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

Combining Perio-Restorative Protocols to Maximize Function Combining Perio-Restorative Protocols to Maximize Function

Author(s):

Daniel J Melker, DDS;Lloyd M. Tucker, DMD, MSD; Howard M. Chasolen, DMD

Date Added:

8/21/2012


Summary:

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. The goal of periodontal treatment, when performed in conjunction with restorative dentistry, is to provide restorative dentists with a high percentage of tooth structure that allows for a supragingival margin. An equally important goal is to ensure that an adequate thickness of connective tissue exists to create an environment more resistant to trauma and inflammation. The team approach consists of a restorative phase and a surgical phase. The restorative phase involves preparation with complete caries removal, adhesive core buildups, and provisionalization. The surgical phase involves biologic shaping of the roots and judicious osseous resection. Case studies are used to demonstrate the team approach.

Related Articles
The Aesthetic Smile: Diagnosis and Treatment

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.

Author(s): Maurice Salama, DMD;David Garber, DMD
View Article>>
The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement

The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues buccofacial to an immediately placed implant. The socket-shield technique is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the procedure in clinical practice with a 1-year follow up.

Author(s): Howard Gluckman, BDS, MChD, PhD;Maurice Salama, DMD;Jonathan Du Toit, BChD
View Article>>
Biologic Rationale of Esthetic Crown Lengthening Using Innovative Proportion Gauges

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.

Author(s): Paul Fletcher, DDS
View Article>>
Related Videos
The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects Premium Member Content

The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects
In this clinical video, the “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique is displayed in the treatment of multiple anterior recession defects on previously restored teeth. Debridement, root conditioning, incisions, ACDM placement, instrumentation and suturing are highlighted as well as two week postop results.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Predictability of Root Coverage Procedures: Clinical Scenarios & Evidence-Based Treatment Options Premium Member Content

Predictability of Root Coverage Procedures: Clinical Scenarios & Evidence-Based Treatment Options
Root coverage (RC) procedures have long been used for the treatment of gingival recession (GR). During daily practice, clinicians are required to deal with diverse clinical scenarios and to provide the most adequate treatment options for each particular condition based on the best evidence available, the clinician’s skills, and the patients’ desires.

Presented By:: Leandro Chambrone, DDS, MSc, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
"The Root Membrane Technique” / Socket Shield: Long-Term Results Premium Member Content

"The Root Membrane Technique” / Socket Shield: Long-Term Results
"The Root Membrane Technique” / Socket Shield: Long-Term Results

Presented By:: Mitsias E. Miltiadis, DDS, MSc, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Partial Extraction Therapies: From Failure to Everyday Practice - Part 2 of 4 Premium Member Content

Partial Extraction Therapies: From Failure to Everyday Practice - Part 2 of 4
Tooth extraction is usually followed by the resorption of support tissues that may compromise the aesthetic and functional prognosis of the final rehabilitation. There have been numerous publications suggesting Partial Extraction Therapies contribute to the maintenance of the alveolar ridge dimensions. These techniques consist in intentionally preserving a buccal root fragment in order to avoid tearing the periodontal ligament and loosing the bundle bone, which leads to bone resorption. It has been reported that these are very sensitive techniques and may lead to some complications. In order to avoid these complications, the dental surgeon must know which cases can be treated with Partial Extraction Therapies and how to correctly perform them. In these presentations we will show what are the indications and contraindications, how to perform these techniques, the literature that sustains it, how can we benefit from digital technology to today's world, etc.

Presented By:: Dárcio Fonseca, DDS
Presentation Style: Online Self-Study Course
CE Hours: 2 CEU (Continuing Education Unit)
Watch Now>>
Team Work: The Role of the Restorative Dentist in the Multidisciplinary Practice Premium Member Content

Team Work: The Role of the Restorative Dentist in the Multidisciplinary Practice
In this presentation, Drs. Conti and Rossi share their experiences in treating challenging cases from a comprehensive multidisciplinary perspective. Emphasis will be placed as to when and how the restorative dentist enhances overall periodontal and esthetic therapy.

Presented By:: Roberto Rossi, DDS;Alessandro Conti, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery Premium Member Content

Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

Presented By:: Alina Krivitsky, DDS
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
©2021

Preferred Language: English Flag
Contact Us · Login · Register