Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis
The purpose of this study was to determine the relationship between patients with a history of periodontitis and development of cement-related peri-implant disease. Seventy-seven patients with 129 implants for this retrospective analysis were selected from completed implant cases that were scheduled for regular maintenance or had experienced mechanical or biological complications between years 2006 and 2011 in private practice. Implants with extracoronal residual cement and implants without cement remnants were analyzed.
A Periodontal-Restorative Approach to Achieving an Esthetic Outcome in Worn Dentition
Esthetic dentistry demands more of clinicians than just simeple knowledge of tooth anatomy and the proper dimensions of teeth. Dentists must also know and understand the proper positions of the teeth in relation to the gingiva, the lips, and entire face. Esthetic measurements are not the only important factors. Other considerations need to include the patient's phonetics and function. A example of a situation where this knowledge and awareness is imperative is in the case of the worn dentition (eg, attrition, abrasion, etc). This article addresses a simple case of how a patients esthetics have been compromised as a result of erosion as well as parafunctional activity (toothbrush abrasion) and how the patient was eventually restored with an interdisciplinary approach between the restorative dentist and the periodontal surgeon.
Combining Perio-Restorative Protocols to Maximize Function
This article describes a team approach for periodontal and
restorative treatment intended to produce a predictable, biologically
sound outcome that preserves more supporting bone and
restores carious and broken down teeth.
Periodontal Photo Essay
Dr. Daniel J. Melker presents a Periodontal Photo Essay. Question: Why do we barrel in furcations?
Creating proper space for biologic width ensures that the new margin will not infringe upon the periodontal complex and reduces the likelihood for future inflammation.
Coverage of Gingival Recession Defects Using Guided Tissue Regeneration With and Without Adjunctive Enamel Matrix Derivative in a Dog Model
The results of the present investigation suggest that the adjunctive use of EMD with GTR promotes formation of new bone and cementum without root resorption in recession-type defects in dogs.
Biologic Rationale of Esthetic Crown Lengthening Using Innovative Proportion Gauges
Using a series of innovative measuring gauges, the ideal clinical crown length of a tooth as well as the proper occlusogingival placement of the interproximal papilla will be determined based on established, documented tooth proportion relationships.
Peptide-Enhanced Bovine Xenograft to Treat Severe Defects
The following case studies highlight patients who presented with various severities of recession, and for whom periodontal plastic surgery was successfully completed without the use of the patient's palate as a donor site.
Periodontal Plastic Surgery - Predictable Root Coverage in the Mandibular Incisor Region
This article presents a detailed case report as well as other supporting cases demonstrating predictable root coverage utilizing a subepithelial connective tissue graft.
Peri-Implant Tissue Response Following Connective Tissue and Bone Grafting in Conjunction with Immediate Single-Tooth Replacement in the Esthetic Zone
The case series evaluated the peri-implant tissue response following extraction and immediate placement and restoration of an implant in conjunction with subepithelial connective tissue graft (SCTG) and bone grafting in the esthetic zone.
Maximizing Esthetic Transformations Using a Closed Flap ErCr - YSGG Modality
The clinical study presented in this article demonstrates that, in selected cases, combining minimally invasive laser therapy with detailed restorative design and technique can satisfy the bioesthetic functional requirements.
Alargamiento clínico coronal en la erupción pasiva alterada - aspectos diagnósticos y quirúrgicos para el logro estético y la estabilidad tisular
El siguiente articulo nos muestra de una manera completa cómo se llevan a cabo este tipo de decisiones fundamentadas en aspectos biológicos y estéticos.
Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction
Bone atrophy is a natural response to tooth extraction, and anatomic and functional aberrations can be magnified when alveolar atrophy is accompanied by periodontitis, root fracture, radicular caries, apical processes, or endoperiodontal complications.
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.
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.
Unique Implant Technology for Immediate Provisional Restorations at Implant Placement
To achieve adequate bone regeneration and implant stability, external forces that cause micro- or macro movement to the bone graft and implants had to carefully eliminated.
Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report
This case report demonstrates the successful management of excessive gingival display with a lip-repositioning procedure.
Healing of Gingival Recessions Using a Collagen Membrane with a Demineralized Xenograft
A Randomized Controlled Clinical Trial
Alveolar Ridge Preservation and Reconstruction
Periodontal plastic surgery procedures designed to reconstruct deformed, partially edentulous residual ridges were introduced to the dental profession between 1971 and 1986. They have been revised and refined to their current state of development, where they now occupy a major place in the reconstructive armamentarium. Before these concepts were developed, it was generally believed that it was impossible to surgically reconstruct deformities in the partially edentulous ridge. Deformities were filled…
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.
Crowns and Bridges