Dental Products Report - February 2009 - (Page 74)

CLINICAL 360° PERIODONTICS THE TAKE-AWAYS Periodontitis is a multifactorial disease that encompasses all phases of dentistry and medicine. Soft-tissue appearance is unreliable in determining the severity of periodontal problems. Soft tissue and periodontal diagnosis Just because soft tissue looks healthy doesn’t mean it is. by D R . PETER O. CABR ER A AT A GLANCE 1 THE TEAM Bringing together a variety of voices for the best advice and big ideas. TEAM MEMBERS Dr. Peter O. Cabrera (Lead) Dr. Jim Kassolis Dr. Tim Walsh Terri Tilliss, RDH THE SET-UP “To fully diagnose and treat periodontitis, clinicians must thoroughly evaluate all contributing factors. Soft-tissue appearance is used more frequently than any other clinical parameter to determine periodontal health, but it’s important for clinicians to understand it is also the least reliable parameter.”—DR. PETER O. CABRERA, TEAM LEAD 2 ABOUT THE AUTHOR Peter Cabrera, DDS, received his Bachelor of Arts degree from Northwestern University, his DDS from the University of Illinois and completed his periodontal residency at Northwestern University Dental School. He lectures nationally and internationally, has a private practice in Chicago and is an afﬁliate attending at The Children’s Memorial Hospital. To learn more about his practice, visit perioimplantchicago.com. The products that appear in conjunction with this article are for illustrative or informational purposes only. Their inclusion does not denote endorsement by the author of this article. A HEALTHY periodontium is the foundation of all quality dentistry. Recent clinical studies support what periodontists have known for decades: Periodontal diseases can present as a manifestation of systemic problems and advanced periodontitis can have an adverse e ect on systemic health. Healthy gingival tissues with proper contours provide the framework of all cosmetic work. With this in mind, the accurate diagnosis and management of 3 4 periodontal health take on a more signi cant role in the current dental landscape. The standard of care dictates all patients need to have a comprehensive baseline periodontal examination with periodic monitoring. The basics of a comprehensive periodontal exam can be summarized into three general categories (See “A Comprehensive Periodontal Exam,” below). 5 FIGS. 1-5 This patient’s comprehensive periodontal exam revealed problems, even though the superficial appearance revealed no problems (Figs. 1 and 2). Moderate furcation bone loss was found on the lingual of No. 30, which was in line with the radiographic findings (Figs. 3, 4 and 5). A COMPREHENSIVE PERIODONTAL EXAM Clinical Parameters Two-Dimensional Radiographic Exam Supporting information Soft-tissue appearance and root exposure Periodontal biotype Full-mouth series that consists of about 20 ﬁlms Vertical bitewings that provide a crestal bone view Various radiographs for useful information from different angles Compare together with clinical data for an accurate picture Dental history Medical history Genetic predisposition Lifestyle WEB EXCLUSIVE For a case from Dr. Peter Cabrera illustrating the importance of a comprehensive periodontal exam before orthodontic treatment, go to dentalproductsreport.com. Tooth position in the alveolar bone and mobility Probing depths/bleeding on probing and occlusal evaluation DENTALPRODUCTSREPORT.COM | February http://www.perioimplantchicago.com http://www.dentalproductsreport.com/articles/show/dpr0209_we_perio-exam http://www.dentalproductsreport.com

Table of Contents Feed for the Digital Edition of Dental Products Report - February 2009

Dental Products Report - February 2009 Contents From the Editor 10 Questions Product Watch Clinical 360° Is This Your Nightmare? Place Predictable Posterior Restorations The New Standard in Caries Diagnosis Veraviewepocs 3De Retreatment Decisions Soft Tissue and Periodontal Diagnosis The Importance of Immunization Products in Practice How to Up Your Caries Detection Game A Team of Experts SurgiTel Oakley Loupes Snap-On Smile Word of Mouth

Dental Products Report - February 2009

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