Dental
Evidence-based dental knowledge cards: implants, periodontics, orthodontics, costs and risks, each with an evidence chain.
169 articles

How Can an Anterior Implant Preserve a Natural Gingival Line? Position, Bone Wall, and Soft Tissue Are All Essential
For an anterior implant to blend into the smile, assessment cannot stop at whether the implant has “been placed”. The …
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Which Pain and Swelling After an Implant Count as Warning Signs? Separate the "Call the Clinic" Signals From the Timeline
Pain and swelling after surgery do not, in themselves, separate safe from dangerous. What really calls for you to cont…
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Bleeding when brushing around an implant years later: what should be checked first?
Bleeding when brushing around a dental implant means that the area needs to be examined, but bleeding alone cannot dis…
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How Should People Who Grind Their Teeth Choose an All-Ceramic Material?
Night-time tooth grinding is not an absolute contraindication to all-ceramic restorations, nor does simply switching t…
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Immediate Implant Placement in an Infected Extraction Socket: What Role Does the Er,Cr:YSGG Water Laser Play?
In this article, “water laser” refers only to the 2,780 nm Er,Cr:YSGG device explicitly identified in the studies. It …
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Inlay, Onlay or Overlay in 3D Ceramic Restorations? Telling Them Apart by Defect Location and Extent of Coverage
When a dentist says "this tooth only needs a 3D ceramic restoration, not a crown", the statement is in fact very concr…
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A Large Cavity in a Posterior Tooth: Resin, an All-Ceramic Inlay, or a Crown?
Extensive decay in a posterior tooth cannot be managed by choosing resin, an all-ceramic inlay, or a crown solely acco…
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How long are swelling and pain normal after dental implant surgery?
Short-term pain, swelling or discomfort when opening the mouth is not uncommon after dental implant surgery, but exist…
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Can Periodontal Bone Defects Regenerate?
Changes in bone support caused by periodontitis may form intrabony defects around the roots, appear flatter, or be loc…
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If the Crown on an Implant Is Loose, Has the Implant Failed?
Movement of an implant crown or a clicking sound when biting may result from loss of crown retention, loosening of a p…
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Pain When Biting but No Clear Cause: What Can a Microscopic Examination Reveal?
A brief pain when biting down or releasing may arise from a cracked tooth, a loose restoration, excessive occlusal loa…
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What Happens If You Leave a Single Missing Tooth Unreplaced? Setting Out the Evidence on Drifting, Cleaning and Chewing
Whether to replace a tooth after losing it cannot be settled by the line "the other teeth are bound to fall over". Wha…
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A tooth has started to move: is it still worth retaining?
A tooth that starts to move does warrant timely periodontal assessment, but “mobile” and “not worth retaining” are not…
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What Separates Peri-implant Mucositis From Peri-implantitis? The Key Is Whether Bone Is Being Lost as Well
Inflammation around an implant falls into two stages. Peri-implant mucositis is inflammation confined to the soft tiss…
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What Is Osseointegration? From Primary Implant Stability to a Stable Connection With Bone
When an implant is first placed in the alveolar bone, primary stability comes from mechanical contact between the bone…
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Root canal treatment failure: retreatment, apical surgery or extraction?
A persistent radiolucency, swelling or discomfort on biting after root canal treatment does not mean that extraction i…
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My Implant Has Come Out — What Now? First Work Out Whether It Is the Crown, the Screw or the Implant
What you experience as "my implant has come out" may be no more than the crown above it or a retaining component comin…
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Microscopic root canal treatment is more than “taking a magnified look”
Microscopic root canal treatment does more than magnify a tooth. Stable illumination and magnification must be combine…
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Pain after root canal treatment: a missed canal or something else?
Short-term sensitivity to pressure or biting after root canal treatment is a different situation from recurrent pain t…
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The Three Phases of Periodontal Treatment: Non-Surgical Therapy, Surgery and Supportive Maintenance — What Each One Is Solving
When a dentist says "periodontal treatment is done in phases", many people misread it as: the first phase did not work…
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