Periodontal considerations in prosthodontic treatment.
"For the first time in decades of teaching multiday periodontal and implant surgery Quebec, MODULE 5 Implant Prosthodontics & Occlusion for Implantology. Dr. Ivanov is a specialist in Periodontics with a focus on the treatment of Perio- Prosthodontics reconstructive therapy and full-arch implant treatment. biggest strengths are his personality, the ability to form relationships with patients, Personal Quote: “My uncle influenced me to become a dentist, He himself was a DMD. The British Society of Prosthodontics London Conference . know the dentist or specialist and has built little relationship with the practice team; . He also highlighted the greater risk in patients with aggressive periodontitis. He left us with a quote from Donos - that the extraction of periodontally- involved teeth.
Ferreira has been practicing orthodontics since He believes that his biggest strengths are his personality, the ability to form relationships with patients, and his clinical abilities.
He has 3 publications, one in the Journal of Orthodontics and the other two in the Columbia Dental review. Ever since I was 5 years old, it was what I wanted to become.
People become so much more confident in life when they have a pleasant smile If you are looking for a uniquely thorough, gentle, and quality advanced dental care with experienced dentists then look no further.
Our doctors and staff will give you and your family the most pleasant dental experience possible. At Seaside dental we make choosing the right dental office an easy and pleasant task. Peter Briggs thanked the conference organising committee Rob McAndrew and Kirstin Berridgeall the speakers, bsspd council members, bsspd secretary Shiyana Eliyasbsspd treasurer Mike Fenlon and all those involved in making the conference such a success.
He then personally thanked two of his own mentors Professor Roger Watson and Martin Kelleher, who were both his personal guests. He handed over to Dr Phil Hammond, the after dinner speaker. Phil proved to be a very popular choice for the conference meal with a good mixture of fun, jokes and serious comment on the NHS and all type of medical diseases. He was committed to the maintenance of high professional standards and encouraged all young medical and dental professionals to aim for high professional standards.
He also displayed from his own experience how things have improved in terms of clinical training. Due to the large number of people it was not possible do the usual sweepstake for the nominated charity.
BSSPD: Conference report
Then off home, to bed, or bar - to relax, network and reminisce to the small hours. Day 2 Saturday 28th March Professor Mike Fenlon drew the short straw in chairing the early morning session after the night before. He was asked to present to the title of: It was clear from the beginning that Dominic had put together a superbly well prepared presentation on the use of dental patients with a history of periodontal disease.
As a director of the postgraduate implant programme at Bristol, he was acutely aware of the responsibilities that he and other trainers of such university programmes have with training dentists to adopt a measured approach with the use of implants. This was particularly apt after Kevin Lewis had highlighted the rapidly growing number of Dento-Legal claims involving dental implants. Dominic went through the various stages of planning with a strong emphasis on prosthodontic reverse planning the first stage.
He emphasised the need for periodontal maintenance to be in place before implants can realistically be considered to replace teeth. This maintenance must be proven over an agreed time period before implants can realistically be offered. He illustrated the greater risk of implants developing problems in periodontal patients where plaque-control is sub-optimal and where inflammatory disease is still active.
Dominic was clear that wherever possible natural teeth should be preserved. He outlined the common complications of peri-implant mucositis and peri-implantitis.
He explained the ways we can reduce the risk of such problems but patients with a history of periodontal disease have a greater risk of developing implant problems. He also highlighted the greater risk in patients with aggressive periodontitis. The key to success with periodontal patients is adequate Supportive Periodontal Therapy — it makes a big difference to long-term outcome and bone loss around implants.
Dominic spent some time evaluating the value of immediate implants in the periodontal patient and the issue of biofilm management. Finally he suggested aggressive management of the mucositis for those patients with known periodontal susceptibility.
He left us with a quote from Donos - that the extraction of periodontally-involved teeth may not be the end of problems but the beginning of new ones. It was just what the conference needed for the first presentation of the day to wake up those jaded from the night before.
Mike then welcomed back Professor Edeloff to speak on: He used this benchmark to outline his approach and solutions to an array of clinical challenges and problems with modern technology. All his patients all achieved excellent periodontal health prior to commencement any prosthodontic treatment which clearly increased his predictability with the latest indirect adhesive ceramic restorations.
He demonstrated multiple clinical applications of indirect all ceramic and glass restorations across a broad clinical range. All his clinical photographs of every clinical stage were of a very high standard. He and his technical team were prepared to find the outer limits of potential for these relatively new materials. For instance, he showed several full occlusal wear erosion cases where his technical team were able to construct extremely thin E-max monolith press ceramic onlays - which he then bonded with aid of with hydrofluoric acid etch followed by low viscosity resin-based lute cement.
His latest published audit at three years confirmed none of these restorations to have failed. Daniel illustrated very exciting concepts that can be used to avoid both the difficulty and expense of removing and completely replacing failed and failing fixed conventional and implant-retained restorations.
For those old enough to remember he reminded me of a 21st century Jan Pameijer — one of the great 20th Century dentists. This complemented the presentation by Dominic to get the first session of the second day of conference to great start. After morning coffee the conference delegates had the choice of three sessions.
The quality of both subjects and oral presentation was of the highest standard giving the judges a difficult job in selecting a winner. The audience appreciated the effort that had clearly gone into the presentations and it was good for the society to see that the bsspd conference continues to attract a high number of high quality poster and oral prize entries.
An investigation into the effect of finishing and polishing protocols on the surface roughness and characteristics of two different ceramic systems.
The awards made at the bsspd conference were as follows: At the same time two parallel workshops also ran in the breakout rooms. Both were well received by attending delegates. The workshop was an interactive discussion and presentation given by both Jason and Neil of different cases that they have treated together in QUHN.
The delegates appreciated the structured discussion of each clinical case with clear description of the role of the Restorative Dentist, the Consultant Technical Scientist and the Maxillo-Facial Surgeon to achieve satisfactory outcome. A PDF of the cases was made available to the society. The delegates that work with similar patients were treated to a good session on how a good MDT team should and can work.
It also explained the advanced role of the Technical Scientist for the head and neck patient. Workshop 2 This was chaired by Kushal Gadhia, Chair of the young bsspd practitioner group. The workshop was titled: Immediate or Delayed implant placement. This brought together Lloyd Searson and Shakeel Shahdad on different sides of the argument. The attending delegates were treated to a high intensity debate between delayed and immediate placement with the aid of clinical case examples and use of clinical literature.
Both speakers were able to put forward their views — leaving attending delegates to reflect on the implications to their own practice. In line with long-standing bsspd tradition both presenters, with strong opposite views were able to smile and shake hands at the conclusion of the workshop to applause of the audience. Delegates enjoy a topical and clinically-relevant debate that was well mediated by Kushal. Phil Taylor chaired the next session after a successful lunch.
The first session of the afternoon was filled by Brian Schottlander, Shakeel Shahdad fresh from his workshop debate and Jimmy Makdissi. The development of these teeth was clearly a huge passion for Brian and he was obviously proud of the final result.
The teeth had been trialled and well received by several experienced bsspd clinicians. Brian carefully explained the benefits and advantages of Enigma teeth both from both cosmetic and functional viewpoints.
The judges commented on the quality of the other presenters who were commended for their efforts and who made the task of selecting a winner very difficult. Next speaker was Jimmy Makdissi talking to: These changes in biologic width ranged between 1. These findings are consistent with previous studies. In addition a consistent 3 mm gain of coronal tooth structure was observed at the 3rd and 6th week examination.
A notable trend in this study was that the biologic width at all sites from the 3rd week to 12th week increased i. This is attributed to a slight gain in attachment level and apical displacement of the bone level. The values of biologic width at the 3rd week were significantly different compared to baseline.
In other words, the original dimension of biologic width was reestablished at treated sites after 12 weeks irrespective of the procedure used for surgical crown lengthening either gingivectomy or ostectomy with Apically positioned flap.
The probing depths at all sites after surgery were not significantly different from baseline; this is consistent with other reports on surgical crown lengthening [ 2122 ]. The literature is inconsistent as to the advantages of manual versus controlled-force probes in terms of improving intraexaminer reproducibility [ 23 — 25 ].
In this study a manual probe offered greater practicality in obtaining measurements, particularly bone level via transgingival probing to determine biologic width, and therefore was the chosen method of obtaining the selected clinical parameters over time. In addition, measurements were obtained by only one examiner with a standardized periodontal probe utilizing reference stents.
In this study, the position of the free gingival margin, attachment and bone levels remained stable from 3rd to 12th week in case of teeth treated for surgical crown lengthening using ostectomy with apically positioned flap procedure. These findings are consistent with previous studies [ 18 ].