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Clinical applications for the 2018 classification of peri-implant diseases and conditions

Susan Wingrove, BS, RDH, focuses on the clinical applications of peri-implant diseases and conditions in light of the AAP/EFP's new 2018 classification. This information will make it easier to assess your patients' periodontal status, as well as monitor their oral health and condition of their implants to ensure long-term success.

dental, questions dental patients ask, pathology, systemic

5 of the most common questions dental patients ask and how to answer them

While most oral conditions can be resolved with dental therapy, there are also many systemic diseases that manifest themselves in the oral cavity, thus requiring the consult of a medical physician. Dr. Scott Froum, editorial director of Perio-Implant Advisory, addresses five of the most common questions dental patients ask about pathology in the mouth and shares answers you can use in your practices.

Saving teeth: Changing the hopeless prognosis with new technology

Classically, a tooth that was affected with greater than 50% bone loss was given a questionable to hopeless prognosis. Dr. Scott Froum explains how new developments in laser and osteoblastic promotive technologies have surmounted historical restrictions of tissue repair/regeneration around diseased teeth and changed expected outcomes in periodontal treatment for patients interested in preserving their natural dentition.

overdenture, implant

Factors to consider when choosing between a bar versus a Locator implant overdenture

Which is the best method for implanting an overdenture? The clip bar or direct attachment method? The subject has been debated for years, and each method has its proponents. Steven Pigliacelli, MDT, CDT, examines several clinical scenarios and explains the deciding situational factors to consider between a bar and a Locator implant overdenture that will determine final case design.

periodontal disease, dental insurance

The new classification of periodontal disease that you, your patient, and your insurance company can understand

In this carefully reviewed article, Perio-Implant Advisory's Editorial Director Dr. Scott Froum provides a simple summary of the new classification of periodontal disease and peri-implant disease, as well as a discussion of the staging and progression of periodontitis. This information can be used to explain treatment needs to both patients and dental insurance companies.

canker sores, aphthous ulcers

Canker sores: An old enemy facing new treatment

Initial onset of aphthous ulcers, also called canker sores, usually occurs in childhood or early adulthood. Canker sores affect women more than men, are self-limiting, and are disproportionately painful relative to the size of the lesion. Perio-Implant Advisory's Editorial Director Dr. Scott Froum discusses the etiology, types, diagnosis and associated systemic disorders, as well as the most effective new treatment for these ulcers that plague many.

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.

crown lengthening, crown and veneer restorations, laser

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.

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.

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.

temporaries, provisionals, dental restorations

Temporaries versus provisionals: An important distinction

Dr. Michael W. Herndon says the terms temporaries (or temporary crowns/bridges) and provisionals are often interchanged and thus used incorrectly. In this article, he explains why the distinctions between the two types of interim dental restorations are so important by detailing the characteristics and goals of each.

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.

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.

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.

flossing, oral hygiene, dental hygiene, interproximal cleaners

Lies, damned lies, and statistics: The truth behind the importance of flossing

Last week the Associated Press released an investigative report citing “weak evidence” behind the importance of flossing. This week Scott Froum, DDS, editorial director of Perio-Implant Advisory, gives the history behind this investigative report, examines what the term “weak evidence” means in the larger scheme of things, and offers dental professionals talking points when patients ask about the importance of flossing.

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