Gary Berkowitz - Academia.edu (original) (raw)

Papers by Gary Berkowitz

International Journal of Dentistry and Oral Health

The dental student will learn quadrant dentistry using digital scanning and software to produce a... more The dental student will learn quadrant dentistry using digital scanning and software to produce adjacent ceramic restorations in one session. Introduction Digital Technology has secured its place in Dentistry for some time now. The advent of the CEREC ® system has allowed the operator to create ceramic crowns, inlays and onlays in a single visit. It is our obligation as dental educators to bring our students to the forefront of this technology. When multiple restorations are planned, it is beneficial to obtain a virtual model to fabricate multiple restorations in one sitting. The restorations can be planned using CEREC ® software with adjacent virtual restorations before they are fabricated. This technique allows all restorations to be fabricated without seeing the patient for subsequent scans. Methods: A digital impression is taken of either the intra-oral preparation or a stone cast of the preparations to create a virtual model. When there are multiple preparations previous software versions required one restoration be completed before the second preparation could be scanned. The latest software is now capable of creating both from the same scan. A virtual biogeneric restoration is produced by the CEREC ® software and it is no longer necessary to go back to the patient for additional scans or impressions. Conclusion: Showing students how digital technology can be an efficient and accurate way to produce a quadrant of restorations. This technique opens the door for acceptance of the digital future of Dentistry.

Compendium of continuing education in dentistry (Jamesburg, N.J.: 1995)

Posterior permanent teeth with carious lesions radiographically extending no farther than halfway... more Posterior permanent teeth with carious lesions radiographically extending no farther than halfway into dentin (n = 565) were restored using a resin-based composite by 38 dentists in a practice-based research network. Preoperative and 1-, 4-, and 13-week-posttreatment hypersensitivity was recorded using an 11-point visual analog scale filled out anonymously by subjects. Analyses were conducted to determine whether any correlation or association existed among several variables, including degree of carious activity, cavity extent, application of antimicrobial or desensitizing agents, application of liner, dentin bonding agent and resin-based composite employed, and composite placement method. Three results were fairly unexpected: only 36% of lesions were ranked as caries-active, 31% of teeth had appreciable preoperative hypersensitivity, and 16% of teeth with no preoperative hypersensitivity had appreciable hypersensitivity at 1 week posttreatment. Preoperative hypersensitivity was correlated with lesion visibility on radiographs but not with dentin caries activity (ranked on opening enamel), preparation depth, or preparation volume. Accrual to the study continues, and conclusions regarding other relationships awaits 13-week results.

General dentistry

There are numerous materials that are used as temporaries for inlay and onlay preparations while ... more There are numerous materials that are used as temporaries for inlay and onlay preparations while the permanent restoration is being made. This article looks at 2 types of temporary materials that were placed into inlay or onlay preparations by student dentists: a methylmethacrylate acrylic material (DuraLay Inlay Pattern Resin) and a visible light-cured (VLC) periodontal surgical dressing (Barricaid). The resilience and effectiveness of both products are compared and evaluated for use as temporary restorations in inlay or onlay preparations. The study found that use of the VLC periodontal dressing material offers a novel technique for a quick and efficient method to provide a temporary restoration for various inlay and onlay preparations.

General dentistry

In dentistry, three "non-precious" alloy groups predominate: chromium-cobalt, nickel-ch... more In dentistry, three "non-precious" alloy groups predominate: chromium-cobalt, nickel-chromium, and nickel-chromiumberyllium. These alloys have little or no precious metals, but exhibit low flexibility and achieve high porcelain-to-metal bond strengths when handled properly. The most common of the "non-precious" metal alloys utilize nickel; unfortunately, nickel is the most common of all potential metal contact allergens. This article describes a case involving a patient with a sensitivity reaction to the metal component of a ceramo-metal crown and the procedure that was used to rectify the problem.

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)

Posterior permanent teeth with carious lesions radiographically extending no further than halfway... more Posterior permanent teeth with carious lesions radiographically extending no further than halfway into dentin (N = 565) were restored by 38 dentists in a practice-based research network, using a resin-based composite. Preoperative and 1-, 4-, and 13-week posttreatment hypersensitivity was recorded with an 11-point visual analog scale that was completed anonymously by participants. The analyses determined whether any correlation or association existed among several variables, including degree of carious activity; cavity extent; application of antimicrobial or desensitizing agents; application of liner, dentin-bonding agent and resin-based composite employed; and composite placement method. Three results were fairly unexpected: Only 36% of lesions were ranked as caries-active, 31% of teeth had appreciable preoperative hypersensitivity, and 16% of teeth with no preoperative hypersensitivity had appreciable hypersensitivity at 1 week posttreatment. Preoperative hypersensitivity was corr...

The New York state dental journal, 2007

The New York state dental journal

This article describes a time-tested method for avoiding common problems encountered while pourin... more This article describes a time-tested method for avoiding common problems encountered while pouring crown and bridge impressions.

Contemporary Clinical Dentistry, 2014

Interdisciplinary approach for the management of malocclusion provides a holistic approach of pat... more Interdisciplinary approach for the management of malocclusion provides a holistic approach of patient management. Prudent treatment planning is necessary to achieve the various treatment goals. This case report describes the orthodontic management of a 16-year-old adolescent female patient with bilateral labially impacted maxillary canines. The problems associated with impacted maxillary canines and the biomechanical interventions used for this patient are discussed. The treatment protocol involved surgical intervention, followed by sequential traction of the impacted teeth. An interdisciplinary approach to treatment with different mechanical strategies led to the achievement of the desired esthetic, functional, and occlusal treatment goals.

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2013

This study investigated postoperative hypersensitivity at 1, 4, and 13 weeks following resin-base... more This study investigated postoperative hypersensitivity at 1, 4, and 13 weeks following resin-based composite (RBC) restorations of occlusal caries and its relationship with prepreparation (baseline) sensitivity and preparation-related variables, including dentin caries activity, cavity dimension and volume, and lesion radiographic visibility. Investigators in a practice-based research network enrolled patients with occlusal caries deemed to require operative treatment. The 45 dental practitioners then placed restorations using their preferred techniques. Complete baseline data on 665 restorations from 602 patients included patient-reported sensitivity (pre-preparation); dentists' ranking of dentin caries on opening the enamel; measurements of preparation depth, width, and length; and patient demographics. At 1, 4, and 13 weeks post-treatment, patients anonymously reported any sensitivity to hot and cold stimuli, sweets, clenching, and chewing, as well as quality-of-life indicato...

International Journal of Dentistry and Oral Health

The dental student will learn quadrant dentistry using digital scanning and software to produce a... more The dental student will learn quadrant dentistry using digital scanning and software to produce adjacent ceramic restorations in one session. Introduction Digital Technology has secured its place in Dentistry for some time now. The advent of the CEREC ® system has allowed the operator to create ceramic crowns, inlays and onlays in a single visit. It is our obligation as dental educators to bring our students to the forefront of this technology. When multiple restorations are planned, it is beneficial to obtain a virtual model to fabricate multiple restorations in one sitting. The restorations can be planned using CEREC ® software with adjacent virtual restorations before they are fabricated. This technique allows all restorations to be fabricated without seeing the patient for subsequent scans. Methods: A digital impression is taken of either the intra-oral preparation or a stone cast of the preparations to create a virtual model. When there are multiple preparations previous software versions required one restoration be completed before the second preparation could be scanned. The latest software is now capable of creating both from the same scan. A virtual biogeneric restoration is produced by the CEREC ® software and it is no longer necessary to go back to the patient for additional scans or impressions. Conclusion: Showing students how digital technology can be an efficient and accurate way to produce a quadrant of restorations. This technique opens the door for acceptance of the digital future of Dentistry.

Compendium of continuing education in dentistry (Jamesburg, N.J.: 1995)

Posterior permanent teeth with carious lesions radiographically extending no farther than halfway... more Posterior permanent teeth with carious lesions radiographically extending no farther than halfway into dentin (n = 565) were restored using a resin-based composite by 38 dentists in a practice-based research network. Preoperative and 1-, 4-, and 13-week-posttreatment hypersensitivity was recorded using an 11-point visual analog scale filled out anonymously by subjects. Analyses were conducted to determine whether any correlation or association existed among several variables, including degree of carious activity, cavity extent, application of antimicrobial or desensitizing agents, application of liner, dentin bonding agent and resin-based composite employed, and composite placement method. Three results were fairly unexpected: only 36% of lesions were ranked as caries-active, 31% of teeth had appreciable preoperative hypersensitivity, and 16% of teeth with no preoperative hypersensitivity had appreciable hypersensitivity at 1 week posttreatment. Preoperative hypersensitivity was correlated with lesion visibility on radiographs but not with dentin caries activity (ranked on opening enamel), preparation depth, or preparation volume. Accrual to the study continues, and conclusions regarding other relationships awaits 13-week results.

General dentistry

There are numerous materials that are used as temporaries for inlay and onlay preparations while ... more There are numerous materials that are used as temporaries for inlay and onlay preparations while the permanent restoration is being made. This article looks at 2 types of temporary materials that were placed into inlay or onlay preparations by student dentists: a methylmethacrylate acrylic material (DuraLay Inlay Pattern Resin) and a visible light-cured (VLC) periodontal surgical dressing (Barricaid). The resilience and effectiveness of both products are compared and evaluated for use as temporary restorations in inlay or onlay preparations. The study found that use of the VLC periodontal dressing material offers a novel technique for a quick and efficient method to provide a temporary restoration for various inlay and onlay preparations.

General dentistry

In dentistry, three "non-precious" alloy groups predominate: chromium-cobalt, nickel-ch... more In dentistry, three "non-precious" alloy groups predominate: chromium-cobalt, nickel-chromium, and nickel-chromiumberyllium. These alloys have little or no precious metals, but exhibit low flexibility and achieve high porcelain-to-metal bond strengths when handled properly. The most common of the "non-precious" metal alloys utilize nickel; unfortunately, nickel is the most common of all potential metal contact allergens. This article describes a case involving a patient with a sensitivity reaction to the metal component of a ceramo-metal crown and the procedure that was used to rectify the problem.

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)

Posterior permanent teeth with carious lesions radiographically extending no further than halfway... more Posterior permanent teeth with carious lesions radiographically extending no further than halfway into dentin (N = 565) were restored by 38 dentists in a practice-based research network, using a resin-based composite. Preoperative and 1-, 4-, and 13-week posttreatment hypersensitivity was recorded with an 11-point visual analog scale that was completed anonymously by participants. The analyses determined whether any correlation or association existed among several variables, including degree of carious activity; cavity extent; application of antimicrobial or desensitizing agents; application of liner, dentin-bonding agent and resin-based composite employed; and composite placement method. Three results were fairly unexpected: Only 36% of lesions were ranked as caries-active, 31% of teeth had appreciable preoperative hypersensitivity, and 16% of teeth with no preoperative hypersensitivity had appreciable hypersensitivity at 1 week posttreatment. Preoperative hypersensitivity was corr...

The New York state dental journal, 2007

The New York state dental journal

This article describes a time-tested method for avoiding common problems encountered while pourin... more This article describes a time-tested method for avoiding common problems encountered while pouring crown and bridge impressions.

Contemporary Clinical Dentistry, 2014

Interdisciplinary approach for the management of malocclusion provides a holistic approach of pat... more Interdisciplinary approach for the management of malocclusion provides a holistic approach of patient management. Prudent treatment planning is necessary to achieve the various treatment goals. This case report describes the orthodontic management of a 16-year-old adolescent female patient with bilateral labially impacted maxillary canines. The problems associated with impacted maxillary canines and the biomechanical interventions used for this patient are discussed. The treatment protocol involved surgical intervention, followed by sequential traction of the impacted teeth. An interdisciplinary approach to treatment with different mechanical strategies led to the achievement of the desired esthetic, functional, and occlusal treatment goals.

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2013

This study investigated postoperative hypersensitivity at 1, 4, and 13 weeks following resin-base... more This study investigated postoperative hypersensitivity at 1, 4, and 13 weeks following resin-based composite (RBC) restorations of occlusal caries and its relationship with prepreparation (baseline) sensitivity and preparation-related variables, including dentin caries activity, cavity dimension and volume, and lesion radiographic visibility. Investigators in a practice-based research network enrolled patients with occlusal caries deemed to require operative treatment. The 45 dental practitioners then placed restorations using their preferred techniques. Complete baseline data on 665 restorations from 602 patients included patient-reported sensitivity (pre-preparation); dentists' ranking of dentin caries on opening the enamel; measurements of preparation depth, width, and length; and patient demographics. At 1, 4, and 13 weeks post-treatment, patients anonymously reported any sensitivity to hot and cold stimuli, sweets, clenching, and chewing, as well as quality-of-life indicato...