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Connect and Collaborate with the ACP Dental Technician Alliance

JDT FEATURE
By Stephen Balshi, MBE

Prosthodontists are the driving force behind comprehensive care for patients seeking complex dental rehabilitations. As a member of the Dental Technician Alliance of the American College of Prosthodontists (ACP), I collaborate with these leaders in restorative dentistry in delivering that care.

Membership in the ACP Dental Technician Alliance gives us exposure to this prestigious specialty through access to networking opportunities, research and continuing education, much of which is focused on the technology that we use in our laboratories. The ACP is rare among dental specialties in that we, as technicians, are truly a part of the organization.

Pictured Above:
Dental Technicians and Prosthodontists attend “The Laboratory Connection: Techniques, Innovations, and Pearls from the Experts” at the 2015 ACP Annual Session in Orlando.

Pictured Below:
Stephen Balshi addresses technicians and members of the ACP Board of Directors at the Dental Technician Alliance
Breakfast held at the 2015 ACP Annual Session.

Stephen Balshi addresses technicians and members of the ACP Board of Directors at the Dental Technician Alliance Breakfast held at the 2015 ACP Annual Session.

ACP Dental Technician Alliance members receive a listing in the printed membership directory and the ACP’s online “Find a Dental Tech” search. ACP prosthodontists use this search to locate Dental Alliance Technician members by name or location. Those two features alone have brought my dental laboratory not only new business, but business we technicians desire. Quality record taking leads to quality restorations.

I was fortunate to serve as the President of an ACP Section, the Pennsylvania Prosthodontic Association, where I worked with local prosthodontic leaders to plan our annual meeting. This included organizing the scientific program and acquiring corporate sponsorships. Previously, only prosthodontist members were permitted to serve as state section officers but the ACP voted to update their bylaws to give members of the Dental Technician Alliance the opportunity to lead as well. My experience as Section President provided great exposure to all the prosthodontists in the state.

When we convene for the Annual Session, Dental Technician Alliance members have access to some of the best educational sessions in dentistry, as well as the very latest advances in technology. There is also a breakout scientific session for laboratory technicians, often focused on the critical communication between technician and prosthodontist. The ACP Annual Session is the one meeting I am sure to attend every year as it is an opportunity to learn side-by-side with prosthodontic practitioners and educators. Should you attend the ACP Annual Session, don’t miss the breakfast for dental technicians on Friday, October 7.

The 46th ACP Annual Session will be held in San Diego on Oct. 5-8. If you are interested in attending the meeting and learning more about the Dental Technician Alliance, you can contact the ACP membership department at (312) 573-8799 or visit Prosthodontics.org.

About the Author:
Stephen Balshi, MBE, is the owner of CM Prosthetics, Inc. in Fort Washington, Pa., and currently serves as Chair of the ACP Dental Technician Alliance Committee.


Journal of Dental Technology June/July 2016 Special Reprint | © 2016, National Association of Dental Laboratories | www.jdtunbound.com

ACP_JDT_Article_2016 in PDF Format

The Retread: A Retrospective Analysis of 205 Implant-Supported Fixed Hybrid Prostheses

Article PDF: The Retread: A Retrospective Analysis of 205 Implant-Supported Fixed Hybrid Prostheses

The International Journal of Prosthodontics, March/April 2016 – Vol. 29 Issue 2, 126-131 

Thomas J. Balshi, DDS, PhD, Glenn J. Wolfinger, DMD, Stephen G. Alfano, DDS, Stephen F. Balshi, MBE

Purpose:
Acrylic resin teeth on fixed implant prostheses are subject to time-dependent wear. The purpose of this retrospective analysis is to evaluate and describe the management of such wear in the context of selected variables-patient gender and age, dental arch location, and opposing dentition. The clinical and dental laboratory process to replace the worn teeth is defined as a retread.

Materials and Methods:
A retrospective database review from a single private prosthodontic practice was carried out on all patients who had undergone a retread procedure. The patient pool included 205 arches in 194 patients (70 in men, 135 in women) with a mean age of 57.4 years (range: 19.9 to 80.5 years). The retread procedure is described.

Results:
The mean time between final prosthesis delivery and retread was 7.8 years  (range: 1.1 to 22.9 years). Statistical analysis was significant according to dental arch and opposing dentition. A statistical
difference was also noted in patients undergoing multiple retread procedures, with a reduction in time between the subsequent procedures.

Conclusion:
Acrylic resin components of implant-
supported hybrid prostheses wear over time and are influenced by a combination of the nature of the opposing dentition and patient habits. The dental laboratory process to retread the implant-
supported framework is important for long-term patient care and maintenance of an appropriate vertical dimension of occlusion . lnt J Prosthodont 2016;29126-131. doi: 10.11607/r1p.4277.

A Long-term Retrospective Analysis of Survival Rates of Implants in the Mandible

Balshi TJ, Wolfinger GJ, Stein BE, Balshi SF.

Int J Oral Maxillofac Implants. 2015 Nov-Dec;30(6):1348-54. doi: 10.11607/jomi.3910.

Abstract

PURPOSE:

To retrospectively analyze the survival rate of endosseous dental implants placed in the edentulous or partially edentulous mandible over a long-term follow-up period of 10 years or more.

MATERIALS AND METHODS:

The charts of patients who underwent mandibular implant placement at a private prosthodontics practice and received follow-up care for 10 years or more were included in this study. Implants were examined according to the following study variables: patient sex, patient age, degree of edentulism (fully vs partially edentulous), implant location, time of loading (delayed vs immediate), implant size and type, bone quality, prosthesis type, and the presence of other implants during placement.

RESULTS:

The study sample was composed of 2,394 implants placed in 470 patients with 10 to 27 years of follow-up. Of these 2,394 implants, 176 failed, resulting in an overall cumulative survival rate (CSR) of 92.6%. A total of 1,482 implants were placed in edentulous mandibles, and 912 implants were placed in partially edentulous mandibles, with CSRs of 92.6% and 92.7%, respectively. Comparisons of the study variables with respect to CSR were largely nonsignificant. However, there were significant differences in CSRs between anterior vs posterior locations and rough- vs smooth-surfaced implants in addition to some prosthesis types, ages, and bone qualities. The overall CSR of 92.6% in the present study is high and comparable to survival rates observed in previous long-term analyses of mandibular implants. The significant differences observed between implant locations, patient age groups, bone qualities, and prostheses were not suggestive of any remarkable trends.

CONCLUSION:

Patient sex, age, degree of edentulism, implant location, time of loading, implant size and type, bone quality, prosthesis type, and the presence of multiple implants did not result in any significant effect on long-term implant survival. The CSR observed after 10 to 27 years of follow-up in a single private prosthodontic center was high (92.6%) and supports the use of endosseous dental implants as a long-term treatment option for the rehabilitation of the edentulous and partially edentulous mandible.

A Long-term Retrospective Analysis of Survival Rates of Implants in the Mandible in PDF Format

Fabricating an Accurate Implant Master Cast: A Technique Report

Journal of Prosthodontics 24 (2015) 654–660 C _ 2015 by the American College of Prosthodontists

Thomas J. Balshi, DDS, PhD, FACP, Glenn J. Wolfinger, DMD, FACP, Stephen G. Alfano, DDS, MS, FACP, Jeannine N. Cacovean, BS, & Stephen F. Balshi, MBE

Pi Dental Center, Institute for Facial Esthetics, Fort Washington, PA
CM Prosthetics, Inc., Fort Washington, PA

The article is associated with the American College of Prosthodontists’ journal-based continuing education program. It is accompanied by an online continuing education activity worth 1 credit. Please visit www.wileyhealthlearning.com/jopr to complete the activity and earn credit.

Correspondence
Stephen F. Balshi, Pi Dental Center, Institute for Facial Esthetics, 467 Pennsylvania Ave, Ste 201, Fort Washington, PA 19034.
E-mail: stephen.balshi@cmprosthetics.com

Abstract
The technique for fabricating an accurate implant master cast following the 12-week healing period after Teeth in a Day R _ dental implant surgery is detailed. The clinical, functional, and esthetic details captured during the final master impression are vital to creating an accurate master cast. This technique uses the properties of the allacrylic resin interim prosthesis to capture these details. This impression captures the relationship between the remodeled soft tissue and the interim prosthesis. This provides the laboratory technician with an accurate orientation of the implant replicas in the master cast with which a passive fitting restoration can be fabricated.

Fabricating Accurate Implant Master Cast in PDF Format