Oral Health Group

Topic
Periodontics

Figure 5. A probing depth of 4mm does not reveal the entire story. One must add the recession measurement to determine the CAL and true attachment loss.
October 1, 2013 Feature DentistryPeriodontics

Clinical Attachment Level – How to Calculate and Interpret this Important Measurement

by Peter C. Fritz, BSc, DDS, FRCD(C), PhD (Perio)

Periodontal probing continues to be a key element in the diagnosis of periodontal disease and this maneuver is performed hundreds of thousand times a day in dental offices across the world. However, a probing depth alone does not reveal the

Figure 8. Immediate post-surgical appearance of the buccal aspect.
October 1, 2013 Feature DentistryPeriodontics

Periodontal Defect Associated with an Unusual Root Anatomy of a Maxillary Lateral Incisor: A Case Report

by David Chvartszaid, DDS, MSc (Prostho), MSc (Perio), FRCD(C)

Prior to commencing treatment, a prudent practitioner seeks to establish clarity of diagnosis and expected treatment outcome. Occasionally, the clinical presentation is unclear and a degree of uncertainty presides over both the diagnosis and the degree of expected treatment success.

Figure 9I. Periapical of end result showing osseous harmony and a suitably sized implant for the area
October 1, 2013 Feature DentistryPeriodontics

Clinical Application of the Mucogingival Subepithelial Connective Tissue Graft

by Eugene Kryshtalskyj, DDS, Dip. Perio, MSc, FRCD(C); Eugene Gerald Kryshtalskyj, BHSc; Alexander Krys

INTRODUCTIONIn 1999, Albandar et. al1 estimated that more than 20 percent of the population presents with one or more tooth surfaces with gingival recession. When root exposure occurs, it can be quite uncomfortable causing root sensitivity and can lead to

Figure 2. A severe case of peri-implantitis with a progressive bone loss and multiple exposed threads.
October 1, 2013 Feature DentistryPeriodontics

Peri-Implant Infection – A modern Phenomenon or a Long-Ignored Problem?

by Dr. Hendrik Doering, DDS

Replacing lost teeth by artificial tooth roots (implants) in combination with artificial dental crowns has become part of mainstream dentistry and is now regarded as a routine procedure with predictable results. Over the past 30 years, the number of implants

Figure 32. Final post-operative radiograph of implants 25-26.
October 1, 2013 Feature DentistryPeriodontics

Extraction and Management of Extraction Sockets are Integral Part of the Implant Treatment – Rationale and Treatment Strategies

by Avi Shelemay, DDS, MSc (Perio), FRCD(C)

Dental implants are the preferred method for replacing missing teeth in most circumstances. They offer high predictability, which is backed by many long-term studies. Very often the discussion on tooth replacement starts when patients learn that they will be losing

October 1, 2013 Feature DentistryPeriodontics

Food Choices For Optimal Post-Operative Healing: What Advice Can We Provide a Patient?

by Patti J. Frith, Wendy E. Ward, B. Arts & Sci. (Hons), MSc, PhD; Peter C. Fritz, BSc, DDS, FRCD(C), P

The success of a delicate periodontal procedure is dependent on both the skill of the clinician as well as several patient-associated factors. These include the past and present smoking status, systemic health conditions and compliance to post-operative protocols. Any one

Figure 14. The PA clearly showed increased radiopacity at the furcation and around the mesial root suggesting substantial regeneration.
October 1, 2013 Feature DentistryPeriodontics

Concurrent Periodontal Issues: Bone and Soft Tissue Loss: Where to Begin Treatment?

by Daniel Kobric, BSc, DMD, MSc (Perio), FRCD(C)

In the world of periodontics, as with any aspect in the practice of dentistry, we tend to treat specific problems, often one at a time. Periodontal issues encompass a wide variety of problems ranging from soft tissue loss and/or bone

October 1, 2013 Feature DentistryPeriodontics

The Continued Evolution of Class II Matrix Armamentarium

by Leendert (Len) Boksman, DDS, BSc, FADI, FICD; Brad Carson, BSc, DDS; Gildo Coelho Santos Jr., DDS, M

In his Meta-analysis of the clinical effectiveness of direct Class II restorations, Heintze states that, “more than five hundred million direct dental restorations are placed each year worldwide” and “in about 55 percent of the cases, resin composites or compomers

September 26, 2013 News DentistryOral HealthPeriodontics

Food Choices For Optimal Post-Operative Healing: What Advice Can We Provide a Patient?

by Patti J. Frith, Wendy E. Ward, B. Arts & Sci. (Hons), MSc, PhD;Peter C. Fritz, BSc, DDS, FRCD(C), Ph

The success of a delicate periodontal procedure is dependent on both the skill of the clinician as well as several patient-associated factors. These include the past and present smoking status, systemic health conditions and compliance to post-operative protocols. Any one

University of Louisville
September 13, 2013 News DentistryOral HealthPeriodontics

Bacteria responsible for gum disease facilitates development and progression of rheumatoid arthritis

by University of Louisville

Does gum disease indicate future joint problems? Although researchers and clinicians have long known about an association between two prevalent chronic inflammatory diseases – periodontal disease and rheumatoid arthritis (RA) – the microbiological mechanisms have remained unclear. In an article

American Academy of Periodontology
May 1, 2013 News DentistryOral HealthPeriodontics

New Reports Confirm Perio-Systemic Connection and Outline Clinical Recommendations

by American Academy of Periodontology (AAP)

European Federation of Periodontology and American Academy of Periodontology Issue Consensus Reports Reaffirming Relationship between Periodontal Disease and Cardiovascular Disease, Diabetes, Adverse Pregnancy Outcomes The American Academy of Periodontology (AAP), in collaboration with the European Federation of Periodontology (EFP),) recently

American Academy of Periodontology (AAP)
April 5, 2013 News DentistryOral HealthPeriodontics

American Academy of Periodontology Issues Report on Peri-Implant Disease Risk Factors, Diagnoses and Clinical Implications

by American Academy of Periodontology (AAP)

The American Academy of Periodontology (AAP) recently published a report, “Peri-Implant Mucositis and Peri-Implantitis: A Current Understanding of Their Diagnoses and Clinical Implications” in April’s Journal of Periodontology. The paper was developed in an effort to review the current knowledge

International Dental Show (IDS)
January 9, 2013 News DentistryOral HealthPeriodontics

Showpiece Discipline Periodontology: The State of the Art at the International Dental Show (IDS) 2013

by IDS - International Dental Show - 2013 in Cologne

New products in the area of periodontology – Today’s trends in prophylaxis – Antimicrobial tools – Current possibilities using diagnostic methods -One of the main themes of IDS 2013

Dr. Birek is an Associate Professor in the Department of Periodontics and staff surgeon with the Oral Reconstruction Unit at the University of Toronto. He maintains a private practice in Periodontics and Implant Surgery in Toronto. Peter is the Periodontology editor for Oral Health Journal.
October 1, 2012 Feature DentistryPeriodontics

Careful what you wish for … Dad and Mom

by Peter Birek, DDS, MSc, Dip. Perio

There is no more precious moment in the life of a parent than the celebration of a child’s achievement – in my case a graduation. One such moment occurred this year when I hooded my daughter in front of the

October 1, 2012 Feature DentistryPeriodontics

Host Modulation Therapy for Periodontal Disease: Subantimicrobial-dose doxycycline, Medical as well as Dental Benefits

by Stephen G. Walker, MSc., PhD., and Lorne M. Golub, DMD, MSc., MD (honorary)

Introduction and BackgroundA number of articles over the past two decades have reviewed the scientific and clinical rationale for incorporating a novel non-antibacterial formulation of doxycycline in the treatment of: (a) periodontal diseases (chronic periodontitis primarily, but also generalized aggressive

Figure 13. (B)
October 1, 2012 Feature DentistryImplantologyPeriodontics

Supportive Implant Therapy Protocol for the Patient with Single or Multiple Implants

by C. Fritz,123 L.M. Dakin,1 D.M. Lavoie,1 S.M. Sabo,1 C.P. Hamm,1

While the advent of implant dentistry has provided the option of a fixed prosthetic solution, the responsibility for the maintenance of implant dentistry often rests with the patient and the dental hygienist. Without supportive implant therapy, the possibility of peri-implantitis

Figure 10. 1 month post-operative view of connective graft procedure over the buccal of teeth 31-42.
October 1, 2012 Feature DentistryPeriodontics

Management of Soft Tissue Recession: Rationale and Treatment Options

by Avi Shelemay, DDS, MSc(Perio), FRCD(C)

Many techniques have been developed over the years for managing gingival recession and preventing it from progressing. These techniques have been shown to be very successful (Chambrone et al. 2010), provided proper diagnosis has been made. Proper diagnosis of a

October 1, 2012 Feature DentistryPeriodontics

Obesity and Periodontal Health: What’s the link? Should I be concerned?

by Wendy E. Ward1, B. Arts & Sci. (Hons), MSc, PhD & Peter C. Fritz1-3, BSc, DDS, FRCD(C), PhD (Perio),

Are the waistlines of your patients changing? Are your patients heavier than they were 10 years ago? Canadian statistics suggest that the answer is a resounding “yes”. Over the past 20 years, the percent of men and women who are

Figure 3. Levels of Supervision - Dental Hygienists And Licensed Dental Assistants (Per Minnesota Rule 3100.0100, subpart 21)
October 1, 2012 Feature DentistryPeriodontics

Minnesota’s New Dental Therapist: Where Are We Now?

by Pat Foy, DDS

The State of Minnesota has finally licensed the first Dental Therapist and the whole world is watching this new dental experiment down in the Land of Ten Thousand Lakes. The American Dental Association and the Minnesota Dental Associated were initially

Figure 8. Three fractured prosthetic screws retrieved successfully (one of the screws had broken into two pieces).
October 1, 2012 Feature DentistryPeriodontics

Retrieval of Fractured Prosthetic Screws from Dental Implants: A Case Report

by E. Dwayne Karateew, DDS, Cert. Perio, Cert. Prosth and Mahtab Sadrameli, DMD, MAGD

Endosseous implants were introduced to the dental community in 19811 and are becoming increasingly popular in both the dental profession and with patients as a reliable treatment choice for the replacement of missing dentition; there is ample supporting evidence of