hard and soft tissue management in the oral …...hard and soft tissue management in the oral cavity...
TRANSCRIPT
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H A R D A N D S O F T T I S S U E M A N A G E M E N T I N T H E O R A L C A V I T Y
Vahe Nakashyan, DDS, MDS Board Certified Periodontist & Implant Surgeon
Diplomate of the American Board of Periodontology
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A B O U T
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A B O U T
PartnersAgainstPockets
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A B O U T
Toluca Lake, CA
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N O C O N F L I C T O F I N T E R E S T
N O T P A I D B Y A N Y B R A N D O R C O M P A N Y I N C L U D E D I N T H I S P R E S E N T A T I O N
A L L C L I N I C A L P H O T O S A R E M Y O W N
N O P H O T O S H O P
C O N F L I C T O F I N T E R E S T
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
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P E R I O D O N T I T I S
Treatment of Periodontal Disease
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D E T E C T I O N
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D E T E C T I O N
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D E T E C T I O N
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D E T E C T I O N
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D E T E C T I O N
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P R O P E R S E Q U E N C E F O R T R E A T I N G P E R I O D O N T A L D I S E A S E
• Scaling/Root Planing
• Re-Evaluation in 4-6 Weeks
• Surgical Therapy for Unresolved Pockets
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O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
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O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
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O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
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O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
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O S S E O U S S U R G E R Y F O R P O C K E T R E D U C T I O N
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O S S E O U S S U R G E R Y H E A L I N G
1 week
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B E F O R E V S . A F T E R
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O S S E O U S S U R G E R Y H E A L I N G
1 week
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O S S E O U S S U R G E R Y H E A L I N G
1 week Courtesy: patient
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
![Page 26: Hard and Soft Tissue Management in the Oral …...HARD AND SOFT TISSUE MANAGEMENT IN THE ORAL CAVITY Vahe Nakashyan, DDS, MDS Board Certified Periodontist & Implant Surgeon Diplomate](https://reader030.vdocuments.us/reader030/viewer/2022040215/5ed6ccf3777e4e4f012b2c87/html5/thumbnails/26.jpg)
S O F T T I S S U E G R A F T S
• Increase in Tissue Thickness
• Root Coverage
• Gain in Attached/Keratinized Gingiva
Objectives
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C O N N E C T I V E T I S S U E G R A F T
]
]
S O F T T I S S U E M A N A G E M E N T
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C O N N E C T I V E T I S S U E G R A F T
]
]
S O F T T I S S U E M A N A G E M E N T
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C O N N E C T I V E T I S S U E G R A F TS O F T T I S S U E M A N A G E M E N T
]
]
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S O F T T I S S U E M A N A G E M E N T
F R E E G I N G I V A L G R A F T
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F R E E G I N G I V A L G R A F TS O F T T I S S U E M A N A G E M E N T
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C O N N E C T I V E T I S S U E G R A F T H E A L I N G
1 week
S O F T T I S S U E M A N A G E M E N T
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1 week
Before After
C O N N E C T I V E T I S S U E G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
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1 week
C O N N E C T I V E T I S S U E G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
Courtesy: patient
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F R E E G I N G I V A L G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
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S O F T T I S S U E G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
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S O F T T I S S U E G R A F T H E A L I N GS O F T T I S S U E M A N A G E M E N T
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
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B O N E G R A F T I N G
• Reasons for bone grafting
• Types of bone grafting techniques
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T R E A T I N G P E R I O D O N T A L D E F E C T S
8 mm 3 mm
R E A S O N S F O R B O N E G R A F T I N G
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12 mm 4 mm
T R E A T I N G P E R I O D O N T A L D E F E C T SR E A S O N S F O R B O N E G R A F T I N G
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S O C K E T P R E S E R V A T I O NR E A S O N S F O R B O N E G R A F T I N G
1 month
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S O C K E T P R E S E R V A T I O NR E A S O N S F O R B O N E G R A F T I N G
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S O C K E T P R E S E R V A T I O NR E A S O N S F O R B O N E G R A F T I N G
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R I D G E A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
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R I D G E A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
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S I N U S A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
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S I N U S A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
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S I N U S A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
2 weeks
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S I N U S A U G M E N T A T I O NR E A S O N S F O R B O N E G R A F T I N G
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
![Page 54: Hard and Soft Tissue Management in the Oral …...HARD AND SOFT TISSUE MANAGEMENT IN THE ORAL CAVITY Vahe Nakashyan, DDS, MDS Board Certified Periodontist & Implant Surgeon Diplomate](https://reader030.vdocuments.us/reader030/viewer/2022040215/5ed6ccf3777e4e4f012b2c87/html5/thumbnails/54.jpg)
I M P L A N T T H E R A P I E S
• Single Tooth Restoration
• Implant FPD
• Full Arch Restoration
• Conventional Placement
• Immediate Placement
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S I N G L E T O O T H R E S T O R A T I O NI M P L A N T T H E R A P I E S
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S I N G L E T O O T H R E S T O R A T I O NI M P L A N T T H E R A P I E S
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I M M E D I A T E P L A C E M E N TI M P L A N T T H E R A P I E S
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F U L L A R C H R E S T O R A T I O NI M P L A N T T H E R A P I E S
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F U L L A R C H R E S T O R A T I O NI M P L A N T T H E R A P I E S
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F U L L A R C H R E S T O R A T I O NI M P L A N T T H E R A P I E S
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F U L L A R C H R E S T O R A T I O NI M P L A N T T H E R A P I E S
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T E M P O R I Z A T I O NI M P L A N T T H E R A P I E S
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
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T O P I C S
• Treatment of Periodontal Disease
• Soft Tissue Management
• Bone Management
• Implant Therapies
• Miscellaneous
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F R E N E C T O M YM I S C E L L A N E O U S
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W I L C K O D O N T I C SM I S C E L L A N E O U S
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W I L C K O D O N T I C SM I S C E L L A N E O U S
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W I L C K O D O N T I C SM I S C E L L A N E O U S
Surgery
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W I L C K O D O N T I C SM I S C E L L A N E O U S
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W I L C K O D O N T I C SM I S C E L L A N E O U S
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W I L C K O D O N T I C SM I S C E L L A N E O U S
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W I L C K O D O N T I C SM I S C E L L A N E O U S
1 month
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F I G H T O N !
THANK YOU