Guest Writer Introduction
GUEST WRITER: Dr. Andreas Siebold Dr. Andreas Siebold is a specialist in Periodontics and Oral Medicine in private practice in Johannesburg. He specialised at the…
1: INTRODUCTION
Focused Clinical Question: What is the key clinically controllable preventive measure that may help reduce the incidence of biological complications? Summary: Implant complications are common, ineffective…
2: Clinical Scenarios
FIGURE 1 Biologic complication of implant at site #3. (1a) Postoperative radiograph at socket preservation May 2, 2016. (1b) Postoperative radiograph of implant placement March…
3: Discussion
FIGURE 7 Creating EA, and profile. (7a) Ideal EA and profile achieved by placing an ideal size implant for available edentulous M-D space. (7b) Ideal…
4: Calculating the depth of implant placement
If the mesiodistal space available for the implant is 10 mm in the molar region and we choose to place a 4.8 or 5 mm…
5: Decision Process (Table 1)
Variables for the EA and profileTo achieve ideal outcome in terms of EA and profile, the following determinants need to be considered.
6: CONCLUSIONS & REFERENCES
ConclusionOverall, dental implants provide a successful functional and esthetic replacement alternative for partially and fully edentulous patients. However, development of biologic complications tends to place…
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9: CONCLUSIONS & REFERENCES
Based on the extensive body of published evidence, the following conclusions can be made: A primary goal of SRP is the removal of calculus and…
8: REFERRAL TO A SPECIALIST
It is widely known that practice management advisors encourage “soft tissue management” programs as an important income source for the general dental practice, often undermining…
7: RE-EVALUATION OF INITIAL THERAPY
The re-evaluation appointment after SRP is not an endpoint of treatment but rather is part of a decision matrix. Based on the authors’ clinical experience…
6: CALCULUS ATTACHMENT TO THE ROOT SURFACE
As alluded to previously, calculus may not, in itself, induce inflammation in the approximated soft tissue pocket wall, but serves as an ideal substrate for…
5: CHARACTER OF THE DISEASED ROOT SURFACE
Root surfaces exposed to the toxic environment of a periodontal pocket undergo several changes. A root surface no longer protected by the periodontal ligament (PDL)…