Esthetic Rehabilitation of the Periodontally Compromised Dentition - A Novel Interdisciplinary Approach Using Orthodontic Extrusion and Dental Implants
Tidu Mankoo, BDS
Guidelines for Esthetic Restorative Options
The patient with hopeless, fractured, or missing teeth within the aesthetic zone has posed a tremendous challenge for today's clinician. This article discusses "diagnostic indicators" involved during the evaluation of questionalbe teeth or edentulous spans prior to treatment planning, as well as the potential adjunctive role of orthodontics for the development of an easthetic restorative recipient site. The utilization of orthodontic extrusion in combination with atraumatic extraction and immediate…
Splints Are Not Just for TMD Therapy
Properly made and well-adjusted occlusal splints can help control parafunctional stresses that are applied by the patient to their natural teeth and the restorations that dentists fabricate for them.
The Role of Orthodontic Extrusive Remodeling
A classification scheme that systematizes the wide range of regenerative potential of common extraction site topographies is presented. Within this system, the parameters for immediate implant placement and preliminary ridge augmentation are discussed. In addition, a new adjunctive role for orthodontic extrusion is introduced. This approach is intended to manipulate "hopeless" teeth to modify their local defect environments, thereby enhancing the predictability of subsequent implant placement at…
Esthetic Rehabilitation of the Periodontally Compromised Dentition
Rehabilitation of esthetics in advanced periodontal cases presents a major challenge in dentistry today. Patients with advanced disease affecting teeth in the esthetic zone, where significant asymmetrical bone loss and tissue recession are present, constitute a challenging treatment-planning dilemma when choosing the optimum therapeutic option for long-term maintenance.
This article reviews a novel interdisciplinary approach for vertical augmentation of bone and soft tissues by means of orthodontic extrusion of severely periodontally compromised teeth, facilitating the restoration of esthetics with improved bone and soft tissue volume around immediate implants.
Treatment Planning – A team session
Dr. Henry Salama and Dr. David Garber discuss the diagnosis as well as the possible treatment planning options to manage a deficient site prior to esthetic implant therapy.
Interdisciplinary Team Dentistry for Total Dentofacial Esthetics - Part 2
Orthodontics sets up the foundation for future prosthetics in cases with periodontal, surgical and restorative dentistry requirements. Adult orthodontics simplifies complex clinical situations. Making it easier for restorative dentist to achieve better esthetic & functional results. Orthognatic surgery combined with orthodontics corrects skeletal discrepancies in order to have the patient ready for prosthodontic replacement of multiple missing teeth. Cases combined with implants to restore form & function will further illustrate the importance of multidisciplinary dentistry. Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results.
Zygomatic Implants in the Treatment of Fully Edentulous Patients
This presentation aims to bring some possibilities in the treatment of edentulous patients with a severe atrophic maxilla. The major problem is that the absence of an appropriate bone bed, will compromise any approach with bone grafts and substitutes, as well as involving a greater morbidity and treatment time. In this way the oral rehabilitation with zygomatic implants is a current need for many patients, which will require a scientific knowledge of the dental care professional. Through this slide show and video demonstration you will be able to recognize and diagnose cases recommended for the therapy with zygomatic implants and its possible configurations supporting an oral rehabilitation.
Immediacy in Implant Dentistry
This lecture covers the integrated management of the immediate treatments that patients ask during consultation, using many clinical cases. It covers topics such as regeneration, surgical and prosthetic approach of the aesthetic zone, as well as immediate loading of single and full upper arch cases involving computer guided surgery.
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