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Health Library

healthy teeth and smiles in JerusalemBelow are a few articles which might be of interest to you.  As your dentists, we would be happy to answer any and every question you may have regarding the various dental procedures. Please contact us if you have any questions.

  • Need guidance on the best way to floss? The best way to brush your teeth? Are you a caregiver and need tips for taking care of teeth for older adults or for a disabled person?  Click here for guidelines on proper flossing and brushing.
  • At KJJ you can expect the best care for your teeth, including for restoration structurally damaged teeth. Our own Dr. Jotkowitz has published, together with Dr. Nachum Samet, “Rethinking ferrule – a new approach to an old dilemma“.  British Dental Journal, July 2010. Full details are available on PubMed (PMID 20616834). This paper has drawn together the various elements relating to one of the most important aspects when restoring the structurally compromised tooth – the ferrule effect.

The ‘ferrule effect’ is a long standing, accepted concept in dentistry that is a foundation principle for the restoration of teeth that have suffered advanced structure loss. A review of the literature based on a search in PubMed was performed looking at the various components of the ferrule effect, with particular attention to some of the less explored dimensions that influence the effectiveness of the ferrule when restoring severely broken down teeth. These include the width of the ferrule, the effect of a partial ferrule, the influence of both, the type of the restored tooth and the lateral loads present as well as the well established 2 mm ferrule height rule. The literature was collaborated and a classification based on risk assessment was derived from the available evidence. The system categorises teeth according to the effectiveness of ferrule effect that can be achieved based on the remaining amount of sound tooth structure. Furthermore, risk assessment for failure can be performed so that the practitioner and patient can better understand the prognosis of restoring a particular tooth. Clinical recommendations were extrapolated and presented as guidelines so as to improve the predictability and outcome of treatment when restoring structurally compromised teeth. The evidence relating to restoring the endodontic treated tooth with extensive destruction is deficient. This article aims to rethink ferrule by looking at other aspects of this accepted concept, and proposes a paradigm shift in the way it is thought of and utilised.

  • Our own Dr. Jotkowitz has published, together with Dr. Nachum Samet, “Classification and prognosis evaluation of individual teeth—A comprehensive approach”.  Quintessence International, May 2009. Full details are available on PubMed (PMID 19582242).

Following a complete evaluation of the patient, treatment planning requires the analysis of individual teeth, accurate diagnosis, and prognosis evaluation. Currently, there is no accepted comprehensive, standardized, and meaningful classification system for the evaluation of individual teeth that offers a common language for dental professionals. A search was conducted reviewing existing literature relating to classification and prognostication of individual teeth. The dimensions determined to be of importance to gain an overall perspective of the individual relative tooth prognosis were the periodontal, restorative, endodontic, and occlusal plane perspectives. The authors present a comprehensive classification system by conjugating the literature and currently accepted concepts in dentistry. This easy-to-use system assesses the condition of individual teeth and enables a relative prognostic value to be attached to those teeth based on tooth condition and patient-level factors.

 

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