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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.

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.

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.

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.

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.

root canal

Learning from root canal complications

When a root canal begins uneventfully and ends up with an obstacle, what do you do? You learn from it! Peter Mann, DDS, FICOI, FAGD, and Tina Tong, DMD, say: “Dentistry is a very humbling profession. But that’s what makes it exciting and interesting as well. After thousands of root canals, you still find one that surprises, teaches, and amazes.” Follow along with their case study.

osteonecrosis of the jaw, MRONJ, oral surgery, osteoporosis

Medication-related osteonecrosis of the jaw: Lowering the risk of MRONJ using new drug alternatives

By now, we have all faced the clinical decision about whether to proceed with elective oral surgery for the postmenopausal female patient who has begun bisphosphonate (BP) therapy. The potential for medication-related osteonecrosis of the jaw (MRONJ) that may occur after oral surgery persists for years after BPs have been administered, due to the fact that they have been found in bone 10 years after even a single administration. Michael DiPace, DDS, offers a general review of three alternative drugs used to treat osteoporosis that have little or no known association with MRONJ.

dental implants, bone generation, sinus augmentation, bone grafts

Perio-Implant Advisory JOMI Clinical Pearls: Photofunctionalization in bone generation, sinus augmentation and composite bone grafts, peri-implant tissue stability

In this Perio-Implant Advisory JOMI Clinical Pearls column, Andrea Henderson, DDS, FACP, a member of the Academy of Osseointegration’s Young Clinicians Committee, reviews three articles from The International Journal of Oral and Maxillofacial Implants—the official journal of the AO. Topics cover photofunctionalization in bone generation, changes in sinus dimensions using bovine-derived xenograft and autogenous bone composites for lateral bone augmentation of the maxillary sinus, and peri-implant soft- and hard-tissue stability in dental implants placed simultaneously versus delayed with intraoral block bone grafts.

bone graft, socket debridement, mechanical debridement, postextraction treatment - Scott Froum, DDS

Postextraction treatment: Did your bone graft fail, or did you fail your bone graft?

Patients who are about to undergo dental treatment, especially surgery, will often inquire as to the success rate of the procedure to be performed. When we look at the etiology of poor bone fill or bone-graft integration postextraction, many factors can influence the outcome, including medical history, medications, social factors, etc. Perio-Implant Advisory’s Editorial Director Scott Froum, DDS, says there are also iatrogenic factors, including sterility of the procedure, surgical technique, and—one of the most important and often-overlooked factors—complete debridement of the postextraction socket.

Have infection, will travel: Paving the path to dental implant failure by Scott Froum, DDS - dental implants - pathology - dental infection

Have infection, will travel: Paving the path to dental implant failure

Why did this dental implant fail? You did everything right during your implant treatment. You properly diagnosed and treatment planned the patient’s implant therapy. The implant was surgically placed in a prosthetically driven orientation. You (or the restorative dentist) placed the abutment and crown on the implant with the correct contours, perfect fit, and (if not screw retained) without excess cement. The patient adhered to the follow-up appointments and had good oral hygiene. Follow-up visits showed good bone levels around the implant . . . and then one day there was implant infection and loss of integration. In his clinical tip, Perio-Implant Advisory’s Editorial Director Scott Froum, DDS, talks about one huge oversight that—if detected early and treated properly—is highly preventable and can change the entire outcome of your case.

Importance of soft tissue in interdisciplinary cases: A case study involving orthodontics, periodontics, dental implants by Delia Tuttle, DDS

Importance of soft tissue in interdisciplinary cases: A case study involving orthodontics, periodontics, dental implants

The importance of keratinized soft tissue around both dental implants and natural teeth has been demonstrated in the literature to support effective home care, prevent sensitivity and tissue breakdown, as well as aid in esthetic value. Unfortunately, clinical exams can often overlook the need for soft-tissue enhancement until the patient becomes symptomatic and/or desires esthetic improvement. Soft-tissue augmentation prior to orthodontic treatment, prosthodontic treatment, and implant therapy can be of tremendous benefit to ensure a long-term, successful result. This case study highlights the use of soft-tissue augmentation prior to orthodontic and implant therapy to enhance the zone of keratinized tissue, increase root coverage, and improve esthetics.

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