Biologically guided implant therapy: A diagnostic and therapeutic strategy of conservation and preservation based on periodontal staging and grading

Greenwell, Henry; Wang, Hom‐Lay; Kornman, Kenneth S.; Tonetti, Maurizio S.

doi:10.1002/jper.18-0495

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…The first most effective and indeed the first step towards management of a complication is the initiative towards its prevention. In the context of peri‐implant health and esthetics, this includes conservative management of the existing natural dentition, and their surrounding tissues with respect of the biologic principles 117 and reconstitution of both hard and soft tissue deficiencies, when indicated 118…”

Section: Discussionmentioning

confidence: 99%

The peri‐implant phenotype and implant esthetic complications. Contemporary overview

Wang

Barootchi

Tavelli

et al. 2021

J Esthet Restor Dent

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Objective To provide a contemporary and comprehensive overview of the hard and soft tissue biological structures surrounding an osseointegrated dental implant (peri‐implant referred to as the peri‐implant phenotype), in the context of peri‐implant esthetic complications. Overview The individual components of the peri‐implant phenotype (keratinized mucosa width, mucosal thickness, supracrestal tissue height, and the peri‐implant buccal bone) have been linked to different aspects of implant esthetics, as well as health‐related aspects. At the time of implant therapy, respecting the biology of the peri‐implant hard and soft tissues, and anticipating their remodeling patterns can alleviate future esthetic complications. Conclusions While the current literature may not allow for a point‐by‐point evidence based‐recommendation for the required amount of each peri‐implant structure, bearing in mind the proposed values for the components of the peri‐implant phenotype, at the time of and prior to implant therapy can lead to more predictable treatment outcomes, and the avoidance of esthetic complications. Clinical Significance Knowledge of hard and soft tissue components surrounding and osseointegrated dental implant, and their underlying biological remodeling process is crucial for carrying out a successful therapy and alleviating possible future esthetic challenges.

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Section: Discussionmentioning

confidence: 99%

The peri‐implant phenotype and implant esthetic complications. Contemporary overview

Wang

Barootchi

Tavelli

et al. 2021

J Esthet Restor Dent

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“…Over the years, periodontal treatment has evolved and the ability to maintain natural dentition has slowly become a higher priority than the complete resolution of disease itself. Implants represent an adequate treatment for rehabilitation of edentulous ridges but are not an absolute substitution of periodontally compromised teeth (Greenwell, Wang, Kornman, & Tonetti, ). In addition, the future definition of success in periodontology could be changed under a new approach in precision medicine in which genome, environment and lifestyle of each individual are taken into consideration (Bartold, ).…”

Section: Introductionmentioning

confidence: 99%

Success in periodontology: An evolutive concept

Prato¹,

Gianfilippo

Wang

2019

J Clinic Periodontology

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Aim The purpose of this editorial was to discuss a definition of success after periodontal therapy based on the retention of natural dentition. Materials and Methods Based on topic and relevance, references were collected and then divided into four categories: (a) the influence of available therapeutic techniques on the definition of hopeless teeth, (b) the long‐term rate of tooth loss during supportive periodontal therapy, (c) the duration of time that the treatment outcomes may be considered stable and (d) patients’ perception and satisfaction of periodontal therapy. Results Periodontal therapy can change the prognosis of hopeless teeth, making them maintainable in the long term. The rate of tooth loss can be minimized in a way that a period of 10 years or more is needed to evaluate further periodontal breakdown. In addition, patients’ perception and satisfaction of the treatment should be considered as the main therapeutic endpoints of the provided periodontal therapy. Conclusions Definition of success is linked to the available therapeutic tools. Due to the recent advancement of treatment modalities, periodontally hopeless teeth can now be treated and maintained for a long period of time with health, function and patient satisfaction.

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“…Recent research by Greenwell et al. suggested that biologically guided implant principles should prevail in the implant treatment planning process, as opposed to mechanically based rationales that can lead to the excessive and unnecessary sacrifice of teeth and alveolar bone 13 . These biological principles focus on maximum tooth conservation and preservation of alveolar bone.…”

Section: Discussionmentioning

confidence: 99%

CBCT in Advanced Dental Education: A Survey of U.S. Postdoctoral Periodontics Programs

Beals

Parashar

Francis

et al. 2020

Journal of Dental Education

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Historically, predoctoral and advanced dental education programs used two-dimensional panoramic and periapical radiographs for implant planning. Three-dimensional (3D) Cone Beam Computed Tomography (CBCT) imaging has improved this study was to assess how U.S. postdoctoral periodontics programs have incorporated CBCT technology into their curricula. A ten-question survey was sent to all 57 U.S. postdoctoral periodontics programs in November-December 2018. Thirty-seven responses were received, for a 65% response rate. All participating programs reported providing residents access to CBCT machines, and most of their residents received some training in the acquisition and interpretation of CBCT images. Nearly all (95%) participating programs provided training to apply implant planning software. Among the participating programs, 14% reported using a surgical guide fabricated with a CBCT scan 76-100% of the time, and 60% reported obtaining a CBCT scan for implant cases 76-100% of the time. These results suggest that, while residents are receiving training in CBCT and implant planning, it is not used often. There may be merit in adopting the American Academy of Oral and Maxillofacial Radiology's recommendation to use 3D imaging for all implant planning, with CBCT as the imaging modality of choice.

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Biologically guided implant therapy: A diagnostic and therapeutic strategy of conservation and preservation based on periodontal staging and grading

Cited by 7 publications

References 9 publications

The peri‐implant phenotype and implant esthetic complications. Contemporary overview

The peri‐implant phenotype and implant esthetic complications. Contemporary overview

Success in periodontology: An evolutive concept

CBCT in Advanced Dental Education: A Survey of U.S. Postdoctoral Periodontics Programs

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