Surgical Articles

crown lengthening, crown and veneer restorations, laser zqzdtwybbeyaurswytbq

Functional crown lengthening around bleeding crown and veneer restorations

In this video, Dr. Scott Froum, editorial director of Perio-Implant Advisory, demonstrates how he recreates space around crown and veneer restorations that have violated the biologic width, resulting in inflammation and bleeding, through functional crown lengthening using a 9.3-micron CO2 laser.

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.

Restorative Articles

diastemas, porcelain veneers

When orthodontics falls short: Managing diastemas with porcelain veneers

A patient presented to Dr. Michael Wei with diastemas, enamel defects, tooth-arch size discrepancies, and disproportional teeth. The patient's orthodontist had told her that the spaces between her teeth would never close completely. Enter interdisciplinary treatment planning and porcelain veneers. Exit a happy patient. Read the case study here.

dental implant, implant verification jig, framework

How to use a dental implant verification jig to ensure an accurate final framework every time

So, your screw-retained restoration framework fits on the model, but how can you make sure it fits in your patient's mouth too? Steven Pigliacelli, MDT, CDT, breaks it down into easy steps, beginning with a good impression and following up with how to use a dental implant verification jig to guarantee an accurate final frame every time.

Hygiene Articles

implant, dental implant, tooth decay, decay caries

Implant-induced decay: A problem bigger than you think

Although dental implants have a high survival rate, complications can occur. One of those is the migration of natural teeth adjacent to an ankylosed implant, causing interproximal contact loss (ICL) or an open contact. Because ICL between a dental implant restoration and an adjacent tooth has been highly correlated with the development of dental caries, health-care professionals must be aware of the factors that contribute to implant-induced tooth decay and predispose patients to open contacts.

: 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.

Complications Articles

implant, dental implant, tooth decay, decay caries

Implant-induced decay: A problem bigger than you think

Although dental implants have a high survival rate, complications can occur. One of those is the migration of natural teeth adjacent to an ankylosed implant, causing interproximal contact loss (ICL) or an open contact. Because ICL between a dental implant restoration and an adjacent tooth has been highly correlated with the development of dental caries, health-care professionals must be aware of the factors that contribute to implant-induced tooth decay and predispose patients to open contacts.

implants, safety, litigation, dental implants

5 seconds of implant safety that can save 5 years of litigation

Although dental implants enjoy a high survival rate, complications happen. On occasion, a patient may digest or aspirate an implant component, requiring a trip to the hospital for radiographs. Dr. Scott Froum discusses an easy-to-use device that for just five seconds of diligence to promote implant safety can prevent five years of agonizing litigation should the unexpected occur.

Dental Practice Management Articles

implants, safety, litigation, dental implants

5 seconds of implant safety that can save 5 years of litigation

Although dental implants enjoy a high survival rate, complications happen. On occasion, a patient may digest or aspirate an implant component, requiring a trip to the hospital for radiographs. Dr. Scott Froum discusses an easy-to-use device that for just five seconds of diligence to promote implant safety can prevent five years of agonizing litigation should the unexpected occur.

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.


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 for Perio-Implant Advisory to be chairside resource for the entire dental team.

Our e-newsletter is distributed monthly on the second Thursday of the month to dentists and dental hygienists. Subscribe here

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Scott Froum, DDS, editorial director
   

   

 

Clinical Tips from the Editor

implant, dental implant, tooth decay, decay caries

Implant-induced decay: A problem bigger than you think

Although dental implants have a high survival rate, complications can occur. One of those is the migration of natural teeth adjacent to an ankylosed implant, causing interproximal contact loss (ICL) or an open contact. Because ICL between a dental implant restoration and an adjacent tooth has been highly correlated with the development of dental caries, health-care professionals must be aware of the factors that contribute to implant-induced tooth decay and predispose patients to open contacts.

implants, safety, litigation, dental implants

5 seconds of implant safety that can save 5 years of litigation

Although dental implants enjoy a high survival rate, complications happen. On occasion, a patient may digest or aspirate an implant component, requiring a trip to the hospital for radiographs. Dr. Scott Froum discusses an easy-to-use device that for just five seconds of diligence to promote implant safety can prevent five years of agonizing litigation should the unexpected occur.

Perio-Implant Advisory Videos

    Editor's Picks

    dental implant, implant verification jig, framework

    How to use a dental implant verification jig to ensure an accurate final framework every time

    So, your screw-retained restoration framework fits on the model, but how can you make sure it fits in your patient's mouth too? Steven Pigliacelli, MDT, CDT, breaks it down into easy steps, beginning with a good impression and following up with how to use a dental implant verification jig to guarantee an accurate final frame every time.

    zirconia, dental implant, full-arch implant-supported restoration, fracture

    Avoid a 'crack of shame': Consequence of unidentified inaccuracy during lab workflow for a full-arch implant-supported restoration

    A full-arch dental implant-supported restoration requires a perfectly accurate impression and model fabrication workflow. Any slight discrepancy between the mouth and model can have disastrous effects on the integrity and fit of the final restoration. Drs. Daniel Gober and Markus Weitz present a case illustrating the consequence of an inaccuracy that went unnoticed during laboratory workflow in the verification stage for a zironia restoration.

    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.

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