Dentaltown march 2016 - (Page 98)

periodontics feature Implant Maintenance Protocol by Dr. Thanos Ntounis, DDS, MS & Dr. Lillie Pitman, DMD Dr. Thanos Ntounis is a dual specialist in the fields of prosthodontics and periodontics. He received his DDS from the University of Athens Dental School in Athens, Greece, in 2005. He went on to complete a prosthodontics residency and a master's degree from the same institution (2006-2009). Ntounis completed his periodontics residency at the University of Alabama at Birmingham (UAB) and the Birmingham Veterans Affairs Hospital (2010-2013). After being awarded a fellowship from the UAB Graduate School, he completed a second master's degree in clinical dentistry, researching the effect of growth factors on ridge preservation. Dr. Ntounis is board-certified by the American Board of Periodontology and has published several peer-reviewed papers in the field of implant dentistry. He currently practices with his wife, Dr. Lillie Pitman, in their private practice limited to periodontics and implants in Fredericksburg, Virginia. Dr. Lillie Pitman practically grew up in a periodontal office in northern California, where her mom was a dental assistant. She received her DMD and certificate in public health from the Arizona School of Dentistry and Oral Health in 2011. Always knowing she wanted to be a periodontist, she went on to complete a periodontics residency at the University of Alabama at Birmingham (UAB) and the Birmingham Veterans Affairs Hospital (2011-2014). Pitman was presented one of the most prestigious awards given by the American Academy of Periodontology Foundation, the Gerald M. Kramer Scholar Award for Excellence. Pitman achieved board certification by the American Board of Periodontology in 2015. She practices with her husband, Dr. Thanos Ntounis, in their private practice limited to periodontics and implants in Fredericksburg, Virginia. 98 MARCH 2016 // dentaltown.com Introduction Dental implants have changed dentistry. Several studies on dental implants indicate high success rates-in the upper 90th percentile. We need to bear in mind that these studies take place in highly specialized centers around the world. In the real world, complications are far more common.1,2 Interestingly, a recent study published in The Journal of American Dental Association showed a 19 percent failure rate of implants placed in general-dentistry practices.3 Most of these complications can be attributed to surgical, restorative and treatment-planning errors. A number of studies emphasize the high prevalence of biologic complications of peri-implant mucositis and peri-implantitis, Fig. 1 Custom abutment in place. This is a mandibular second molar. The margin is equigingival. Fig. 2 PVS used to create a die to be used as a plunger to remove excess cement. inflammatory conditions in the soft and hard tissues at dental implants.4-6 In this article we will review the current knowledge concerning peri-implant mucositis and peri-implantitis. Recent data shows that at least 50 percent of all subjects with implants suffer from some form of peri-implant pathology.7 It is our responsibility as periodontists to prevent peri-implant disease. This obligation is not only moral, but also financial. Replacing failing implants is extremely costly for both the clinician and the patient. This article is an effort to establish an organized protocol for maintenance of our implant patients. Fig. 3 PVS die set ready to be used. Fig. 4 Excess cement extruded as die goes in place. Now the die and excess cement can be removed and crown can be cemented. http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown march 2016

On Dentaltown.com
HOWARD SPEAKS: Do Your Employees Feel Safe?
PROFESSIONAL COURTESY: Wonder Women in Dentistry
Continuing Education Update
SECOND OPINION: Pedonomics and the Affordable Care Act: Emerging Economic Impacts That Can Propel Your Practice
Industry News
Rod’s Incredible Perio Protocol: The Remix!
Assistance with Provisional Fabrications
Transitioning with a DSO: How it Works
Function and Esthetics of Lithium Disilicate Restorations
What Happens if You’re Not There?
The Role of CBCT Imaging in Dentistry
Why Your Site Must Be Mobile-Ready in 2016
Make Lower Denture for Existing Upper Denture?
Product Profi le: AMD Lasers
Women in Dentistry: INTRODUCTION: FACING CHANGE
GIVING SURVIVORS A REASON TO SMILE
WOMEN IN THE BOARDROOM
“DEAR DENTIST...”
FROM REFUGEE TO RENAISSANCE WOMAN
IN THE VANGUARD
WHEN IT’S YOUR CIRCUS
CECILIA MESCAIN
Product Profi le: Schick
Implant Maintenance Protocol
The New Force in Dental Marketing
Product Profi le: OCO Biomedical
Practice Solutions: Perio Protect
Ad Index
Product Profile: Integrated Dental Systems
New Products
You Should Know: Kallpod Health
Poll
CONTINUING EDUCATION: An Observation on the Superiority of Articaine versus Lidocaine in Dental Anesthesia
Dentally Incorrect

Dentaltown march 2016