501 S Preston St Rm 312
Louisville KY 40202
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License #: 9536
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Maxillary lateral incisor agenesis and its relationship to overall tooth size. - The Journal of prosthetic dentistry
Agenesis of the maxillary lateral incisor has been linked to differences in the size of the remaining teeth. Thus, the mesiodistal space required for definitive esthetic restoration in patients with missing maxillary lateral incisors may be reduced.The purpose of this study was to determine whether a tooth size discrepancy exists in orthodontic patients with agenesis of one or both maxillary lateral incisors.Forty sets of dental casts from orthodontic patients (19 men and 21 women; mean 15.9 years of age; all of European origin) were collected. All casts had agenesis of one or both maxillary lateral incisors. Teeth were measured with a digital caliper at their greatest mesiodistal width and then compared with those of a control group matched for ethnicity, age, and sex. Four-factor ANOVA with repeated measures of 2 factors was used for statistical analysis (Î±=.05).Orthodontic patients with agenesis of one or both maxillary lateral incisors exhibited smaller than normal tooth size compared with the control group. The maxillary arch had a larger tooth size difference between the control and test groups than the mandibular arch (there was a significant JawÃ—Group interaction [F=4.78, P=.032]).Agenesis of one or both maxillary lateral incisors is significantly associated with toothÂ size discrepancy, which may affect the space remaining for restoration of the remaining teeth.Copyright Â© 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.
Use of intraoral digital scanning for a CAD/CAM-fabricated milled bar and superstructure framework for an implant-supported, removable complete dental prosthesis. - The Journal of prosthetic dentistry
This report describes a clinical technique for fabricating a maxillary implant-supported, removable complete dental prosthesis by using an intraoral digital scanner to register implant positions and soft tissue morphology. The presented technique uses computer-aided design/computer-aided manufacturing (CAD/CAM) technology with a subtractive manufacturing process to fabricate a milled bar (infrastructure framework) and an additive process to fabricate a friction fit, superstructure framework. This digital restorative pathway may decrease patient discomfort and reduce the labor associated with fabricating implant-supported, removable complete dental prostheses.Copyright Â© 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.
Effect of occlusal vertical dimension on lip positions at smile. - The Journal of prosthetic dentistry
In complete mouth reconstructive dentistry, the occlusal vertical dimension may be increased to provide adequate restorative space or to improve esthetics. The effect of increasing the occlusal vertical dimension on the smile is not well understood.The purpose of this study was to evaluate the effect of increasing the occlusal vertical dimension on the dimensions of the smile.Thirty dental students, 12 men and 18 women between the ages of 21 and 30 years old, participated in thisÂ study. Polyvinyl siloxane occlusal registrations 2, 4, 6, and 8 mm in thickness were fabricated from articulated stone casts. Posed smile images at occlusal vertical dimensionÂ +0,Â +2,Â +4,Â +6, andÂ +8 mm were made with a digital single lens reflex camera mounted on a tripod. A wall-mounted head-positioning device, modified from a cephalometric unit, was used to stabilize the headÂ position. Interlabial gap height, intercommissural width, incisal edge to upper lip, and incisal edge-to-lower lip measurements were made with computer software. The smile index was obtained by dividing width by height. The display zone area was measured by using computer software tracing. One-way repeated measures ANOVA (Î±=.05) was used for statistical analysis.With an increase in the occlusal vertical dimension, the interlabial gap height, incisal edge to lower lip distance, and display zone area increased significantly (P<.001), whereas the smile index decreased significantly (P<.001). No significant changes were observed in the intercommissural width and incisal edge to upper lip distance.The interlabial gap height, incisal edge-to-lower lip distance, and display zone area increase with increased occlusal vertical dimension. The smile index decreases with increased occlusal vertical dimension. However, the width of the smile and the length of the upper lip tend to remain unchanged.Copyright Â© 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.
Dentin surface modification using the Er,Cr:YSGG laser and a meshwork mask: light and SEM microscopic observations. - Photomedicine and laser surgery
We have developed a novel technique of utilizing a stainless steel meshwork mask during treatment of dentin with the Er,Cr:YSGG laser. It is the purpose of this study to observe the surface modifications produced by this method.Many techniques have been developed to facilitate bonding of various materials to dentin. However, an optimal bond has not yet been achieved.Four teeth ground to dentin were randomly assigned to two groups. Group 1: Er,Cr:YSGG laser treatment; and Group 2: laser treatment while a 100 Î¼m aperture stainless steel mesh was situated over the dentinal surface.Group 1 samples appeared rugged but relatively flat. Group 2 samples presented a surface with uniformly aligned craters âˆ¼100â€‰ Î¼m wide, 150 â€‰Î¼m deep.Masking the dentinal surface with a stainless steel mesh during laser irradiation produces a surface texture that appears to facilitate mechanical retention.
Effect of Er,Cr:YSGG laser parameters on shear bond strength and microstructure of dentine. - Photomedicine and laser surgery
The objective of this study was to investigate the effect of different Er,Cr:YSGG laser parameters on the morphology of irradiated dentine and the shear bond strength between resin composites and irradiated dentine.Dentine specimens prepared from extracted human third molars were randomly assigned to six groups, including one receiving phosphoric acid etching, and five others with different laser parameters: 5 W for 30 sec, 2.5 W for 30 sec, 2.5 W for 60 sec, 1.5 W for 30 sec, and 1.5 W for 100 sec. Surface morphology was examined using a scanning electron microscope (SEM). Average roughness (Ra) was determined with a profilometer. Bonding of resin composites to the dentine specimens was tested in shear mode.The dentine surfaces irradiated by the Er,Cr:YSGG laser showed a scaly and rugged appearance and open dentinal tubules without smear layer production. The 5-W-irradiated group had the highest roughness value (p < 0.05). One-way ANOVA revealed that the shear bond strength of resin composites to the laser-irradiated dentine ranged from 12.35-15.61 MPa, and was not significantly (p > 0.05) different from the bond strength seen in the acid-etched dentine of 19.06 MPa. However, the surface roughness of the laser-irradiated dentine was significantly (p < 0.05) higher than that of the acid-etched dentine.The 5-W power setting may be suitable for dental restoration applications in terms of shear bond strength and activation area.
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501 S Preston St Rm 312 Louisville, KY 40202
100 E Liberty St Suite 500
550 S Jackson St 1St Floor
571 S Floyd St Weisskopf Child Evaluation Center
401 E Chestnut St Unit 310
201 Abraham Flexner Way Suite 904