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Cherilyn G. Sheets

Quantitative Percussion Diagnostics – A New Form of Precision in Risk Assessment

Lecture Description: 

During the last decade, a new technology has been explored that will give clinicians an opportunity to diagnose in a new dimension. Quantitative percussion testing allows a clinician to evaluate the structural stability of natural teeth or dental implants by measuring the way it responds to a light impact on the buccal surface. The energy that is returned to the handpiece is analyzed in a manner that provides two pieces of information—the loss coefficient (LC) and an energy response graft (ERG) of the structure tested . These two pieces of information can give the clinician indications of how sound the tested structure is and whether there are problems such as dentinal cracks and fractures, microleakage, recurrent decay, loose post and cores and other structural defects. By having an indication as to how a tooth or implant responds to mechanical stress prior to starting restorative care, the clinician will be prepared to look for potential problems where abnormal ERG’s are observed. ERG’s also help patients understand the bioengineering challenges that some teeth present due to crack propagation and other serious biomechanical problems. Combined with video documentation of the defect, it creates a powerful documentation and patient educational tool simultaneously. Other technologies will also be discussed which help increase precision in dentistry.

Objective: 

The participants will learn:
• What dental quantitative percussion diagnostics (QPD) reveals.
• The benefits of QPD for the evaluation of teeth and implants.
• How clinical treatment plans can be more powerful with a quantifiable evaluation of implant stability rather than a qualitative evaluation.
• The significance of knowing the different impact responses of teeth and implants and the potential interpretations of these responses.
• Guidelines for making restorative choices for teeth and implants dependent upon biomechanical principles and conditions.
• The preventive power of being able to have an early diagnosis of crack propagation in natural teeth.
• How to better protect patient’s teeth for a lifetime.
• How high level magnification and illumination enhances patient care.

About presenter: 

Dr. Cherilyn Sheets maintains a full-time private practice in Newport Beach, California for esthetic rehabilitative dentistry. She is an international educator, clinician, author and lecturer, and received the 2002 Gordon Christensen Award for Excellence in Lecturing, the 2004 USC School of Dentistry Alumnus of the Year Award, the 2006 Section Honor Award (Distinguished Dentist Award) from the California Section of the Pierre Fauchard International Honor Dental Academy, and the 2008 Dr. Edward B. Shils Entrepreneurial Education Fund Award. She is a past president of the American Academy of Esthetic Dentistry and the American Association of Women Dentists.

Dr. Sheets is Co-Executive Director of the Newport Coast Oral Facial Institute, a Clinical Professor of Restorative Dentistry at the University of Southern California, Chairman Emeritus of The Children’s Dental Center, and Founding Chairman of the National Children’s Oral Health Foundation. With the University of California Irvine (UCI) School of Engineering, she is leading research on energy dissipation in teeth and implants with James C. Earthman, Ph.D.