Intrabony periodontal defects present a clinical challenge in the treatment of periodontal disease and maintenance of compromised teeth. The management of such defects ranges from non-surgical mechanical debridement to modern minimally invasive regenerative surgery. The incidence of intrabony defects is discussed along with prognosis and likely outcomes of various treatment options. CPD/Clinical Relevance: Vertical or intrabony (IB) defects are a common occurrence in patients suffering from advanced periodontal disease. Primary care practitioners must be aware of possible treatment options in order to make suitable referrals when initial phases of treatment prove unsuccessful.
An understanding of the changes which occur to the alveolar ridge following an extraction are important in the era of dental implants, and these changes can have a huge impact on the simplicity and invasiveness of dental implant treatment. It has been demonstrated that certain techniques and materials, utilized at the time of extraction, can modify the changes in the alveolar ridge, allowing idealized implant placement with minimal surgical interventions. Techniques for and evidence supporting alveolar ridge preservation (ARP) are presented. CPD/Clinical Relevance: Dentists and specialists providing implant treatment, and referring patients for treatment, must be aware of implications of extraction and the resulting ridge volume loss.
Abstract:Patients who are at risk of, or have a history of, periodontal disease requesting orthodontic treatment require careful multidisciplinary management in order to achieve optimal orthodontic and periodontal outcomes. An understanding of the periodontal tissues and the disease processes that can affect the periodontium is required by the orthodontist to ensure that patients are managed appropriately. CPD/Clinical Relevance: This paper discusses the multidisciplinary management of periodontal patients who require orthodontic treatment and methods for ensuring optimal outcomes. Dent Update 2017; 44: 558-562 and adolescents, it is important that they are also screened prior to orthodontic treatment.
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