Replacing the Natural Tooth System in the Esthetic Zone: Flapless Implant Placement and Simultaneos Restoration to Preserve Tissue Contours and Guarantee Esthetics
Paul S. Petrungaro, DDS
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.
Management of the Compromised Implant Site With Small-Diameter Implants
The use of the ANEW titanium alloy implant for the treatment of compromised tooth-tooth spaces is a viable treatment option.
The Aesthetic Smile: Diagnosis and Treatment
Until recently, dentists' and the public's concept of dental aesthetics was necessarily limited to alterations of the teeth themselves. Dentists concerned themselves with changing the position, the shape and the color of the teeth -basically restoring missing units or enhancing those already present. For the most part the dentist was forced to accept the pre-existing relationship between the three components of the smile; the teeth, the gingival scaffold and the lips.
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
Non-Surgical Periodontal Therapy: Decision Making in the 21st Century - Part 1 of 2
Non-surgical periodontal therapy is a vital part of everyday dental practice. Since the majority of periodontal therapy is performed by general dentists and dental hygienists, it is critical that clinicians have all of the requisite skills and information needed to perform these services at the highest level possible. The purpose of this presentation is to provide the latest evidence- and practice- based information on periodontal debridement and adjunctive therapies that can improve patient outcomes. Though surgical procedures may still need to be performed in some sites, the majority of inflammatory periodontal disease can be eliminated or reduced significantly using the techniques and protocols discussed in this educational segment on non-surgical periodontal therapy.
Acellular Dermal Matrix Graft for Lower Anterior Root Coverage
Dr. Paul Petrungaro demonstrates the utilization of Acellular Dermal Matrix in the treatment of gingival labial recession of lower central incisors.
Esthetic Periodontal Surgery: Making Recession Defects Disappear by Grafting
Expert discussion of soft tissue grafting; first an overview of current trends, the second showing a specific allograft technique for treating multiple adjacent recession defects.
Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile.
The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.
CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
This presentation will discuss and demonstrate the utilization of CBCT imaging from the perspective and scope of a periodontist and an oral and maxillofacial surgeon. Treatment planning, critical thinking skills and surgical execution of cases demonstrating complex dentoalveolar bone reconstruction and craniofacial deformities will be presented demonstrating how this paradigm shift has expanded capabilities and predictability to treat demanding cases.
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