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More Complications Articles

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.

sinus, sinus grafting, sinus augmentation, maxillary sinus

Sinus grafting: How to manage complications involving the maxillary sinus

Sinus grafting has become one of the best documented techniques to improve bone volumes in the posterior edentulous maxilla when existing bone is insufficient to support dental implants due to sinus expansion and/or alveolar ridge atrophy. However, when complicated anatomical or clinical issues present, sinus augmentation becomes more problematic. Dr. Matteo Chiapasco offers tips on how to perform predictable sinus grafting under unfavorable conditions.

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.

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.

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.

Pinhole Surgical Technique, gingival grafting, soft-tissue grafting, gingival recession

Pinhole Surgical Technique: The rebirth of the noninvasive soft-tissue graft

The main goal when restoring health, function, and esthetics of lost tissue due to gingival recession is to accomplish surgery the most efficiently with the fewest postoperative complications. Scott Froum, DDS, Perio-Implant Advisory's editorial director, reviews the history of noninvasive soft-tissue grafting and describes a new surgical protocol—the Pinhole Surgical Technique—that has taken soft-tissue grafting awareness to a new level.

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.

dental implants, dental

Narrow-diameter implants: A solution for replacing single missing lower incisors

Most dentists dread having to replace single missing mandibular incisors due to the numerous challenges involved. Peter Mann, DDS, FICOI, FAGD, presents two case studies demonstrating the successful use of narrow-diameter implants (mini-implants) for patients who "don't want a bridge" and those who were told they are not candidates for conventional dental implants.

dental implant, dental implant screws, how to remove a stripped screw

A solution for stripped dental implant screws

With so many different dental implant systems and restorative components available, the use of correct drivers when seating abutments becomes critical to avoid the risk of stripped dental implant screws and complicating easy retrieval of restorative components. In this case study, Daniel D. Gober, DDS, and Markus L. Weitz, DDS, explain how to remove a stripped screw in a multiunit abutment with a creative, yet simple, technique.

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.

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.

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.

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