Wednesday, December 2, 2015

The best of the best: Breakthrough Clinical's top articles for 2015

End-of-year summaries are always interesting to analyze; it gives us a frame of reference to see if we’re up to snuff on what’s trending in the things that catch our interest. Dentistry is no different because if you are reading this, you want to know what the top 5 dental specialties articles were for Breakthrough Clinical’s debut year. You want to know, if what you know, is what everyone else knows, right?
Well, let’s get to it then.
pediatric dentistry - Behavior management considerations in the pediatric patient by Conway Jensen, DDSNo. 5: Behavior management considerations in the pediatric patient
By Conway Jensen, DDS

Managing pediatric patients can be a challenge. If you’re like me, you have no problems treating these kiddos when they are all smiles, sitting in your chair with mouths open wide. However, when they give me “that look” that shows there’s going to be a confrontation or they clamp their mouth shut with a defiant “no,” then I get stressed out! Dr. Conway Jensen, a pediatric dentist in Washington, describes the rationale behind these behaviors so we can better understand why some kids are angels and some are, well, not.
No. 4: A ‘mini’ extreme dental makeover: Implants with a double-arch All-On-4
By Stacey L. Simmons, DDS—

What do you say when your patient informs you she wants to travel 2,500 miles to get her teeth extracted and have implants placed? Geography can be a tricky thing. The rationale behind this patient’s decision to go to Mexico was part of a jumble of reasons as to why it was believed that a smile couldn’t be achieved closer to home. In the end, however, we overcame and not only got that smile, but we changed a life. This case—from start to finish—has arguably been one of the most gratifying things I have done in my career as a dentist. I hope you enjoy this patient’s story!
Thoughtful use of local delivery antimicrobial agents in periodontitis by John Remien, DDS, MSNo. 3. Thoughtful use of local delivery antimicrobial agents in periodontitis
By John Remien, DDS, MS—

Oftentimes, it seems that when we aren’t battling caries, we are battling periodontal disease. We tell our patients that a healthy foundation is paramount to function and long-term stability. We stress that in order to achieve this, we must go on the offense by employing techniques and materials that include antimicrobial agents. How helpful are these antibiotics, and when are they most effective? How do you set up a game plan that is best for your patient and his or her particular situation? Read up for the latest, and let us know if your strategy is any different!
The myth of 'easy' root canals in endodontics by David Landwehr, DDS, MSNo. 2: The myth of ‘easy’ root canals in endodontics
By David Landwehr, DDS, MS—

Think that anterior root canal is going to be a piece of cake? Think again. This article is a fantastic review as to why we must always be prepared for the variable anatomy and surprises that have the potential to present when we do root canals, especially with the anterior teeth. Dr. Landwehr’s thoughtful insight will have you approaching your endo in an entirely different way. It’s a definite must-read!
Ankylosed primary teeth with no permanent successors: What do you do? by David M. Sarver, DMD, MSNo. 1: Ankylosed primary teeth with no permanent successors: What do you do?
By David M. Sarver, DMD, MS—

A primary tooth that doesn’t want to move is a recipe for frustration and a plethora of challenges for any orthodontist. The good news is that there are treatment modalities that offer welcomed outcomes. Dr. Sarver’s article is full of descriptive photos and insight that validate its number one spot for this year’s Breakthrough Clinical articles.
And for our top pathology case of the year . . .
Diagnosis and treatment for Breakthrough Clinical pathology case: No. 5 by Kevin Connor, DDS, MDNo. 1 pathology case for 2015 by Kevin J. Connor, DDS, MD—
White lesions in the mouth are not an uncommon find when performing intraoral exams. Breakthrough Clinical’s most popular pathology case is an exceptional review as to why harmless-looking white lesions warrant assessment and treatment. When this case was published, submitted answers were across the board, which demonstrates the need for us all to refresh our pathology skills! This submission is complete with pictures, differentials, and treatment modalities that are well presented and well worth your time!
There you have them—the top 5 articles and the top pathology case for 2015! This kind of stuff drives home the point that the daily grind at the office isn’t always black and white. We’re all in the same boat when it comes to the challenges we face as oral health-care providers.
As editor for Breakthrough Clinical, I’d like to remind you that this newsletter is reader-driven. If you have something you would like to write about and have published (in this newsletter or other Dental Economics sister publications), please contact me atssimmonsdds@gmail.com. Also, don’t forget to join DE’s Breakthrough Clinical Facebook group—a forum for you to post pictures, radiographs, and pose questions about your cases to your peers!
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