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Surgical Articles

soft-tissue grafting, minimally invasive surgical

Minimally invasive soft-tissue grafting: The GumDropTechnique

As medicine and dentistry continue to evolve and technology advances, patients become more used to minimally invasive surgical procedures with lower morbidity and less postoperative discomfort. Delia Tuttle, DDS, introduces the GumDropTechnique, a new soft-tissue grafting technique that combines minimally invasive incisions with blood derivatives to achieve root coverage and increased keratinized tissue.

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.

dental implant, implant dentistry, Anthony Sclar, DMD

AO Orlando preview: Morning with the Masters highlights from Dr. Anthony Sclar

Anthony G. Sclar, DMD, will present an interdisciplinary session titled “Avoiding and Managing Esthetic Implant Complications” during the Morning with the Masters Program at the upcoming Academy of Osseointegration Annual Meeting. Participants will learn scientific and clinical concepts required for diagnostically driven treatment planning and become familiar with risk stratification of simple-to-complex esthetic dental implant cases. Read more about the objectives of this program and the five key takeaways.

Restorative Articles

AO 2017 Annual Meeting Opening Symposium: 30 years of advancements in implant dentistry

Dr. Jeffrey Ganeles, the 2017 Academy of Osseointegration’s Annual Meeting Program Committee chair, details what you can expect to learn from the Opening Symposium at the upcoming meeting. Find out more about the presentations in the field of implant dentistry you’ll get to experience—from the concept of beauty and esthetics to regenerative dental medicine to craniofacial reconstruction and more.

dental implants, craniofacial growth, fixed partial denture

The ideal esthetic dental implant restoration: Will it still look like that in 10 years?

Craniofacial growth continues for humans even into adulthood. Because the tissues and teeth continue to move around a fixed, osseointegrated implant, restorations placed as many as five to 20 years ago can look vastly different from when they were first inserted. Thus ideal placement for dental implants and restorations may not continue to be ideal as the years progress. Perio-Implant Advisory Editorial Director Scott Froum, DDS, explains the implications craniofacial growth has on the position of dental implants and the types of patients who are at the highest risk for craniofacial growth that will impact dental implant positioning in future years.

dental implants, dental restorations, peri-implantitis, dental crowns

Prosthetic screw loosening: An innovative technique to manage a common complication with dental implants

When abutment screw loosening occurs with a cement-retained crown, the clinician is faced with a difficult challenge, often requiring the dentist to send the crown to the lab to be “uncemented” from the abutment. The patient is left without a crown for several days until it comes back from the lab separated from the abutment. Daniel D. Gober, DDS, and Markus L. Weitz, DDS, illustrate a technique to reseat a cement-retained crown-abutment unit that loosened from the implant by converting a cement-retained crown into a screw-retained crown at the very same appointment.

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

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.

halitosis, bad breath

Halitosis: Etiology, diagnosis, and treatment

Halitosis, also commonly known as “bad breath,” is a concern of many patients seeking help from health-care professionals. Scott Froum, DDS, editorial director of Perio-Implant Advisory, discusses the etiology, diagnosis, and treatment of halitosis. Due to its multifactorial complexity, patients should be treated individually, rather than categorized. Diagnosis and treatment needs to be a multidisciplinary approach involving the primary health-care clinician, dentist, an ENT specialist, nutritionist, gastroenterologist, and clinical psychologist.

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.

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Scott Froum, DDS, editorial director
   

   

 

Clinical Tips from the Editor

dental implant, dental implant complications

Top 5 sources of dental implant pain when 'there is nothing wrong with the implant'

While clinical signs and radiographic evidence sometimes point to dental implant complications, ascertaining the etiology of a patient’s perceived pain post implant placement when all parameters are within normal limits can be daunting. Dr. Scott Froum, editorial director of Perio-Implant Advisory, focuses on five factors that can elicit pain post implant placement that are often elusive and obscure diagnosis unless a good knowledge base is present.

dental implant, implant abutment

Top factors leading to dental implant abutment/implant fixture misfit: The dreaded macrogap

Dr. Scott Froum, Perio-Implant Advisory’s editorial director, says recognizing the leading causes of dental implant abutment misfit can prevent implant failures from occurring. Because vertical misfit can have serious repercussions on the life span of the implant complex, careful attention must be paid to details at the time of insertion. In this article, Dr. Froum elaborates on six things that can cause implant abutment misfit and explains how you can avoid each.

paresthesia, tooth extraction, socket debridement, dental implants

Socket debridement paresthesia: A popular method of unintentionally making a patient numb after tooth extraction

Although the complication rate of tooth extraction is low, and complications are often minor, the incidence of overall paresthesia after tooth extraction is on the rise due to an increase in the number of extractions over the years. Injuries to the inferior alveolar nerve and lingual nerve can cause problems with speech and mastication, leading to complaints and possible litigation as these injuries begin to affect the patients’ quality of life. Perio-Implant Advisory Editorial Director Scott Froum, DDS, reviews one iatrogenic cause of mandibular nerve injury post tooth extraction and explains steps the dentist can take to prevent such injuries in the future.

Editor's Picks

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.

ridge augmentation, soft tissue grafting, dental implants, bone grafting

Deciding between pink porcelain versus ridge augmentation in the esthetic zone

Although dental implants are a predictable treatment modality for the replacement of failed or lost teeth, the challenge continues to be achieving desirable esthetic outcomes in the maxillary anterior region that are acceptable to both patient and clinician. Two cases from Peter Mann, DDS, FICOI, FAGD, highlight two different approaches to reconstructing tissue defects during dental implant therapy, and considerations as to why that specific modality was selected.

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.

Oral-Systemic 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.

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.

tongue, pathologies, dental examination, oral pathology

5 pathologies most likely to affect the tongue: Importance of proper examination and diagnosis

Although the dental technology that can identify oral pathology has greatly improved in the past decade, dental professionals should still understand the importance of conducting visual exams and be able to accurately diagnose disease when present. Perio-Implant Advisory Editorial Director Scott Froum, DDS, offers dental health professionals an aid to examining the tongue, recognizing characteristics of a normal disease-free tongue, and identifying the top five pathologies most likely to affect the tongue that could represent larger systemic issues.

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

dental implant, dental implant complications

Top 5 sources of dental implant pain when 'there is nothing wrong with the implant'

While clinical signs and radiographic evidence sometimes point to dental implant complications, ascertaining the etiology of a patient’s perceived pain post implant placement when all parameters are within normal limits can be daunting. Dr. Scott Froum, editorial director of Perio-Implant Advisory, focuses on five factors that can elicit pain post implant placement that are often elusive and obscure diagnosis unless a good knowledge base is present.

dental implant, implant dentistry, Anthony Sclar, DMD

AO Orlando preview: Morning with the Masters highlights from Dr. Anthony Sclar

Anthony G. Sclar, DMD, will present an interdisciplinary session titled “Avoiding and Managing Esthetic Implant Complications” during the Morning with the Masters Program at the upcoming Academy of Osseointegration Annual Meeting. Participants will learn scientific and clinical concepts required for diagnostically driven treatment planning and become familiar with risk stratification of simple-to-complex esthetic dental implant cases. Read more about the objectives of this program and the five key takeaways.

dental implant, implant abutment

Top factors leading to dental implant abutment/implant fixture misfit: The dreaded macrogap

Dr. Scott Froum, Perio-Implant Advisory’s editorial director, says recognizing the leading causes of dental implant abutment misfit can prevent implant failures from occurring. Because vertical misfit can have serious repercussions on the life span of the implant complex, careful attention must be paid to details at the time of insertion. In this article, Dr. Froum elaborates on six things that can cause implant abutment misfit and explains how you can avoid each.