optimum crown-root-ratio for a tooth to be utilized as a fixed partial denture is 2:3 and a 1:1 ratio is the minimum acceptable under normal circumstances.

-         However, there are situations in which a crown-root-ratio greater than 1:1 (i.e. length of crown greater than length of the tooth) may be considered adequate. If the occlusion opposing a proposed fixed partial denture is comprised of artificial teeth, occlusal force will be diminished, with less stress on abutment teeth.

Studies by Klaffenbach in 1936 have shown that occlusal forces exerted against prosthetic appliances has been shown to be considerably less than that against natural teeth.

FPD against RPD à 26.0lb

FPD against FPD à 54.4 lb

FPD against natural teeth à 150.0lb

2)     Root configuration

-         Roots that are broader labiolingually are preferable to roots that are round in cross section.

-         Multirooted posterior teeth with widely separated roots will offer better periodontal support than roots that converge, fuse or generally present a conical configuration. The tooth with conical roots can be used as an abutment for a short span fixed partial denture if all other factors are optimal.

-         A single rooted tooth with evidence of irregular configurations or with some curvature in the apical third is preferable to the tooth that has a nearly perfect taper.

3)     Periodontal ligament area:

-         Larger teeth have greater surface area and are better able to bear added stress.

-         Kalkwarf in 1986 showed that millimeter per millimeter, the loss of periodontal support from root resorption is only ¹/₃ to ½ as critical as the loss of alveolar crestal bone.

-         Johnston et al in 1971 in their statement designated as “Ante’s law” said that the root surface area of the abutment teeth had to equal or surpass that of the teeth being replaced with pontics.

-         Fixed partial dentures with short pontic spans have a better prognosis than those with long spans. Failures with long span bridges have been attributed to leverage and torque than overload. Biomechanical factors and material failure play an important role in the failure for long span restorations.

-         There is evidence that teeth with poor periodontal support can serve successfully as fixed denture abutments in carefully selected cases. Nyman S, Lindhe in 1976 said that teeth with severe bone loss and marked mobility can be used as fixed partial denture and splint abutments. Elimination of mobility is not the goal in such cases, but to prevent further increase in mobility of that tooth. They said that this is possible in highly motivated patients who are proficient in plaque removal.

Biomechanical Considerations

            All fixed partial dentures, long or short spanned bend and flex.

-         Bending or deflection varies directly with the cube of the length and inversely with the cube of occlusogingival thickness of the pontic.

-         Compared with a fixed partial denture having a single tooth pontic span, a two tooth pontic span will bend 8 times as much. A three tooth pontic will bend 27 times as much as a single pontic.

-         A pontic with a given occlusogingival dimension will bend 8 times if the pontic thickness is halved. To minimize flexing caused by long/short spans, pontic designs with a greater occlusogingival dimension should be selected. The prosthesis may also be fabricated of an alloy with a higher yield strength, such as nickel-chromium.

-         The dislodging forces of a fixed partial denture retainer tend to act in a mesiodistal direction, as opposed to the more common buccolingual direction of forces on a single restoration. Preparations should be modified accordingly to produce greater resistance and structural durability. Multiple grooves, including some on buccal and lingual surfaces are commonly employed for this purpose.

-         Double abutments are sometimes used as a means of overcoming problems created by unfavourable crown-root ratios and long span. There are several criteria that must be met, if a secondary abutment is to strengthen the fixed partial denture.

a)     A secondary abutment must have atleast as much root surface area and as favourable a crown-root ratio as the primary abutment.

E.g.: A canine can be used as a secondary abutment to a first premolar primary abutment, but it would be unwise to use a lateral incisor as a secondary abutment to a canine primary abutment.

-         Arch curvature has its effects on the stresses occurring in a fixed partial denture. When the pontics lie outside the intraabutment axis line, the pontics act as a lever arm which can produce a torquing movement. This is a common problem in replacing all 4 maxillary incisors with a fixed partial denture. The best way to offset this torque is by gaining additional retention in the opposite direction of the lever arm. The secondary retention must be at a distance equal to the length of the lever arm from the interabutment axis.

-         E.g.: The first pre-molars some times are used as secondary abutments for maxillary four-pontic canine-to-canine FPD.

SPECIAL PROBLEMS

A)   Pier abutments: An edentulous space can occur on both sides of a tooth, creating a lone, freestanding pier abutment. Physiologic tooth movement, arch position of the abutments and a disparity in the retentive capacity of the retainers can make a rigid 5-unit fixed partial denture as a less than ideal plan of treatment.

-         It has been theorized that forces are transmitted to the terminal retainers as a result of the middle abutment acting as a fulcrum, causing failure of the weaker retainer.  However a photoelastic stress analysis study conducted by Standlee and Caputo in 1988 has shown that the prosthesis bends rather than rocking.

-         The retention on the smaller anterior tooth is usually less than that of the posterior tooth because of its smaller dimensions. The loosened casting will leak around the margin and caries is likely to become extensive before discovery.

-         The use of a non-rigid connector has been recommended to reduce this hazard. The movement in a non-rigid connector is enough to prevent the transfer of stresses from the segment being loaded to the rest of the FPD.

-         The most commonly used non-rigid design is a T shaped key that is attached to the pontic and a dove tail key way placed within a retainer.

-          The key way of the connector should be placed within the normal distal contours of the pier abutment and the key should be placed on the mesial side of the distal pontic.

B) Tilted Molar Abutments

            A common problem that occurs is the mandibular second molar abutment that has tilted mesially into the space formerly occupied by the first molar. There is further complication if 3^rd molar is present. It will usually have drifted and tilted with the 2^nd molar.

-         If the encroachment is slight, the problem can be remedied by restoring or recontouring the mesial surface of the third molar with an overtapered preparation on the second molar.

-         If the tilting is severe, other corrective measure will have to be followed. The treatment of choice is uprighting of the molar by orthodontic treatment. The third molar if present is often removed to facilitate the distal movement of the 2^nd molar. After removal of the appliance, the teeth are prepared and a temporary FPD is fabricated to prevent post treatment relapse.

-         A proximal half crown can be used as a retainer on the distal abutment. This preparation design is a 3 ¼ crown that has been rotated 90°. It can be used only if the distal surface is untouched by caries.

-         A telescoping crown and coping can also be used as a retainer for the tilted molar. A full crown preparation with heavy reduction is made to follow the long axis of the tilted molar. An inner coping is made to fit the tooth preparation. The proximal half crown that will serve as the retainer for the FPD is fitted over the coping.

-         A non-rigid connector is another solution to the problem. A full crown preparation is done on the tilted molar, with its path of insertion parallel with the long axis. A box form is placed on the distal surface of the premolar to accommodate a keyway in the distal of the premolar crown.

C)    Canine Replacement Fpds

            This is a problem because often the canine lies outside the interabutment axis. The abutments are the lateral incisor, usually the weakest in the entire arch and the first premolar, the weakest posterior tooth. A FPD replacing  maxillary canine is subjected to more stress than that replacing a mandibular canine, since forces are transmitted outward on the maxillary arch. So the support from secondary abutments will have to be considered. An edentulous space created by the loss of a canine and any 2 contiguous teeth is better restored with a removable partial denture.

D)    Cantilever FPDs

            A cantilever FPD is one that has an abutment or abutments at one end only, with the other end of the pontic remaining unattached. This is a potentially destructive design with the lever arm created by the pontic.

-         Abutment teeth for cantilever FPDs should be evaluated for lengthy roots with a favourable configuration, good crown root ratios and long clinical crowns.

-         Generally, cantilever FPDs should replace only one tooth and have atleast 2 abutments.

-         A cantilever can be used for replacing a maxillary lateral incisor with canine as the abutment. There should be no occlusal contact on the pontic in either centric or lateral excursions.

-         A cantilever pontic can also be used to replace a missing 1^st premolar with second premolar and 1^st molar as abutment. The occlusal contact should be limited to the distal fossa on the 1^st premolar pontic.

-         Cantilever FPDs can also be used to replace molars when there is no distal abutment present. Most commonly the 1^st molar is replaced with the 2 premolars as abutments. The pontic should have maximum occlusogingival height, there should be light occlusal contact on the pontic with no contact in any excursions. Buccolingual width should be kept minimum and the pontic should resemble more of a premolar.

Conclusion

            The scope of fixed prosthodontic treatment can range from the restoration of a single tooth to the rehabilitation of the entire occlusion. Single teeth can be restored to full function and improvement in cosmetic effect can be achieved. Missing teeth can be replaced with fixed prosthesis that will improve patient comfort and masticatory ability, maintain the health and integrity of the dental arches, in many instances elevate the patient’s self image.

            It is also possible by the use of fixed restorations, to render supportive and long range corrective measures for the treatment of problems related to the temporomandibular joint and its neuromuscular system. On the other hand, with improper treatment of the occlusion it is possible to create disharmony and damage to the stomatognathic system.

Bibliography

1)     Kalkwarf K.L., Krejci R.F., Pao Y.C. : Effect of root resorption on periodontal support. J.P.D. 1986; 56: 317-319.

2)     Malone W.F.P., Koth D.L., Cavazos E. : Tylman’s theory of practice of fixed prosthodontics. 8^th Ed., Ishiyaku publications, 1977.

3)     Markley M.R. : Broken-stress principle and design in fixed prosthesis. J.P.D., 1951; 1: 416-423.

4)     Reynolds J.M. : Abutment selection for fixed prosthodontics. J.P.D., 1968; 19: 483-488.

5)     Rosenstiel R.F., Land M.F., Fujimoto J. : Contemporary fixed prosthodontics. 1^st Ed., Mosby Publications, 1988.

6)     Shillingburg H.T., Hobo S., Whisett L.D., Jacobi R., Brackett S.E. : Fundamentals of fixed prosthodontics, 3^rd Ed., Quintessence Publication, 1997.

7)     Sutherland J.K., Holland G.A. : A photoelastic analysis of the stress distribution in bone supporting fixed partial denture of rigid and non-rigid designs. J.P.D., 1980; 44: 616-23.

Dental Websites & Online Dental Marketing Today

Dental websites & online dental marketing has revolutionized the dental marketing world in a way that a lot of practices are under prepared for. www.kelseygroup.com). Nearly all consumers (97 percent) now use online media when researching products or services in their local area, according to BIA/Kelsey’s (www.bia.com and
Dental SEO (search engine optimization) is the new yellow pages, but it’s more than that. It’s more effective, efficient and popular than the yellow pages ever was.So why are so many offices under utilizing this great new marketing channel? Leave a comment if i’m wrong, but I believe because of two reasons. 1. It’s complicated and hard to understand properly and 2. It’s ever changing and requires constant upkeep and maintenance. Before we go any further let’s take a break for a challenge and see just how your website SEO fairs...

Here’s the Challenge

Go to http://www.opensiteexplorer.org/ and enter your dental website address and then enter your 4 top competitors in your geographic area. Click over to the ‘Compare Link Metrics’ tab and see how your dental website SEO fairs in comparison to your competition. This report shows the key SEO metrics your dental website should be concerned with.

Surprised? Now I don’t expect you to understand completely what each one means or how it plays into your overall SEO score for any giving keywords (that’s a full-time job), but I do want to make the point that in terms of effective, efficient and proper SEO dental websites, the majority (you and perhaps your competitors) fall well short of proper guidelines for maximum online exposure and are losing to their competition on a daily basis.

And Here’s the Answer

Even if you already have a dental website, now is the time to make the switch to SmartPractice Dental Websites powered by Prosites. SmartPractice has teamed with Prosites, the leader in dental website design, to provide you with a perfect complement to your professional dental brand. Your new dental website will feature high-quality color themes and graphics, interactive features, built-in and ever upgrading search engine optimization, patient education content, HD quality videos and much more!

Built in Search Engine Optimization - built from the ground up

SmartPractice dental websites powered by ProSites integrates many of the most important search engine optimization techniques into every website we create. Other companies charge thousands for the onsite optimization included in our free SEO. While there are literally thousands of self-proclaimed "SEO experts" who make outlandish claims about their success at getting good rankings, most give little or no thought to creating "conversions." Rankings are nice, but that doesn't necessarily translate into new patients. Only new patients = new patients! Having a website that was designed to optimize conversions is key to generating new patients.

Free Upgrades - never a need to update

As the development team creates new features, enhancements, and page options, we like to roll them out as free upgrades for all members. Once released, you can apply these upgrades to your website with the click of a button. For example, when the HD quality dental video library was rolled out, our members were able to click the "Add Dental Videos" button, and their websites were instantly upgraded to include a collection of high-quality patient education videos (again, free of charge). Many competitors charge hundreds of dollars for their inferior quality videos. Our focus is keeping your website on the leading edge of technology and we are always looking for ways to provide you with free website enhancements.

Dr Bharat  Agravat Best Dental Clinic Ahmedabad India since 1999

Welcome to dr bharat agravat dental clinic in ahmedabad, painless dentistry and latest treatment with International standard.

Dental Clinic Facility: We maintain high standards of sterilization protocol. Ultra modern facilities like RVG Digital X-Ray, Dentascan by intra oral camera. Dental awareness oral care by Computer Dental Education Programmes, Wi-Fi, Music. Online appointments. Located at prime area in ahmedabad next to Pride hotel, Bodakdev, s. g. highway. Our clinics are designed for your comfort and our world class equipment is designed for your utmost care.

Dr bharat agravat expert in Cosmetic Dentistry like perfect smile design, teeth whitening, single sitting root canal, replacement of teeth by dental bridge or dental implant, laser oral surgery, wisdom tooth remove, gum disease, mobile tooth treatment, bleeding gum, foul smell, fixed denture. Dr. Bharat Agravat is an Empanel Dental Surgeon at ongc ahmedabad since 2007.please visit: www.drbharat.agravat.com/about-us.php

Special treatment provided: Dental Implants, Crown & Bridge, Painless Single sitting Root Canal Treatment, Cosmetic Dentistry, Smile makeover, perfect smile, Smile Makeover by Lamination, laser tooth whitening. Developing young & fresh profile of your face through reduction of skin folds at corner of mouth and rediscovering strength & confidence for chewing.

Treatment provided by Dental clinic:

Cosmetic treatment: dental Implants,Replacing missing teeth by bridge, Veeners, Fixed Ceramic Teeth, Reshaping & Contouring of teeth, Cosmetic Gum Surgery, Gum Contouring, Laser Assisted Periodontal Surgery, Single tooth replacement by implant, Implant supported full dentures, Gaps between teeth, Removal of cracks & dark lines from front surface, Whitening of old yellow teeth & Tobacco Damaged Teeth, removal of dark pigments from gums, Complete & Partial Dentures, Flexible Dentures, Tooth Jewellery, Midline Space Closure,  Zircon Metal Free Crowns,Smile design, Teeth whitening, Tooth colored restoration, Complete Dentures, Immediate Dentures, Partial Dentures, CAD-CAM crowns and bridges.

Conservative treatment: Diabetic & Cardiac Dental Care, Gum Treatment, Pyorrhoea, Bleeding Gums, Bad Breath, Mobile Teeth, Food Lodgment, Gum Swelling, Restoration Of fractured tooth, Oral prophylaxis, Scaling, Cleaning of the teeth, Treatment of Snoring while sleep.

Oral Surgical treatment : Painless and Fearless Wisdom Tooth Removal, Gum Flap surgery, Extractions: Wisdom Tooth Removal, Cyst Removal, Jaw fracture, Mandibular repositioning, Orthognathic surgery, Sinus lift, Ridge augmentation with bone grafting, Gingivectomy, Frenectomy, Apicectomy, tumor removal.

Child Dental Care :  Braces, Misaligned teeth, Irregular teeth, proclined teeth, Spacing between teeth, Anti-aging dental treatment, invisible braces, color braces, Ceramic braces, Sedation Dentistry (sleep while treatment).

Warranty: First time Dental Warranty for 5 to 25 years depending on treatments like Dental Implants, Crowns, Root Canal Treatment.

Offer:

Member ship package includes: Cleaning and polishing twice a year.Dental check-up unlimited year.5 – Digital X-ray.10% off on dental treatment.

Yearly membership Charges: 1) Rs. 9000 for 1 member. 2)  Rs. 1500 for 2 members. 3)  Rs. 2700 for 4 members.

Contact:

Dr Bharat Agravat Cosmetic Dental Implant Clinic.

UF-2, Mohini tower, B/S Pride Hotel, Near Judges cross road, s.g.highway,

Satellite, Bodakdev, Ahmedabad – 380054.Gujarat, India.

Phone No: (M) 9825763666 (O) 079-30089191, http://www.drbharat.agravat.com

Our patients often ask, "Which is better for straightening my teeth - braces or Invisalign?" As with many answers to "either/or" questions in cosmetic dentistry, the answer isn't usually straightforward, since it depends on individual situations. However, once you understand the differences between braces and Invisalign, you and your dentist can decide which one is best.

Brace Yourself
You know the basics regarding braces: brackets, wires, occasional spacers and/or rubber bands, and regular appointments for tightening them. Once braces are removed, you might need to use a retainer at night to ensure your teeth remain in their desired positions.

There are certain circumstances when braces are recommended over Invisalign, such as when:

• You need cylindrical tooth rotation/movement
• Your bite needs to be significantly adjusted
• Cosmetic dentistry requires root uprighting or vertical tooth movement (this is when one tooth is lower than other teeth, or is tilted, and needs to be lifted up).

Braces work best whenever a tooth needs to be "grabbed" and moved, or lifted, into a new position. This is especially common with cylindrical teeth, which are more difficult to grasp and lift.

Envision Invisalign
If you're like most Americans, your cosmetic dentistry needs have more to do with creating a picture-perfect smile. The Invisalign system treats crowding, spacing and overbites, making it a desirable option for most of our patients. The advantages of Invisalign over traditional braces include:

• Popcorn, chewing gum, and PB&J's - no need to worry about what you eat because you remove the aligners when you eat and, replace them when you're finished (after brushing/flossing, of course).
• They're clear - Out of sight, out of mind.
• Say goodbye to retainers. The aligners are yours to keep. You have a whole series of aligners to ensure your teeth are able to be kept in their proper place.

About the Author

Dr. Steffany Mohan is the owner of Plaza Dental Group and is a leading dentist in Des Moines, Iowa. Dr. Mohan is an expert in implant, pediatric and cosmetic dentistry is Invisalign certified and has gained a reputation of excellence in the dentistry community.

Aside from giving tweens the space in the vastness of the internet to rant about their latest celebrity crush, is there anything that Facebook can offer your practice? You be it does and not just to individuals with dentistry-oriented careers but virtually to every business owner in the face of the planet. But how could this blue-themed website which is mostly used by teens and young adults help your practice?

Your Prospects’ Hangout Site

As of September 2012, Facebook has reached the one billion mark with regards to subscribers and the recent study has shown that almost half of the entire country makes use of the social media website. Compare that to only 7 percent of the population which tweets. If you put two and two together, it’s easy to figure out that majority of the people you want to sell your services to happen to be Facebook users. And because it’s your job to look for them and woo them, not the other way around, then it makes perfect sense that you become a Facebook user yourself.

You’re On Facebook, What Now?

So you’ve finally gotten round to having your own business page for your practice, how can you take advantage of all the social media goodness Facebook has in store? First thing’s first; you need friends and likes. Consider having a new set of business cards printed out with your practice’s Facebook link and then handing one out to every patient; the best people to start with are your existing patients.

Make sure that you have you place your complete contact information on your Facebook page. What use is getting prospects thrilled about your services when they have no way to contact you anyway because you forgot to type in your office phone number? Also include your operating hours and a link to your dental website in case they want to know more about the products and services you offer.

Start grabbing your Facebook friends’ attention by posting your latest gimmicks and offerings on your page. If you at least have a personal Facebook account, you very well know that your friends’ latest posts are reflected on your Newsfeed. This means that if you post a new status on your business page, that this status would go out to all of your friends’ newsfeeds. If your offer is enticing enough, you should be able to earn a decent number of clicks.   

If you’re just getting started with your online dental marketing campaign then there are four things that you simply cannot forego. The things listed in this article are arranged according to their importance. While you can do all of these things in one go it’s more preferable that you gain a solid footing on the first one before making your way through the list.

1. Dental

Your dental website must be two things – first, up-to-date and second, search engine optimized. Your website content must always be fresh and updated if you want to attract website visitors and search engine spiders. Your visitors will feel very unsure of your dental website if the last post was five years ago. At the same time, constantly updating your dental website will help ensure that it is search engine optimized. SEO is integral to your dental site’s online visibility and incoming traffic will depend on how well your website does in the rankings.

2. Dental Blog

Once you have your dental website up and running, you need to get started with your blog. Blogs are a huge help to your practice’s online visibility and because blog posts are considered news by Google, it’s also easier for your blog to rank higher in search engine results pages than traditional websites. The casual nature of this social media platform also allows you to communicate with your prospects in a more relaxed manner.

3. Google Places

Some people are against traditional organic searches contending that they do not need to make their dental website rank no. 1 in searches done all over the world when the only people they need to market their services to are those living in the same state as them. That is exactly what Google Places addresses. If you have a Google Places listing, whenever someone makes a local search for dentists, your listing may easily land on the first page of the SERPs.

4. Facebook Page

This social media giant has a billion users as of October 2012 and it’s no wonder why dentists are scrambling to have a personal and business account on Facebook. If you want to have paying patients, then you need to be where all the prospects are and start converting them there. Chances are that most of your prospects, and existing patients, have their own Facebook profiles. Use your status to drain traffic from your profile to your dental website.

Start

After 2 months of Treatment

End of Treatment

To learn more visit us at

ACADEMY OF FIXED ORTHODONTICS

www.drravikumar.in

Email :  orthocourse@drravikumar.in

Business growth and dental marketing has long been affiliated with acquiring new patients. Companies, and even perhaps your own, fall victim to shelling out hundreds and even thousands of dollars a month to acquire a new patients. I know of at least one company that chargers a dollar just to get a new patient email address. Just an email address! a lead, not even a paying patient! The fact is growing businesses tend to spend so much of their time and money acquiring new customers that they often overlook their best source of dental practice growth:retaining and growing their existing customer base.  

Fact: On average, 40% of patients ‘fall through the cracks’ every month.

Dental Recall Marketing: A Growth Story

If you pick up any basic business book one of the first things you’ll learn is that it is cheaper, easier, and more effective to retain current patients than it is to acquire new ones. In fact on average, if your practice can retain all of its patients by just one additional month, you can achieve an additional 3 percent of annual growth. If you can retain your patient base for four additional months, you can create double-digit growth–without adding a single new patient. What are you doing to retain the 40% of paying patients that are walking out of your practice each month?

How can you stop your patients falling through the cracks?

For more than 40 years SmartPractice has been committed to providing dental marketing services that create ‘Healthier Practices’.  In an effort to bring the very best technology and most effective recall system to our customers we’ve partnered with PracticeMojo.  PracticeMojo understands dental marketing. It is the culmination of a 20-year quest to bring dental practices a simple, inexpensive option that not only assists with patient communication, but revolutionizes the way you market your practice to current and prospective patients, all while saving you time, money and stress. 

By focusing its efforts on your existing patient base with their effective and proven dental marketing recall strategies, within days of starting PracticeMojo you’ll notice that your patients stop falling through the cracks, costs go down and revenue goes up.

Here’s the best part: There is no contract, no set-up fee, no hassle. Wait did you say no  contract? That’s right! We’re so confident that PracticeMojo will deliver results that we guarantee PracticeMojo every month! At anytime if your not satisfied, you can cancel. Try asking any other dental marketing company for monthly results with no contract! In fact not only is PracticeMojo is the most affordable solution, it is also the only one that was specially designed to target your current patients, reactive them, retain them, and generate referrals from them. See how PracticeMojo compares to the competition.

If you are interested in learning more how PracticeMojo can help your practice fill the gaps in your schedule and increase revenue, give a knowledgeable product specialist a call today!800.556.2580. 

About PracticeMojo
The PracticeMojo software was created by dental industry professionals who have more than 40 years of practice marketing expertise. It’s designed to help you retain, recruit and reactivate patients and improve their oral health IQ with communication via text, e-mail and postcards. We guarantee PracticeMojo will keep your schedule full every month. Plus, PracticeMojo will always be on time, never call in sick and never take a vacation.

Recently an email marketing services company conducted a poll of about 200 email marketers who stated that there will be an increased focus on video email in the next few years among small and medium sized businesses (SMBs).

Around 80% or roughly 160 of them said they're going to use it within a year. Here's why:

* 64% of them think they'll get a significant boost to conversion rates.
* Over 50% said that it will improve click-through rates and drive customers onto landing pages.
* Over 20% said that video emails can also reduce support and training costs
* On the flip side, only 4.7% of those polled saw no benefit.

These email marketers broke down the best uses of video email into the following categories:

* 29% said training courses use video email best
* 22% said product offers
* 19% said product demos were key
* 18% use it for customer testimonials.

TALK FUSION is an easy-to-use, affordable suite of video communications tools that includes video e-mail, video conferencing and coming next month; video newsletters.

Dear Dental Colleagues,

On November 09th 2012 at the 4th Dental-Facial Cosmetic International Conference will be conducted Getting the Outmost of Implantology In Daily Dental Practice/The Use Of RFA In Daily Implant Practice Hand-on Course by Dr. Wijnand Peter van der Schoor (The Netherlands).

The main course objectives:

•             Implant choice in relation to:

o             Surgical aspects and prevention of complications: bone quantity, bone quality, Implant stability

o             Complete implant placement procedure and hands-on workshop on Dummy Jaws

•             Unique objective and scientific way for testing the implant stability upon implant placement. The Use of RFA in daily Implant practice

o             RFA Technology

o             What is the ISQ

o             Manage implants at risk

o             Reduce treatment time

o             Treating higher risk patients and implants at risk

o             Clinical Cases

More information and contact:       

events@cappmea.com                                 M: +971502793711

www.cappmea.com/aesthetic2012

This year the Conference for Women in Dentistry is highlighting a lecture on Minimally Invasive Cosmetic Procedures for

the face: Botox and Fillers. The lecture is being presented by Melissa Lackey, DMD,MD. As dentist and specialists, I find

that having the ability to volumize the perioral area around the mouth results in much more aesthetically pleasing dental cases. The aging process both depletes volume in the lip, and the action of the depressor anguli oris which depresses the angle of the mouth creating "Marionette folds" are an important component of the lower zone of the face. As dental proffesionals we have the ability to enhance the outcome of our aesthetic dental cases and ultimately gain patient satisfaction.  I would like to hear the opinions of our dental colleagues on this subject!

Choosing between digital and computer radiography is an important decision for your practice but not always an easy one to make. I've put together a chart that outlines the features and benefits, as well as pros and cons, of both to help you decide which option is better suited for your practice based on your needs. How did you make the decision between digital and computer radiography? 

DentalVibe Dentists across the country are benefitting from our tremendous consumer awareness campaigns educating tens of millions of people each month about pain-free injections with DentalVibe!

Here's a sampling of our latest TV News appearances.

Click Video To Play

Dr. Bill Dorfman was featured on NBC News in a “Your Health” segment titled “LA Dentist Pioneers Tool for Painless Dental Work.” Dr. Dorfman explains how "DentalVibe enables him to give injections to his patients, and they don't feel anything."

Click Video To Play

DentalVibe Dentist, Dr. Aleksander Iofin was featured on FOX News Health in an in-office segment titled, "How to Make Your Dentist Visit Pain-free". Dr. Iofin mentions how he uses DentalVibe on every patient, and they are always fascinated by how they don't feel any pain.

Click Video To Play

DentalVibe Dentist, Dr. Eric Eby was featured on NBC News in an in-office segment titled, "New Device Blocks Pain From Shot.". When Dr. Eby asked his patient Andrew how he felt after he administered the injection, Andrew said, "I didn't feel a thing!"

To learn more about DentalVibe Injection Comfort System

Call 877-503-VIBE (8423) or Visit www.DentalVibe.com

Found this from SmartPractice the other day, what a funny video. What do you think? 

DentalVibe® presents "Sedation Dentistry: How Pain-Free Treatments Build Business and Fights Fear".

This White Paper helps dentist discover and learn more about how utilizing pain-free dental treatments with sedation dentistry can build their business and fight fears for patients.

Sedation and DentalVibe together create a powerful marketing message, and this new white paper teaches dentists how to ethically and profitably sound that message loud and clear.

The new white paper, Sedation Dentistry: How Pain-Free Treatment Builds Business & Fights Fear, can be downloaded free of charge. (PDF format). The document makes for an invaluable marketing and educational resource for dentists around the world.

This thorough, 13-page, full-color document offers a number of exciting features, including:

• Special Needs Patients Sedation Guide: DentalVibe’s new white paper looks at the special benefits of sedation as applied to particular groups of people living with disabilities. Learn when and why you should consider recommending a combination of sedation and DentalVibe to people with special needs, as well as children and other difficult-to-treat patient populations.
• The Origin of Sedation: The white paper also reveals the astonishing history of sedation dentistry and considers the legacy its benefactor left behind in the wake of his tragically ironic death.
• Agents and Modalities Explained: Dentists will learn more about when particular modalities and specific sedative agents are recommended for individual patient populations and procedures.
• Risk Analysis: Media scrutiny and headline-grabbing cases have created public misperception about the risks of sedation dentistry. The white paper addresses those risks and an ethical response for sedation dentists.
• The Gate Control Theory of Pain: Learn the science behind Melzack and Wall’s fascinating “Gate Control Theory of Pain,” the neurological principle that allows DentalVibe to completely block the pain signals caused by intra-oral injections.

The NYU College of Dentistry - Current Concepts in American Dentistry, Middle East Program starts October 11^th, 2012 in Abu Dhabi, UAE with three days session. We welcome the first speakers coming from New York University:

Dr. Cyril EVIAN– “Crown Lengthening Procedures and Resective Techniques for Esthetics and Treatment for Caries and Fractured Teeth”, “Treatment Decisions for Interdisciplinary”

Dr. Michael APA and Dr. Brian CHADROFF- Treatment Decisions for Interdisciplinary Challenges: Achieving Ultimate Aesthetics (Part I&II)

Dr. Philippe TARDIEU– “Introduction to Dental Photography and Management of Patient's Informations”

For more information and different options for Registration please contact events@cappmea.com

www.cappmea.com/nyu