Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction
Alejandro James, DDS, MsD, FID; Jose L. Castellanos, DDS
Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Pre-existing malocculsion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases.
Replacing the Natural Tooth System in the Esthetic Zone: Flapless Implant Placement and Simultaneos Restoration to Preserve Tissue Contours and Guarantee Esthetics
Over the last decade, the number of cosmetic dental procedures performed in the general dental practice has increased steadily each year. Likewise, the use of dental implants as a tooth replacement options has become a more routine treatment alternative for patients missing teeth or requiring tooth removal.
The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry
Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone-periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.
Removal of Failed Dental Implant in a Patient with Peri-Implantitis
In this video, Dr. Hamid Ryan Kazemi presents a patient who presented with atypical pain associated with a dental implant. Through a methodical work up, a peri-implantitis condition was diagnosed. In this video, Dr. Kazemi discusses the work up process and describes a non-invasive and conservative technique to remove the involved dental implant. Additionally, site grafting to prepare it for future implant is discussed
Management of Multiple Recession Defects in the Maxillary Arch - Utilization of Acellular Dermis Matrix
Dr. David Wong describes the management and correction of multiple recession defects in the maxillary arch.
Peri-implantitis: Management and Preventative Strategies
This presentation reviews the definition, diagnosis and some current treatment modalities of peri-implant mucositis and peri-implantitis today. We will discuss protocols that should be implemented into your office to help establish an early diagnosis of the hard and soft tissue as well as treatment options, preventative strategies, risk management and maintenance to limit future errors.
Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.
Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities
Autogenous connective tissue grafts from the palate have been the gold standard for surgically correcting gingival recession for decades. With the advent of newer soft (and hard) tissue allografts, grafting procedures are increasingly predictable, quick, effective, and less painful for patients. In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today. Discover how these newer materials are making it easier for patients to say "yes" and how their results can impact the level of esthetics, periodontal health and predictable restorative dentistry our profession can deliver.
Peri-Implantitis: Diagnosis, Etiology and Treatment
The dental implant therapy has evolved both in implant surface and design. The reason for the initial crestal bone loss has been proven and the risks of having a peri-implantitis have increased due to the early exposure of roughened surface. The prevalence of peri-implantitis is at a range of 28 to 56%.
The role of dental professionals nowadays is to know how to interpret the signs of inflammation and establish the diagnosis of peri-implantitis, which is the most challenging, and be able to treat it properly since this is becoming a more needed therapy.
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