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Surgical Articles

Surgical solutions to implant soft-tissue deficiencies in the esthetic zone

Dr. Paul P. Lin offers a preview of his presentation for the upcoming Academy of Osseointegration's Annual Meeting in Los Angeles later this month on surgical solutions to correct soft-tissue deficiencies surrounding dental implants, focusing on implants placed too far buccally. He will also discuss surgical management for complications involving poor implant positioning and the presence of infection.

do-it-yourself, dentistry, DIY dentistry, orthodontics

The perils of do-it-yourself dentistry: A case study

Under the guise of affordable dental care, the public is being duped into thinking do-it-yourself (DIY) dentistry for half price is safe. Dr. Scott Froum, Perio-Implant Advisory's editorial director, and Dr. Zackary Faber discuss the dangers of DIY dentistry as they present the case of a 22-year-old who tried gap banding and ended up needing an interdisciplinary treatment plan.

peri-implantitis, bone loss, lasers, dental implant complication

Which is most effective for the treatment of peri-implantitis: Mechanical, chemical, or laser?

Treatment of peri-implantitis—a biological dental implant complication stemming from an inflammatory disease of the soft tissues surrounding a dental implant, accompanied by destructive bone loss—varies widely. But which treatment is most effective for this insidious disease: mechanical, chemical, lasers, or a combination? Ask Dr. Stuart J. Froum.

Restorative Articles

ectodermal dysplasia, prosthetic, treatment planning, multidisciplinary

Treating young patients with ectodermal dysplasia: A prosthetic dilemma

Prosthodontist Kim Daxon, DDS, is used to treating children and adolescents who desperately need the expertise of a multidisciplinary specialist team for their dental care. Her new patient—a referral from a local pediatric dentist—is nine years old and has ectodermal dysplasia. Follow along to see how Dr. Daxon approaches the challenge of treatment planning for this multifaceted case.

implant dentistry, dental implant, dental

A conversation with the 'wise of implant dentistry': AO 2018 in Los Angeles

The Academy of Osseointegration's Annual Meeting is the perfect venue for specialists, general dentists, lab technicians, and hygienists to share their knowledge and best practices in the field of implant dentistry. AO President Dr. Michael Norton gives a preview of what you can expect from this premier scientific meeting February 28–March 3, 2018, in Los Angeles.

dental implants, radiographic guides, surgical guide stents, dental implant surgery

Radiographic guides and surgical guide stents for dental implants: Laboratory fabrication techniques

It is almost standard routine in treatment planning to use tomographic imaging with radiographic guides and surgical guide stents during placement of dental implants. David L. Brown, DDS, describes simple laboratory techniques to fabricate guide stents that can be used during imaging and then easily converted for use during dental implant surgery.

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, dental implant maintenance, implant therapy, evidence-based research

Dental implant maintenance: So many recommendations, but which one is right?

As dental clinicians, how does one choose from among the many options available which dental implant maintenance techniques to use and what evidence-based research to believe? Likewise, which is the best protocol for implant therapy? Michelle Strange, RDH, MSDH, explains how she sorts through the enormous amounts of information.

postsurgical discomfort, at-home recovery, oral care, oral health

Postsurgical discomfort and at-home recovery: 4 ways to make oral care easier

Sometimes, patients find oral care to be incredibly uncomfortable, whether it's from postsurgical discomfort or pain during at-home recovery from orthodontics, autoimmune breakouts, or undergoing cancer treatments. B. Michelle Strange, RDH, MSDH, says there are some helpful products and ways to make maintaining oral health at home easier for your patients.

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.

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

do-it-yourself, dentistry, DIY dentistry, orthodontics

The perils of do-it-yourself dentistry: A case study

Under the guise of affordable dental care, the public is being duped into thinking do-it-yourself (DIY) dentistry for half price is safe. Dr. Scott Froum, Perio-Implant Advisory's editorial director, and Dr. Zackary Faber discuss the dangers of DIY dentistry as they present the case of a 22-year-old who tried gap banding and ended up needing an interdisciplinary treatment plan.

suturing, dental

Alternative to suturing reduces surgical time for dental procedures

Suturing postsurgically is a common technique in the field of dental medicine, particularly after surgical incisions and dental extractions, as the sutures act to secure tissue edges to promote healing. However, suturing can have its disadvantages, too, which is why Dr. Scott Froum uses what is known as "superglue for soft tissue" for dental surgery in his practice.

soft-tissue grafting, gingival recession, tissue grafting, dental implants

A new coronally advanced, noninvasive, soft-tissue grafting technique: Bernotti V-Y Flap

Ana Luisa Bernotti, DDS, discusses a new noninvasive soft-tissue grafting technique—the Bernotti V-Y Flap—that can be used with or without autogenous allograft and xenograft collagen membranes. A “V-Y’’ flap design and microsurgical instruments are used to treat gingival recession defects, soft-tissue dehiscence, and keratinized tissue defects around teeth and dental implants. You'll see a video showing how this technique allows for coronal movement of the marginal tissue with no tension from the suture.

Editor's Picks

peri-implantitis, bone loss, lasers, dental implant complication

Which is most effective for the treatment of peri-implantitis: Mechanical, chemical, or laser?

Treatment of peri-implantitis—a biological dental implant complication stemming from an inflammatory disease of the soft tissues surrounding a dental implant, accompanied by destructive bone loss—varies widely. But which treatment is most effective for this insidious disease: mechanical, chemical, lasers, or a combination? Ask Dr. Stuart J. Froum.

opioid epidemic, opiates, pain medication, opioids

Facts and figures behind the opioid epidemic: 3 clinical methods to alleviate pain and decrease the need for opiates

Scott Froum, DDS, editorial director of Perio-Implant Advisory, discusses the CCDAOC white paper recently sent to the president outlining propositions to combat the opioid epidemic and the direct effects they will have on dental providers. He also shares three clinical techniques to reduce the need for prescription pain medication for postsurgical procedures.

dental implants, teeth

Top 5 anatomical differences between dental implants and teeth that influence treatment outcomes

Because of the anatomical differences between teeth and dental implants, therapies that are successful in treating natural teeth may not enjoy the same success rate when used on diseased implants. Scott Froum, DDS, and Gregori M. Kurtzman, DDS, MAGD, focus on five of the dissimilarities between teeth and implants, and describe how those five factors can influence diagnosis and treatment.

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

    Surgical solutions to implant soft-tissue deficiencies in the esthetic zone

    Dr. Paul P. Lin offers a preview of his presentation for the upcoming Academy of Osseointegration's Annual Meeting in Los Angeles later this month on surgical solutions to correct soft-tissue deficiencies surrounding dental implants, focusing on implants placed too far buccally. He will also discuss surgical management for complications involving poor implant positioning and the presence of infection.

    do-it-yourself, dentistry, DIY dentistry, orthodontics

    The perils of do-it-yourself dentistry: A case study

    Under the guise of affordable dental care, the public is being duped into thinking do-it-yourself (DIY) dentistry for half price is safe. Dr. Scott Froum, Perio-Implant Advisory's editorial director, and Dr. Zackary Faber discuss the dangers of DIY dentistry as they present the case of a 22-year-old who tried gap banding and ended up needing an interdisciplinary treatment plan.

    peri-implantitis, bone loss, lasers, dental implant complication

    Which is most effective for the treatment of peri-implantitis: Mechanical, chemical, or laser?

    Treatment of peri-implantitis—a biological dental implant complication stemming from an inflammatory disease of the soft tissues surrounding a dental implant, accompanied by destructive bone loss—varies widely. But which treatment is most effective for this insidious disease: mechanical, chemical, lasers, or a combination? Ask Dr. Stuart J. Froum.