There’s more to a smile than just what meets the eye. So, in order to find what cannot be seen by the naked eye, Boca Raton dentist Dr. Gerard Cuomo uses state-of-the-art microscope-enhanced dentistry. Every examination room in our dental office is equipped with a microscope that allows Dr. Cuomo and his staff to see your teeth and any developing problems at 20x magnification. You can go to the homepage of our website for an example of how this magnification works. Whether you are coming to our Boca Raton dental practice for a checkup or a more complex procedure, you can be certain you’ll receive the most precise treatment with our microscopes.
Why do dental implant screws loosen and fracture after a prosthesis is placed?
May 3, 2013
I feel that foreign matter plays a role in contamination of not only the implant fixture threads, but also the implant screw threads. This foreign matter is comprised of blood (body), calculus (body), wax (lab), porcelain powder (lab), metal filings(lab), and stone slurry (lab). I also feel that the screw head may not seat properly in the screw access hole of the screw abutment, crown, and/or bridge prosthesis due to the same contaminants.
Screw loosening/fracture occurs:
1. When dentists and labs don’t recognize this debris as a contaminant.
2. The dentists and labs don’t use a new/unused screw for the final screw.
3. The proximal contacts of the crown and bridgework are too tight, putting excessive lateral pressure on the screw threads.
4. Calculus formation in the threads of loose screws will inhibit the dentist’s ability to remove the screw without fracture.
5. Screw metal surface quality may play an important role. You need to check with the implant manufacturers.
Presoaking the screw access hole with tarter/stain removing solution is my best advice for existing cases. Lab quality control starts with using advanced magnification such as a quality dental microscope. GC
Reaching out to dental students across the nation via YouTube
May 2, 2013
Thank you very much for you fit check videos – I think if every dental student watched them and applied the level of detail that you do then the worldwide quality of dentistry would improve drastically!
Thanks for all of your videos – I think they are some of the most informative dental videos on YouTube.
All-on-Four Fixed Implant Denture – "A cost effective alternative to wearing a complete set of removable dentures"
August 12, 2012
End stage dentistry does not have to end with a complete set of removable dentures. Now there is a unique treatment concept that will return a patient’s vitality for chewing food and help them avoid embarrassing moments associated with wearing dentures. It’s known as the “All-on-Four” technique with same day loading. Same day loading or “Immediate Loading” allows the patient to never be without teeth. Patients walk into the dental office with removable dentures and two to three hours later walk out with fixed implant non-removable dentures that they can call their own. Please click on the following link to watch one of our many videos on the “All – on – Four” method. GC
http://www.youtube.com/watch?v=yyqMxvV9SCw&list=UUZFBuQ_o3n2JTDSR2hj3TTg&index=1&feature=plcp
http://www.youtube.com/watch?v=oyegukONiZA&list=UUZFBuQ_o3n2JTDSR2hj3TTg&index=9&feature=plcp
Dental Video Eyewear – "Seeing is believing" – Real-Time patient co-diagnosis.
July 6, 2012
Patient education is presented in many different ways:
-
Reading materials: brochures, pamphlets, etc.
-
Demonstration models, props, etc.
-
Computer graphic sample still images, books, before and after photos with still shot images shown on a computer screen.
-
Image capturing device – intra-oral camera, extra-oral digital camera with still shot images shown on a computer screen.
-
Patient Video Eyewear – direct live video line connected to patient via their own personal pair of video eyewear.