Hard and Soft Tissue Management in the Oral …...HARD AND SOFT TISSUE MANAGEMENT IN THE ORAL CAVITY...
Transcript of Hard and Soft Tissue Management in the Oral …...HARD AND SOFT TISSUE MANAGEMENT IN THE ORAL CAVITY...
H A R D A N D S O F T T I S S U E M A N A G E M E N T I N T H E O R A L C A V I T Y
Vahe Nakashyan, DDS, MDS Board Certified Periodontist & Implant Surgeon
Diplomate of the American Board of Periodontology
A B O U T
A B O U T
PartnersAgainstPockets
A B O U T
Toluca Lake, CA
N O C O N F L I C T O F I N T E R E S T
N O T P A I D B Y A N Y B R A N D O R C O M P A N Y I N C L U D E D I N T H I S P R E S E N T A T I O N
A L L C L I N I C A L P H O T O S A R E M Y O W N
N O P H O T O S H O P
C O N F L I C T O F I N T E R E S T
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
P E R I O D O N T I T I S
Treatment of Periodontal Disease
D E T E C T I O N
D E T E C T I O N
D E T E C T I O N
D E T E C T I O N
D E T E C T I O N
P R O P E R S E Q U E N C E F O R T R E A T I N G P E R I O D O N T A L D I S E A S E
• Scaling/Root Planing
• Re-Evaluation in 4-6 Weeks
• Surgical Therapy for Unresolved Pockets
O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
O S S E O U S S U R G E R Y H E A L I N G
1 week
B E F O R E V S . A F T E R
O S S E O U S S U R G E R Y H E A L I N G
1 week
O S S E O U S S U R G E R Y H E A L I N G
1 week Courtesy: patient
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
S O F T T I S S U E G R A F T S
• Increase in Tissue Thickness
• Root Coverage
• Gain in Attached/Keratinized Gingiva
Objectives
C O N N E C T I V E T I S S U E G R A F T
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S O F T T I S S U E M A N A G E M E N T
C O N N E C T I V E T I S S U E G R A F T
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]
S O F T T I S S U E M A N A G E M E N T
C O N N E C T I V E T I S S U E G R A F TS O F T T I S S U E M A N A G E M E N T
]
]
S O F T T I S S U E M A N A G E M E N T
F R E E G I N G I V A L G R A F T
F R E E G I N G I V A L G R A F TS O F T T I S S U E M A N A G E M E N T
C O N N E C T I V E T I S S U E G R A F T H E A L I N G
1 week
S O F T T I S S U E M A N A G E M E N T
1 week
Before After
C O N N E C T I V E T I S S U E G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
1 week
C O N N E C T I V E T I S S U E G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
Courtesy: patient
F R E E G I N G I V A L G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
S O F T T I S S U E G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
S O F T T I S S U E G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
B O N E G R A F T I N G
• Reasons for bone grafting
• Types of bone grafting techniques
T R E A T I N G P E R I O D O N T A L D E F E C T S
8 mm 3 mm
R E A S O N S F O R B O N E G R A F T I N G
12 mm 4 mm
T R E A T I N G P E R I O D O N T A L D E F E C T SR E A S O N S F O R B O N E G R A F T I N G
S O C K E T P R E S E R V A T I O NR E A S O N S F O R B O N E G R A F T I N G
1 month
S O C K E T P R E S E R V A T I O NR E A S O N S F O R B O N E G R A F T I N G
S O C K E T P R E S E R V A T I O NR E A S O N S F O R B O N E G R A F T I N G
R I D G E A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
R I D G E A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
S I N U S A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
S I N U S A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
S I N U S A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
2 weeks
S I N U S A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
I M P L A N T T H E R A P I E S
• Single Tooth Restoration
• Implant FPD
• Full Arch Restoration
• Conventional Placement
• Immediate Placement
S I N G L E T O O T H R E S T O R A T I O NI M P L A N T T H E R A P I E S
S I N G L E T O O T H R E S T O R A T I O NI M P L A N T T H E R A P I E S
I M M E D I A T E P L A C E M E N TI M P L A N T T H E R A P I E S
F U L L A R C H R E S T O R A T I O NI M P L A N T T H E R A P I E S
F U L L A R C H R E S T O R A T I O NI M P L A N T T H E R A P I E S
F U L L A R C H R E S T O R A T I O NI M P L A N T T H E R A P I E S
F U L L A R C H R E S T O R A T I O NI M P L A N T T H E R A P I E S
T E M P O R I Z A T I O NI M P L A N T T H E R A P I E S
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
F R E N E C T O M YM I S C E L L A N E O U S
W I L C K O D O N T I C SM I S C E L L A N E O U S
W I L C K O D O N T I C SM I S C E L L A N E O U S
W I L C K O D O N T I C SM I S C E L L A N E O U S
Surgery
W I L C K O D O N T I C SM I S C E L L A N E O U S
W I L C K O D O N T I C SM I S C E L L A N E O U S
W I L C K O D O N T I C SM I S C E L L A N E O U S
W I L C K O D O N T I C SM I S C E L L A N E O U S
1 month
F I G H T O N !
THANK YOU