Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Save the Natural Tooth or Place an Implant? Three Periodontal Decisional Criteria to Perform a Correct Therapy Save the Natural Tooth or Place an Implant? Three Periodontal Decisional Criteria to Perform a Correct Therapy

Author(s):

Giano Ricci, MD, DDS, MScD; Andrea Ricci, DDS; Caterina Ricci, DDS

Date Added:

11/23/2011


Summary:

To perform advanced periodontal therapy to save a natural tooth or to extract it and place an implant-which is best? Several considerations need to be made to make the proper decision. Endodontic conditions, proper reconstruction of a devitalized tooth, and the possibility of correct prosthetic treatment are all factors to be considered. From a strictly periodontal point of view, in the presence of a stable, vital, intact, periodontally involved, single-rooted tooth, a few fundamental criteria need to be considered to make the proper decision. These criteria will be discussed through analysis of therapy outcomes over a period of at least 10 years.

Related Articles
Treatment Planning 2000: An Esthetically Oriented Revision of the Original Implant Protocol

Treatment Planning 2000: An Esthetically Oriented Revision of the Original Implant Protocol
The purpose of this article is to outline the blueprint for a comprehensive multidisciplinary treatment philosophy, designed for developing the foundation for optimal esthetics in implant therapy. In addition, the important synergistic relation of the osseous, gingival, and restorative triad in creating the esthetic profile is described. The need to enhance the individual components of this triad is emphasized as the basis for a revised implant protocol actualized for treating the complex partially…

Author(s): David Garber, DMD;Maurice Salama, DMD;Henry Salama, DMD;Pinhas Adar, MDT, CDT;Te-Fu Li, DMD
View Article>>
Dental Implants: Mastering Esthetics in the Smile Zone

Dental Implants: Mastering Esthetics in the Smile Zone
The key to contemporary restorative dentistry is the fabrication of healthy, maintainable, esthetic, and functional prostheses. The true success of any restoration is reliant on the creation of an “illusion of reality,” regardless of the restorative modality used (eg, porcelain laminate veneers, crowns, and/or implant-supported prostheses). Developments and advances to the restorative armamentarium have significantly improved the clinician’s ability to deliver predictable and reliable treatments. Osseointegration…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kutrzman, DDS, David Kurtzman, DDS, Peter C. Shatz, DDS
View Article>>
The Dual-Zone Therapeutic Concept of Managing Immediate Implant Placement and Provisional Restoration in Anterior Extraction Sockets

The Dual-Zone Therapeutic Concept of Managing Immediate Implant Placement and Provisional Restoration in Anterior Extraction Sockets
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this case enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Dennis P. Tarnow, DDS;Hanae Saito, DDS, MS
View Article>>
Related Videos
Extraction Site Management Premium Member Content

Extraction Site Management
The biological rational for making clinical decisions relative to the requirement for grafting or the benefits of flapless implant protocols.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Functional Gingival Grafts in Anterior Implant Therapy - Part 2 of 2 Premium Member Content

Functional Gingival Grafts in Anterior Implant Therapy - Part 2 of 2
Dr. Richard Martin outlines his approach to simultaneous gingival grafting following extraction to preserve or enhance the critical labial gingival margins around implant restorations in the esthetic zone.

Presented By:: Richard Martin, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
The Zirconia CAD CAM Screw Retained Implant Bridge: The Future of Full Arch Implant Supported Prosthetics Premium Member Content

The Zirconia CAD CAM Screw Retained Implant Bridge: The Future of Full Arch Implant Supported Prosthetics
This presentation will discuss the treatment planning, surgical and prosthetic/laboratory aspects of the Zirconia CAD CAM screw retained bridge. See how this prosthetic option offers many advantages over a hybrid bridge, bar overdenture, and PFM screw retained bridge.

Presented By:: Michael Tischler, DDS, FAGD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Immediate Loading in Implant Dentistry - Coherent Clinical Application in Everyday Practice Premium Member Content

Immediate Loading in Implant Dentistry - Coherent Clinical Application in Everyday Practice
Dr. Henry Salama will outline clinical protocols to facilitate efficient, successful and predictable application of immediate loading protocols for single unit replacement as well as fully edendulous patients.

Presented By:: Henry Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Managing Esthetic Implant Complications Premium Member Content

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free





Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register