10:15 – 11:00 am
Peri-implantitis and Laser Therapy: Shining a Light on Decision Making
Don Clem, DDS
Dental implants have arguably been one of the greatest advancements in dentistry. In the early 80’s clinicians were frequently told that these medical devices were essentially impervious to inflammatory bone loss, were lifetime solutions to edentulism and required little in the way of professional maintenance. As we have experienced in the ensuing decades, however, complications associated with progressive bone loss have been a challenge to the clinician putting patients at risk. Literally hundreds of dental implant manufacturers and a growing list of regenerative materials have complicated decision making in the face of bone and tissue loss.
Unfortunately for many clinicians this is a growing albeit perplexing part of current implant management. While a number of regenerative and resective protocols have been published, few have demonstrated a significant evidenced based approach with long term follow up. As multiple laser devices have been put into use, questions remain regarding their role in managing inflammatory bone loss around implants. This presentation will review the current evidence regarding peri-implantitis treatment and the possible role of Er:YAG lasers in managing these conditions. A suggested protocol with consecutive case series follow up and analysis will also be reviewed in detail.
11:15 am – noon
Preserving the Alveolar Ridge in a Novel and Simple Predictable Method
Véronique Benhamou, BSc, DDS, Cert. Perio.
Preserving and/or augmenting the alveolar bone following an extraction have become a gold standard in the current world of Implantology. A brief review of the wound healing process of extraction sockets, the rationale for alveolar bone preservation and the steps leading to facilitating prosthetic based surgical implant placement will be reviewed, including methods of atraumatic tooth extractions. Many techniques offer excellent results but are surgically demanding and not necessarily cost effective to our patients. A novel, simple and predictable method of ridge preservation will be discussed.