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Video Details
Can We Still SAVE Teeth? Modern Periodontal Surgical Concepts for the Natural Dentition

Description:
Biologic shaping is an adjunct to conventional crown lengthening. Conventional crown lengthening uses the existing margins of an old restoration or the cementoenamel junction (CEJ) of a non-restored tooth to determine the amount of bone removal necessary to establish adequate space for the biologic width. Creating proper space for the biologic width ensures that a new margin will not impinge upon the periodontal complex and reduces the likelihood of future inflammation. At times, a significant amount of bone must be removed, which can weaken the stability of the tooth or create weakened and vulnerable furcation areas. As more bone is removed from the furcation, the likelihood of future maintenance problems increases. As a result, it is critical to preserve as much bone as possible to support the tooth, especially in the furcation area. Biologic shaping moves the restorative margin away from the bone, minimizing the amount by which the crown must be lengthened to move the bone away from the restorative margin. This lecture examines the requirements for successful treatment using a team approach, based on a series of comprehensive periodontal and restorative cases. It will be apparent when doing combined periodontal and restorative treatment that the restorative dentist’s knowledge of materials and biology is paramount to the long-term success of these cases.   

Date Added:
4/30/2015

Author(s):

Daniel J Melker, DDS Daniel J Melker, DDS
Education: University of Florida 1966 to 1969
Emory University 1969 to 1973
Boston University School of Dentistry 1973 to 1975 - Specialty training in Periodo...
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Online Videos / Restorative / Other Restorative / Can We Still SAVE Teeth? Modern Periodontal Surgical Concepts for the Natural Dentition




Questions & Comments
Rob Michienzi - (6/5/2018 9:33 AM)

Looks look like the diamonds used to prepare are flat ended..and it also looks like the preparation is all the way down to bone/ tooth interface is it my understanding that the margin is directly down to bone? Please confirm I have a case this week? Thank you

Terry Dingbaum651 - (1/22/2016 5:38 PM)

Great concepts presented!

Brad Blair - (5/4/2015 1:05 PM)

It's unfortunate that more restorative/perio teams don't treat like this. Should be required viewing of this video.

gary toogood - (5/2/2015 5:03 PM)

Extremely good presentation..a lot of excellent ideas presented..G.Toogood

Maurice Salama - (5/2/2015 9:25 AM)

An eye opener in the Implant age, how to save teeth with root shaping, careful periodontal therpay and good restorative dentistry! I agree. regards Maurice

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