Author name: Dr Joshua Grenier

a skull with a large hole in the middle

Crestal Bone Stability in Dental Implants

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Implant Engineering & Bone Stability I ImplantBioMechanics Engineering Mechanobiology Crestal Stability Preserving the Crestal Foundation: Engineering Meets Biology Analysis of bone as a structural material, the mechanobiology of cellular tension, and the critical surgical factors that prevent peri-implant failure. 1. Structural Engineering: Bone as Soil In engineering terms, dental implants are analogous to piles driven […]

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Smile restored with dental implants in Coventry RI

The Ultimate Guide to Full-Arch Dental Restorations

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The goal of a full-arch dental implant restoration is to create an esthetically pleasing, comfortable, and stable chewing system. This is achieved through a logical, stepwise process of examination, planning, and execution, following specific parameters: maxillary tooth position, mandibular tooth position, occlusal plane, vertical dimension, and occlusal scheme. When these parameters are meticulously followed and

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All-on-X Basics

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Advanced All‑on‑X Treatment Planning Report A practical, prosthetic‑driven guide to digital workflows, bone reduction, remote anchorage, risk management, and team coordination. Immediate Load Prosthetic‑Driven Guided Surgery Last updated: September 2, 2025 Table of Contents Introduction Digital Planning & Prosthetic‑Driven Workflow Bone Reduction & Implant Positioning Zygomatic vs. Pterygoid Implants Key Anatomical & Prosthetic Parameters Patient

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Bone Metabolism Around Dental Implants – What Affects Osseointegration

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Dental implant success depends on more than surgical precision — it requires a deep understanding of how bone metabolism and the immune system influence osseointegration. This article explores the complex biology of bone remodeling, the role of immune cells, and systemic factors that determine whether implants thrive or fail. The Immune-Bone Interface The integration of

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Aseptic Failure in Dental Implants – Biological, Mechanical & Material Causes

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When dental implants fail without infection, the condition is known as aseptic failure. This complex phenomenon results from biological, mechanical, material-related, and systemic factors. Understanding these causes helps clinicians reduce risks and improve outcomes. What is Aseptic Failure? Unlike infection-related failures, aseptic failures occur due to disruptions in osseointegration. Patients may experience implant mobility, discomfort,

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Dr. Joshua Grenier, Coventry RI dentist

Weaknesses in Dental Research: A Deep Dive into the Evidence Gap

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Introduction Dental practice is ideally meant to be guided by solid scientific evidence, yet the reality is that the evidence base in dentistry has long been perceived as weaker and more fragmented compared to other health fields like medicine. Oral diseases affect billions worldwide, making oral health a critical public health issue. However, persistent shortcomings

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Understanding Dental Resins: A Professional’s Guide to Selection, Handling, and Safety

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As dental professionals, we constantly seek materials that offer optimal performance, efficiency, and patient safety. 3D printing has revolutionized many aspects of our practice, and a thorough understanding of dental resins is paramount to harnessing its full potential. This guide delves into various aspects of dental resins, from selection and application to crucial handling and

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