Interdisciplinary Sequencing of Aesthetic Treatment.

This article describes the concepts of treating a complex aesthetic interdisciplinary case in a traditional approach.

The interdisciplinary approach to implant dentistry.

The coordination of therapy between surgical and general dentists is integral to an ideal definitive restoration for comprehensive implant patients. Employing specific surgical and restorative strategies, this team approach allows for the maintenance of esthetics, phonetics, and function during the provisional period, as well as significant hard and soft tissue management designed to enhance the final restoration. This article presents three implant-related case reports that demonstrate a more predictable result by synchronization between the periodontist and general dentist.

The apical location of calculus within the intrabony defect.

Although several studies have concluded that calculus removal becomes more difficult as pocket depth increases, few have examined the clinical location of calculus within the intrabony defect. This study evaluated the relationship between apical calculus position and the depth and morphology of the intrabony defect. As part of an on-going study of new attachment procedures in humans, 260 intrabony defects were surgically entered in 39 patients.

Histologic evaluation of new attachment apparatus formation in humans. Part III.

There is still controversy as to the role of bone grafting materials in the formation of a new attachment apparatus and component tissues (bone, cementum, and periodontal ligament). The purpose of this study was to compare the healing of intrabony defects with and without the placement of decalcified freeze-dried bone allograft (DFDBA) in a nonsubmerged environment in humans. The most apical level of calculus on the root served as a histologic reference point to delineate root surfaces exposed to the oral environment and to measure new attachment apparatus and new component tissue formation.

Histologic evaluation of new attachment apparatus formation in humans. Part II.

There is conflicting evidence regarding the value of graft materials in enhancing the formation of new bone, cementum, and periodontal ligament (new attachment apparatus). Part II of this study compared the healing of intrabony defects with and without the placement of decalcified freeze-dried bone allograft (DFDBA) in a submerged environment. The most apical level of calculus on the root served as a histologic reference point to measure regeneration on root surfaces exposed to the oral environment.

Histologic evaluation of new attachment apparatus formation in humans. Part I.

Part I of this three-part human study evaluated the formation of a new attachment apparatus (bone, cementum, and periodontal ligament) on pathologically exposed root surfaces in an open and closed environment. The most apical level of calculus on the root served as a histologic reference point to measure regeneration on root surfaces exposed to the oral environment. Attempts were made to initiate the formation of a new attachment apparatus by flap curettage, root planing, coronectomy, and submersion of vital roots beneath the mucosa.