Treatment of Advanced Periodontal Disease: Keys to Achieving Restoration Longevity.

Dental treatment for periodontally compromised patients can be highly complicated and challenging. This article addresses the effectiveness of contemporary periodontal treatment modalities by depicting clinical cases of periodontal restoration and health that have been maintained for 20 or more years. The cases incorporate four key steps vital to achieving successful treatment of chronic adult periodontitis: debridement, occlusal stabilization, pocket elimination, and maintenance.

Treatment of peri-implantitis around TiUnite-surface implants using Er:YAG laser microexplosions.

Implant therapy can lead to peri-implantitis, and none of the methods used to treat this inflammatory response have been predictably effective. It is nearly impossible to treat infected surfaces such as TiUnite (a titanium oxide layer) that promote osteoinduction, but finding an effective way to do so is essential. Experiments were conducted to determine the optimum irradiation power for stripping away the contaminated titanium oxide layer with Er:YAG laser irradiation, the degree of implant heating as a result of Er:YAG laser irradiation, and whether osseointegration was possible after Er:YAG laser microexplosions were used to strip a layer from the surface of implants placed in beagle dogs.

Molar uprighting with extrusion for implant site bone regeneration and improvement of the periodontal environment.

This case report describes the treatment of a 55-year-old man who presented with a missing maxillary first molar and mesially inclined neighboring second molar with a severe circumferential bone defect. After bone regeneration therapy with bone grafting, the second molar was uprighted orthodontically to improve the inclination and crown-to-root ratio. These treatments minimized the bone defect and developed a suitable site for an implant in the first molar position.