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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...
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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

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