ประชุมสมาคมปริทันตวิทยาแห่งประเทศไทย 9-10 กรกฎาคม 2561

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ประชุมสมาคมปริทันตวิทยาแห่งประเทศไทย 9-10 กรกฎาคม 2561

โพสต์โดย challydedent » พฤหัสฯ. 12 ก.ค. 2018 5:16 pm

งานประชุมใหญ่สามัญประจำปี สมาคมปริทันตวิทยาแห่งประเทศไทย
9-10 กรกฎาคม 2561 ณ โรงแรมพูลแมน คิงพาวเวอร์ (รางน้ำ) กรุงเทพฯ
Emerging concept & innovative therapies in
Advanced Periodontal Surgery and Implant Dentistry


Predictable Periodontal Surgery Results: Flap design, defect management and wound closure
Entire surgical procedure should be planned > type of flap, exact location and type of incisions, management of the underlying bone, final closure of the flap and sutures > Success outcome of periodontal surgery

Approaches in Correcting Gingival Recession: The Reality
Which technique? > as SIMPLE as possible, root position, keratinized tissue/frenum/muscle pull, tissue thickness, IDP/interproximal bone level

Update in Biomaterials for Periodontal Surgery
PDGF, EMD, BMP  Material is part of the success, Cost-effectiveness, Proper case selection & tx plan

Orthodontic Movement and Regenerative Procedure
The combination of Periodontal Regenerative procedures and Orthodontic Movement
GTR: Infrabony defect + Orthodontic intrude w/ light continuous force, control force and limited in time, recall perio
GBR: A knife-edged ridge > Rapid Orthodontics After Ridge Splitting (ROARS) technique
Healing time = Early healing

Endodontic Surgery: This is how we do
Retreat VS Endo Surgery > coronal obstruction, quality of restroration, quality & Hx of RCT, cost & time, anatomical limitation, pt preference

Crown lengthening: Volume 2
• Communication between periodontist and restorative dentist prior to tx is an imperative.
• A thorough examination and tx planning are the hallmarks for successful tx.

Digital Workflow in Implant Dentistry
Digital technology for implant tx planning requires
1. CBCT to provide DICOM data
2. STL file or other surface scan of the clinical situation and diagnostic final tooth position
3. Implant planning software to integrate these images together and plan the case

Soft tissue Management around Dental Implant
Factors affecting the level of soft tissue around dental implants
• Soft tissue, bone, position of implant & prostheses
Most common implant soft tissue complications
• Quality: inadequate keratinized tissue
• Quantity: mucosal recession, loss IDP, inadequate buccal contour
Periodontal surgical techniques for increase keratinized tissue
• APF + autogenous tissue: improve BOP, GI, PI, marginal bone
• Materials selection
Advance surgical techniques and restorative approach to increase mucosal thickness
• Connective tissue graft: prevent marginal bone loss
• VIP-CT flap
• Problem lists, interdisciplinary tx plan and sequence of tx

Implant treatment in maxilla with a low sinus
• The choice of a method should be based on the residual bone height of the crest
• Selecting the less-invasive therapy has been the trend. (eg. the use of short implant)
• With sinus elevation, there is no clinical difference with the type of graft material however the use of membrane is recommended
• Based on the alveolar bone height of approx. 6 mm, the guideline for sinus elevation is <5 mm for the LW and 5-7 mm for the osteotome technique

Abutment selection for periodontists
• Implant placement – flat surface is on buccal aspect
• Subcrestal placement – always try healing abutment
• Customized healing abutment
• Size of healing abutment ≠ Size of final abutment
• Good team > Good result

Guideline for Implant Care and Treatment of Peri-implant diseases; A Consensus from Workshop
• Mechanical debridement is a mandatory in tx of peri-implant diseases
• Adjunctive antiseptic tx may be used in tx of peri-implant mucositis
• All of the peri-implantitis cases should be treated by both mechanical debridement and antiseptic tx
• No single method of surface decontamination is better than others
• Surgical access flap outcome varies from one case to another
• Regeneration does not yield predictable outcome, only partial bone fill may be expected
• Peri-implant diseases are caused by bacterial biofilm
• Periodontal disease must be treated prior to implant placement
• Frequent periodontal and peri-implant recall is important
• Prevention is the key for success not correction
challydedent
 
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