Research update: implant fracture

Dentistry Online presents the latest abstracts published examining the factors contributing to dental implant fractures.

Analysis of the causes of dental implant fracture: A retrospective clinical study

Stoichkov B, Kirov D (2018) Quintessence Int 49(4): 279-86


Fracture of osseointegrated dental implants is the most severe mechanical complication. The aim of the present study was to analyse possible causative factors for implant body fracture.

Method and materials

One hundred and one patients with 218 fitted implants and a follow-up period of three to 10 years were studied.

Factors associated with biomechanical and physiologic overloading such as parafunctional activity (eg, bruxism), occlusion, and cantilevers, and factors related to the planning of the dental prosthesis, available bone volume, implant area, implant diameter, number of implants, and their inclination were tracked.

The impact of their effect was analysed using the Bonferroni-corrected post-hoc Mann-Whitney test for each group.


The incidence of dental implant Read the rest

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Marketing orthodontic treatment through social media

Neil Hillyard looks at how social media can be used to endorse, highlight and promote your practice to potential patients.

The use of social media continues to grow strongly. An estimated 42 million people in the UK spend an average of around two hours each day creating and engaging with content.

Using social media to promote orthodontic treatment and to engage with patients is steadily increasing. The majority of practices are cautiously exploring how digital marketing can help to grow their practice.

Others, seeing the potential these platforms provide, have been early adopters and have actively leveraged every opportunity to engage with new patients seeking orthodontic treatment.

In this article, we will look at how you can use social media to promote your practice and to more effectively engage with new and existing patients.

Which channel?

One of the frequent questions we are asked by practices is which social media Read the rest

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Oral Health Awards – Melanie Pomphrett

Melanie Pomphrett discusses what it was like to take home Highly Commended in the Best Hygienist category.

How does it feel to have won an award?

I definitely never thought I would win an award. So now that the shock has worn off I feel immensely grateful!

Winning an award has never been the motivation to do the best job I can but it has always been a goal and aspiration of mine. It is really nice to have your hard work recognised and celebrated.

Did you enjoy the awards evening?

Despite the nerves I definitely enjoyed the awards, the virtual set up was impressive and I really enjoyed watching all of the other categories.

Why did you choose to enter the awards?

I always knew I wanted to enter the awards at least once in my career, I suppose you could say it was something to tick of my … Read the rest

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The growing fascination with lip treatments

Sharon Bennett discusses patients’ growing fascination with lip treatments and considers how to offer them safely, effectively and appropriately.

What percentage of your business is focused on lips?

Of my HA injectables, I would say 65% of my business is lip fillers. However, there would definitely be people who would say 90% because lips may be their primary focus. Lips are a massive market and it’s growing every day.

Have you seen a rise in people wanting lip fillers? What do you think has fuelled this?

Yes, I would say we have absolutely seen a rise, and we’ve seen this rise over the last ten years.

Our demographic has widened considerably – now it’s all the way from 18 up to much more mature patients of 70.

What’s causing this in the younger patients is the presence of aesthetic treatment on social media and reality TV programmes. Shows such as … Read the rest

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Problem solving endodontics – looking at working length estimation

John Rhodes presents an interactive, practical and problem-solving solution in endodontics. This month, he looks at working length estimation.

The question of how to get reliable results from an apex locator is often posed to me. Whether it is necessary to take a diagnostic radiograph when using one. In this problem-solving, interactive article I will be looking at how to estimate working length. Also, how to use an apex locator predictably and provide some troubleshooting tips.

There are several ways of establishing the working length. Using various approaches helps to ensure the canals are instrumented, disinfected and obturated to the correct length.

Generally, preparation takes place as near to the apical constriction as possible. However, this landmark only exists in about 50% of roots and is not visible on a radiograph. Therefore the apex locator is an invaluable tool for locating the cemento-dentine junction (CDJ) and periodontal ligament. Modern apex Read the rest

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Corporate dentistry – what are the pros and cons?

Sarah Ramage is the clinical director at Bupa Dental Care. She examines workforce attraction within corporate dentistry and what the next 25 years might look like.

This year we’re all living in extraordinary times. The global pandemic has hit the dental industry as hard as others.

There are estimated to be in the region of 205 corporate dental groups currently in business (Laing and Buisson, 2018). They are defined as incorporated companies or sole trader/partnerships operating three or more dental practices. That’s a huge number of corporate dentists and patients COVID-19 affects.

As a result of the pandemic many private practices will have to resort to furlough and redundancies.

This will result in talented clinicians looking for new roles and opportunities. At Bupa Dental Care, we think that the next 25 years will show more dental clinicians attracted to corporate dentistry as a career option.

But the benefits of corporate Read the rest

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COVID-19 and dental implants: impact and perspectives

Curd Bollen, Yasna Najmi and Maher Almasri examine the influence of the coronavirus outbreak on the current and future practice of implant dentistry.

The year 2020 will always be remembered as the year of COVID-19. It influenced almost every facet of our society – and medical and dental services in particular.

The pandemic caused by the SARS-CoV-2 virus led to a near-worldwide lockdown. This has had a disastrous impact on daily dental services. It also completely changed the future approach towards medicine and dentistry.

This article focuses on the impact of the coronavirus on the field of implant dentistry. In particular, discussion of the environmental, clinical and psychological factors, as well as the economic impact, will take place.

There are several recommendations proposed to introduce a safer workplace for both patients and clinicians in times of a viral pandemic.


International scientific literatures elaborates on the origin of the … Read the rest

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Six ways hygiene and therapy can rescue your practice

Nick Coller examines how effective deployment of hygiene and therapy personnel during the COVID-19 pandemic and beyond can turn them into practice heroes.

The pandemic has forced dentistry, like many other industries, to examine profitability, resources and effective staff deployment. This has inevitably led to job losses amongst dental hygienists and therapists (DHTs).

This article focuses both on the importance of encouraging patient uptake of hygiene and therapy services during the ongoing pandemic and also as an effective means to help practices recover.

Hygiene income pays straight into the bottom line

The reality is that most DHTs, especially those solely performing hygiene services, work alone unassisted. Thus, the DHT comes with none of the associated fixed staff costs of a dental nurse.

Overheads are therefore negligible (amounting to not much more than some polish and an apron). Many self-employed DHTs even bring their own hand scalers and fitted mask.

Some Read the rest

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Orthodontic therapists – employed versus self employed?

Chair for the Orthodontic Nation Group, Sally Dye gives us the benefits and drawbacks of both options.

Employment presents in various guises – and with this comes benefits and drawbacks. Within a working environment there are principally three categories of employment. The fully employed status, a worker and a self-employed person (

An employed individual has entitlement to full statutory work rights while at the opposing end of the employment field. A self-employed person accrues almost no rights. In short, the biggest differences are ‘pay’ and ‘rights’.


An employed worker is seen as a permanent member of staff. They have a signed contract with no time frame. This means no end date (after an initial previously agreed probation period). Further indications of employment include specific statements of what work is, together with when it is required to take place. Also, where exactly it will take place … Read the rest

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Oral Health Awards – Jane Peterson and the Shine On Award

Jane Peterson talks about what it was like to be recognised for her achievements and how the awards make a difference to her practice.

How does it feel to have won an award?

It is an honour to be recognised as someone who is striving to make a difference within the profession. It goes without saying that I am delighted to win this prestigious award.

Did you enjoy the awards evening?

The awards evening was somewhat different to the previous two that I’ve attended. Despite the awards being held virtually, it transpired to be an exhilarating evening. The bonus was that my family were able to watch and celebrate with me this time.

We watched the ceremony on a large monitor in our study and cheered when my name was announced. Afterwards I celebrated by walking to the local store for chocolates and bubbly.

Why did you choose to enter

Read the rest Read More