Straight Talk Perio

This is a continuation of the previous episode that covered case selection and indications/contraindications of crown lengthening. The surgical technique is detailed from start to finish. ADDITIONAL READING:Bateman, Geoffrey, Shuva Saha, and Iain LC Chapple. Contemporary Periodontal Surgery: An Illustrated Guide to the Art Behind the Science. Vol. 21. Quintessence Publishing, 2019.Wiskott, HW Anselm, and HW Anselm Wiskott. "Fixed prosthodontics: principles and clinics." (2011).

How do you know who to select for crown lengthening? Biologic width is reviewed as the bridge between restorative dentistry and gingival health. Various case scenarios will be reviewed as well as indications/contraindications if you are considering performing crown lengthening. Questions: send me an email at:email@straighttalkperio.comARTICLE CITATIONS:Herrero, F., et al. "Clinical comparison of desired versus actual amount of surgical crown lengthening." Journal of periodontology 66.7 (1995): 568-571.Bateman, Geoffrey, Shuva Saha, and Iain LC Chapple. Contemporary Periodontal Surgery: An Illustrated Guide to the Art Behind the Science. Vol. 21. Quintessence Publishing, 2019.Wiskott, HW Anselm, and HW Anselm Wiskott. "Fixed prosthodontics: principles and clinics." (2011).

Treatment options for furcation involved molars.A quick review of the anatomy of molar teeth is followed by a discussion with various treatment options that plague furcation involved molars to help you treatment plan them in private practice with more confidence.Questions: send me an email at:email@straighttalkperio.comARTICLE CITATION:Rasperini, Giulio, et al. "Management of Furcation-Involved Molars: Recommendation for Treatment and Regeneration." International Journal of Periodontics & Restorative Dentistry 40.4 (2020).Alassadi, Madi, et al. "Outcomes of root resection therapy up to 16.8 years: a retrospective study in an academic setting." Journal of Periodontology 91.4 (2020): 493-500.

Periodontal disease is very prevalent and a very social disease. In this episode, periodontal disease will be explored from the patient's perspective, giving clinicians important insights how this debilitating disease affects these individuals and their decision making processes. Email or message me if you have any questions or comments:email@straighttalkperio.comARTICLE CITATION:Horne, Poppy E., et al. "Psychosocial aspects of periodontal disease diagnosis and treatment: A qualitative study." Journal of clinical periodontology 47.8 (2020): 941-951.

Any dental clinician that places or restores dental implants needs to understand the healing process that occurs around dental implants. In this episode, medical and dental literature sources are explored that attempt to explain why bone loss occurs marginally around dental implants looking beyond subgingival cement or bacterial plaque as the primary etiologies. Please send feedback, questions, or suggestions to: email@straighttalkperio.comARTICLE CITATIONS:Qian, Jie, Ann Wennerberg, and Tomas Albrektsson. "Reasons for marginal bone loss around oral implants." Clinical implant dentistry and related research 14.6 (2012): 792-807.Albrektsson, Tomas, et al. "An Imbalance of the Immune System Instead of a Disease Behind Marginal Bone Loss Around Oral Implants: Position Paper." International Journal of Oral & Maxillofacial Implants 35.3 (2020).Takayanagi, Hiroshi. "New developments in osteoimmunology." Nature Reviews Rheumatology 8.11 (2012): 684.Albrektsson, Tomas, et al. "Is marginal bone loss around oral implants the result of a provoked foreign body reaction?." Clinical implant dentistry and related research 16.2 (2014): 155-165.

Does ridge preservation actually do what the name implies? Does ridge preservation minimize the need for further grafting at the time of dental implant placement? Ridge preservation has many advantages, from improving esthetic outcomes to reducing the need for further invasive surgical procedures. Several articles (cited below) will be reviewed that address these important clinical questions. Article citations:Park, Su‐Hyun, et al. "Clinical benefits of ridge preservation for implant placement compared to natural healing in maxillary teeth: A retrospective study." Journal of Clinical Periodontology 47.3 (2020): 382-391.Lee, Albert Ming Hsien, and Choy Yoke Poon. "The clinical effectiveness of alveolar ridge preservation in the maxillary anterior esthetic zone—a retrospective study." Journal of Esthetic and Restorative Dentistry 29.2 (2017): 137-145.Farmer, Mark, and Ivan Darby. "Ridge dimensional changes following single‐tooth extraction in the aesthetic zone." Clinical oral implants research 25.2 (2014): 272-277.Questions? or If you would like to hear about a specific issue or topic, please email me at contact@stepupyourpractice.com

This episode of Straight Talk Perio is titled “The tissue is the issue”The importance of the gingival tissue and consequences of not respecting the gingiva are discussed as it relates to restorative dentistry, orthodontics and implant procedures. Questions or comments? Contact me at: contact@stepupyourpractice.comReferenced Articles1. Lin, Guo‐Hao, et al. "The significance of surgically modifying soft tissue phenotype around fixed dental prostheses: An American Academy of Periodontology Best Evidence Review." Journal of Periodontology 91.3 (2020): 339-351.2. Scheyer, E. Todd, et al. "Periodontal soft tissue non–root coverage procedures: A consensus report from the AAP Regeneration Workshop." Journal of periodontology 86 (2015): S73-S76.3. Bouri Jr, Anil, et al. "Width of keratinized gingiva and the health status of the supporting tissues around dental implants." International Journal of Oral & Maxillofacial Implants 23.2 (2008).4. Lin, Guo‐Hao, Hsun‐Liang Chan, and Hom‐Lay Wang. "The significance of keratinized mucosa on implant health: a systematic review." Journal of periodontology 84.12 (2013): 1755-1767.

This episode will focus on factors affecting marginal bone loss around functional implants as well as distinguishing between peri-implantitis and marginal bone loss due to remodeling. If you have any questions, email me at: contact@stepupyourpractice.comArticle citation:Mameno T, Wada M, Otsuki M. et al. Risk indicators for marginal bone resorption around implants in function for at least 4 years: A retrospective longitudinal study.J Periodontol. 2020;91:37-45. Https://doi.org/10.1002/JPER.18-0756

This episode of Straight Talk Perio will focus on guidelines and what you need to know for periodontal patients seeking orthodontic treatment.If you have any questions, email me, Dan, at contact@stepupyourpractice.comThe article citation:Giovan Paolo Pini Prato, Leandro Chambrone.Orthodontic treatment in periodontal patients: The use of periodontal gold standards to overcome the "grey zone"J Periodontol. 2020;91:437-441