Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
TEETH 2013: When to Save and When to Extract and When to Regenerate

Description:
The treatment of periodontally compromised patients has been significantly altered by the availability of predictable implant dentistry. Where in the past, a compromised tooth with advanced bone loss and/or furcation invasion might have been retained, the high success rate of osseointegrated implants challenges the clinical decision. Should the tooth be saved with periodontal regeneration or be replaced with an implant? Conversely, new biomimetic mediators have enhanced the predictability of regenerative outcomes and encourage endeavors to maintain the natural dentition. This lecture will address the clinical decision that occurs in every practice: save the tooth or place an implant.

Date Added:
2/27/2013

Author(s):

Myron Nevins, DDS Myron Nevins, DDS
Dr. Myron Nevins is an Associate Professor of Periodontology at the Harvard School of Dental Medicine, Clinical Professor of Periodontology at the Temple University Sch...
[read more]






Online Videos / Surgery / Periodontic Surgery / TEETH 2013: When to Save and When to Extract and When to Regenerate




Questions & Comments
chandanpreet jaspal - (11/24/2013 1:22 PM)

Hi Dr.Nevis, I am a student at UCLA. What a great refreshing lecture. Thank you so much.

Tomislav Domić - (9/23/2013 9:33 AM)

Hi,Dr.Nevis!
My name is Tomislav Domic from Croatia.
Great lecture!
What do you think about EMD(Emdogain)? and combination EMD with autogenous or allograft bone?
Do you use antibiotics after you do regenerative surgery?

Maurice Salama - (8/18/2013 6:28 PM)

Tom; Most periodontal cases typically have bone loss interproximally. How would you think the results would be "without facial bone support"? Less walls, less regeneration, less soft tissue support. Thanks for your question. Dr. Salama

Tom Cassidy - (8/18/2013 5:41 PM)

I note that the regeneration cases always had a facial bone to suuport the soft tissues. What were the results without facial bone

Vu Ngo - (3/27/2013 11:28 PM)

good THANKS YOU

emad habib - (3/23/2013 4:13 PM)

good

Khai Vu - (3/23/2013 8:12 AM)

Dr. Nervins, thank you for sharing, it is a great video. What is your experience with using allograft, alloplast ,xenograft instead of autograft, or allograft with growth factor in many of your presented cases above? The reason I am asking is I have seen many similar cases nowadays using Bi-oss, mFDBA/DFDBA? Thanks.

Hana Hasse - (3/23/2013 4:11 AM)

Very nice presentation. One has always to remember the fact that periodontitis normally has a very slow rate of progression (0.15 mm/ y). Do you feel the McGuire/Nunn criteria should be modified? Regenerative therapy is a nice topic but a little overestimated in my opinion because most defects are horizontal as a result of a slow progressing chronic periodontitis. How often do you utilize resective perio surgery in the molar region? I feel the topic is almost forgotten in modern dentistry. Thank you.

Nathaniel Podilsky - (3/22/2013 6:56 PM)

Interesting topic that makes me want to evaluate so called "hopeless" teeth more closely. Thnx Dr. Podilsky

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>>
Developing White and Pink Esthetics through Reconstructive Surgery Premium Member Content

Developing White and Pink Esthetics through Reconstructive Surgery
This lecture/video presentation describes the comprehensive treatment of a case in which we needed to reconstruct the hard and the soft tissue after the extraction of a central incisor. The video demonstrates on of several possible surgical procedures for the reconstruction of tissue defects within the esthetic zone. Specifically, a non-resorbable membrane was utilized and combined with a modification of the pedicle connective tissue graft at the same time of the extraction.

Presented By:: Juan Arias Romero, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Prevention and Management of Peri-implant Soft Tissue Complications Premium Member Content

Prevention and Management of Peri-implant Soft Tissue Complications
A variety of soft tissue procedures have been employed for treatment of soft tissue and ridge defects around implant sites. Some of the limitations of current techniques include scar formation at recipient sites due to surface incisions, relapse of recession due to muscle pull during healing, wound dehiscence and graft exposure. This presentation will discuss the myriad flap and incision designs, tunnel techniques as well as grafting options and suturing.

Presented By:: Homa Zadeh, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Non-Surgical Periodontal Therapy: Decision Making in the 21st Century Premium Member Content

Non-Surgical Periodontal Therapy: Decision Making in the 21st Century
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.

Presented By:: Connie L. Drisko, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
The Next Challenge in Implant Dentistry: The Rise in Peri-implantitis and What Can We do About It? Premium Member Content

The Next Challenge in Implant Dentistry: The Rise in Peri-implantitis and What Can We do About It?
In this presentation, Dr. H. Ryan Kazemi will discuss etiologies for implant failure due to peri-implantitis, its preventive measures, and what treatment modalities work best. He will also describe a new classification to help clinicians choose the optimal treatment approach.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up

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.

Author(s): José Carlos Martins da Rosa, DDS, MS;Ariadene Cristina Pertile de Oliveira Rosa, DDS, MSc; Carlos Eduardo Francishone, DDS, MSc, PhD; Mauricio de Almeida Cardoso, DDS, MSc, PhD; Ana Carolina Alonso, DDS; Leopoldino Capelozza Filho, DDS, MSc, PhD
View Article>>
Management of the Compromised Implant Site With Small-Diameter Implants

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.

Author(s): Paul S. Petrungaro, DDS
View Article>>
Alargamiento clínico coronal en la erupción pasiva alterada - aspectos diagnósticos y quirúrgicos para el logro estético y la estabilidad tisular

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.

Author(s): Alejandro James, DDS, MsD, FID; Tony Ponti, DDS; José L. Castellanos, DDS; Iñaki Gamborena, DMD, MSD, FID
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register