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Surgical Articles

gingival enlargement, laser, systemic disease

Top causes of gingival enlargement and treatment options

Scott Froum, DDS, editorial director of Perio-Implant Advisory, describes the various causes and dental treatment options for gingival enlargement, a condition mistakenly used synonymously with gingival hypertrophy and gingival hyperplasia. He also presents a new form of surgical treatment that can assist in correcting certain types of gingival enlargement.

bone grafting, dental implant, peri-implantitis, bone loss

Treatment of exposed dental implant surfaces with the minimally invasive bone grafting technique: SMART

As dental implant placement has become ubiquitous in dental practice, interest has increased in treatment options to manage peri-implantitis and other complications. In cases of exposed implant surfaces, a subperiosteal minimally invasive bone grafting technique (SMART) has delivered consistent outcomes without flaps, membranes, or tenting screws, and fewer complications—a promising alternative for the management of peri-implant bone loss.

dental implants, osseointegration

Are we there yet? A new instrument that determines when dental implants are ready to be restored

Dr. Scott Froum, editorial director of Perio-Implant Advisory, says osseointegration of dental implants is dependent on a variety of patient-related factors, and because each patient heals differently, load time is different. He explains how using resonance frequency analysis (RFA) to measure implant stability is a simple, fast, noninvasive way to test maturity of bone around the implant without exposing patients to radiation.

Restorative Articles

temporaries, provisionals, dental restorations

Temporaries versus provisionals: An important distinction

Dr. Michael W. Herndon says the terms temporaries (or temporary crowns/bridges) and provisionals are often interchanged and thus used incorrectly. In this article, he explains why the distinctions between the two types of interim dental restorations are so important by detailing the characteristics and goals of each.

dental implants, oral hygiene, tooth decay

Implant-induced decay or just poor oral hygiene?

When discussing pros and cons of dental implants, many dentists claim that implants are impervious to tooth decay as a treatment benefit. But they often don't discuss the possibility of adjacent teeth getting decay from poor oral hygiene. Dr. Jonathan Ford stresses that each case has different contributing factors and thus warrants different treatment options.

gingival contouring, dental implant, provisional restorations

Gingival contouring using dental implant provisional restorations in the esthetic zone

Achieving appropriate gingival contouring in the smile zone is important in creating an esthetically pleasing smile. Dr. V. Landon Blatter presents a case study to demonstrate how immediate nonocclusal load and occlusal load provisionals can be used to restore gingival contouring for dental implants placed in the challenging areas of congenitally missing maxillary lateral incisor sites.

Dental Practice Management Articles

Getting your dental implant patient to say ‘yes’ to periodontal therapy by Dennis Wang, DDS

Getting your dental implant patient to say 'yes' to periodontal therapy

One of the most challenging issues with implant patients is proper dental implant maintenance. Lack of proper implant maintenance can lead to peri-implantitis, which, in turn, can lead to failure of the prosthesis altogether. Dr. David Wang suggests ways you can get patients to recognize the value of periodontal therapy, which will, in turn, encourage them to accept recommended treatment.


Getting paid for signing an agreement not to compete: The ‘garden leave’ alternative by Evan Miles Goldberg

Getting paid for signing an agreement not to compete: The 'garden leave' alternative

The information-based economy has yielded to increased job mobility. Modern dentists—like modern professionals in general—are unlikely to spend their career with a single practice or firm. As a result, there has been an upsurge in noncompete agreements, otherwise known as “covenants-not-to-compete,” found in employment agreements. Evan Miles Goldberg explains how dentists can negotiate a device into their employment contracts called the “garden leave” agreement that stems from a British tradition.

Turbocharging your retirement using a cash balance plan by Stephen M. Lippman

Turbocharging your retirement using a cash balance plan

Recent US tax rate increases have made it harder to save for retirement, just when below-average expected returns and increased longevity have underscored the need to do so. Many dentists deal with this issue by maxing out their defined-contribution plans, such as 401(k) and profit-sharing plans. But such plans have limits on their contributions, and some investors have both the ability and desire to save more. Enter cash balance defined-benefit plans, which offer predetermined annual benefits in combination with individual account balances. The maximum annual contributions to these plans far exceed the maximum for defined-contribution plans, and they tend to be excellent vehicles for dental practices, where the ratio of staff to owners is less than 10 to one.

Hygiene Articles

dental implants, oral hygiene, tooth decay

Implant-induced decay or just poor oral hygiene?

When discussing pros and cons of dental implants, many dentists claim that implants are impervious to tooth decay as a treatment benefit. But they often don't discuss the possibility of adjacent teeth getting decay from poor oral hygiene. Dr. Jonathan Ford stresses that each case has different contributing factors and thus warrants different treatment options.

dentistry, dental profession, floss, dental implants

5 routine things we do in the dental profession that do not make sense

B. Michelle Strange, RDH, MSDH, talks about five areas that have become routine in the dental profession—including telling people to floss and placing dental implants in patients who cannot manage to clean their natural teeth—that, when analyzed, are pretty ludicrous. She says, “If the recommendations that we give patients time and time again are not producing needed results, why continue to give them? Helping patients find the best way to achieve their oral health—on an individual basis—will help redefine the future of dentistry.”

Dental hygiene nightmares no more: At-home maintenance for success with dental implants

It is no secret that the benefits of plaque reduction around teeth and dental implants can improve oral and overall systemic health. Michelle Strange, RDH, MSDH, says it’s imperative to spend time with patients to find the best dental hygiene tool(s) for their specific appliance and capabilities. She explains how interdental brushes can be used as an alternative to floss and an effective interproximal cleaner, as well as suggests tips to add to the hygiene armamentarium to customize the at-home maintenance routines for your patients.

A chairside resource for the entire dental team

Perio-Implant Advisory focuses on issues relating to periodontal and implant medicine.

Editorial Director Scott Froum, DDS, brings an unbiased clinical and academic perspective to the world of implants, periodontics, restorative, and practice management dentistry. Articles cover complex care with interdisciplinary management, but the emphasis is on periodontal and implant-related issues. The intent is to make Perio-Implant Advisory a chairside resource for the entire dental team.

Our e-newsletter is distributed monthly on the second Thursday of the month. Subscribe here.

We appreciate your support and readership!

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Scott Froum, DDS, editorial director
   

   

 

Clinical Tips from the Editor

gingival enlargement, laser, systemic disease

Top causes of gingival enlargement and treatment options

Scott Froum, DDS, editorial director of Perio-Implant Advisory, describes the various causes and dental treatment options for gingival enlargement, a condition mistakenly used synonymously with gingival hypertrophy and gingival hyperplasia. He also presents a new form of surgical treatment that can assist in correcting certain types of gingival enlargement.

dental implants, osseointegration

Are we there yet? A new instrument that determines when dental implants are ready to be restored

Dr. Scott Froum, editorial director of Perio-Implant Advisory, says osseointegration of dental implants is dependent on a variety of patient-related factors, and because each patient heals differently, load time is different. He explains how using resonance frequency analysis (RFA) to measure implant stability is a simple, fast, noninvasive way to test maturity of bone around the implant without exposing patients to radiation.

infection, periodontic, teeth, endodontic

5 questions to ask when determining if teeth with perio-endo infections can be saved

When faced with an infection from an endodontic, periodontic, or combination lesion, is it worth trying to save the tooth involved versus replacing it with a dental implant or bridge? Dr. Scott Froum, Perio-Implant Advisory's editorial director, and Dr. Marcus Johnson explain how to diagnose the infection and suggest questions to ask as you decide upon treatment.

Editor's Picks

bone grafting, dental implant, peri-implantitis, bone loss

Treatment of exposed dental implant surfaces with the minimally invasive bone grafting technique: SMART

As dental implant placement has become ubiquitous in dental practice, interest has increased in treatment options to manage peri-implantitis and other complications. In cases of exposed implant surfaces, a subperiosteal minimally invasive bone grafting technique (SMART) has delivered consistent outcomes without flaps, membranes, or tenting screws, and fewer complications—a promising alternative for the management of peri-implant bone loss.

temporaries, provisionals, dental restorations

Temporaries versus provisionals: An important distinction

Dr. Michael W. Herndon says the terms temporaries (or temporary crowns/bridges) and provisionals are often interchanged and thus used incorrectly. In this article, he explains why the distinctions between the two types of interim dental restorations are so important by detailing the characteristics and goals of each.

bone graft, bone grafting, bone augmentation

A new minimally invasive bone grafting technique: SMART

The subperiosteal minimally invasive esthetic ridge augmentation technique called SMART—developed as an alternative to traditional guided bone regeneration procedures—has the potential to profoundly impact the future of bone augmentation. Ernesto A. Lee, DMD, explains more about the clinical features of this new bone grafting technique.

Oral-Systemic Articles

gingival enlargement, laser, systemic disease

Top causes of gingival enlargement and treatment options

Scott Froum, DDS, editorial director of Perio-Implant Advisory, describes the various causes and dental treatment options for gingival enlargement, a condition mistakenly used synonymously with gingival hypertrophy and gingival hyperplasia. He also presents a new form of surgical treatment that can assist in correcting certain types of gingival enlargement.

opioid, drug addiction, personalized medicine, dentistry

Personalized medicine's role in ending opioid abuse in dentistry

Synthetic opioid overdose deaths have increased 72% in the last year. Dentists and oral surgeons are among the biggest prescribers of opioids in the US, so personalized medicine profiles that analyze genetic markers and other risk factors—assessing opioid use disorder risk before treatment and thus before prescribing opiates—to provide individual treatment options for patients are welcome news for dentistry.

A novel approach for the treatment of desquamative gingivitis

Periodontal conditions vary in their level of pain and severity, but desquamative gingivitis (DG) is one of those delicate gingival conditions that can be extremely painful for sufferers and may limit their ability to eat and perform basic oral hygiene care. Robin D. Henderson, DMD, MS, explains a technique he uses in his practice that involves Perio Trays custom-fabricated tray delivery system to deliver multiple medications precisely to the affected tissues. The process helps effectively manage both the periodontal and autoimmune symptoms of DG, while empowering patients to have a part in co-managing their disease.

PIA Videos

Team Treatment Planning Articles

opioid, drug addiction, personalized medicine, dentistry

Personalized medicine's role in ending opioid abuse in dentistry

Synthetic opioid overdose deaths have increased 72% in the last year. Dentists and oral surgeons are among the biggest prescribers of opioids in the US, so personalized medicine profiles that analyze genetic markers and other risk factors—assessing opioid use disorder risk before treatment and thus before prescribing opiates—to provide individual treatment options for patients are welcome news for dentistry.

dental team, patient experience, Robert Vogel DDS

Optimizing the patient experience: A TEAM approach

During the Academy of Osseointegration’s Annual Meeting, this TEAM Program session titled “Optimizing Patients’ Experiences with Ideal Team Coordination” employs a panel of speakers from surgical, restorative, and laboratory private practices that will share tips, tricks, and techniques to help your practice move the patient experience from “Good to Great.” Dr. Robert Vogel explains how the dental team was assembled and exactly what gems you will be able to take home to use in your office.

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Complications Articles

gingival enlargement, laser, systemic disease

Top causes of gingival enlargement and treatment options

Scott Froum, DDS, editorial director of Perio-Implant Advisory, describes the various causes and dental treatment options for gingival enlargement, a condition mistakenly used synonymously with gingival hypertrophy and gingival hyperplasia. He also presents a new form of surgical treatment that can assist in correcting certain types of gingival enlargement.

bone grafting, dental implant, peri-implantitis, bone loss

Treatment of exposed dental implant surfaces with the minimally invasive bone grafting technique: SMART

As dental implant placement has become ubiquitous in dental practice, interest has increased in treatment options to manage peri-implantitis and other complications. In cases of exposed implant surfaces, a subperiosteal minimally invasive bone grafting technique (SMART) has delivered consistent outcomes without flaps, membranes, or tenting screws, and fewer complications—a promising alternative for the management of peri-implant bone loss.

infection, periodontic, teeth, endodontic

5 questions to ask when determining if teeth with perio-endo infections can be saved

When faced with an infection from an endodontic, periodontic, or combination lesion, is it worth trying to save the tooth involved versus replacing it with a dental implant or bridge? Dr. Scott Froum, Perio-Implant Advisory's editorial director, and Dr. Marcus Johnson explain how to diagnose the infection and suggest questions to ask as you decide upon treatment.