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

A B O U T

A B O U T

PartnersAgainstPockets

A B O U T

Toluca Lake, CA

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

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

P E R I O D O N T I T I S

Treatment of Periodontal Disease

D E T E C T I O N

D E T E C T I O N

D E T E C T I O N

D E T E C T I O N

D E T E C T I O N

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

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

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

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

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

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

O S S E O U S S U R G E R Y H E A L I N G

1 week

B E F O R E V S . A F T E R

O S S E O U S S U R G E R Y H E A L I N G

1 week

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

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

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

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

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

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

]

]

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

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

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

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

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

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

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

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

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

B O N E G R A F T I N G

• Reasons for bone grafting

• Types of bone grafting techniques

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

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

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

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

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

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

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

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

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

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

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

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

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

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

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

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

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

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

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

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

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

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

T O P I C S

• Treatment of Periodontal Disease

• Soft Tissue Management

• Bone Management

• Implant Therapies

• Miscellaneous

F R E N E C T O M YM I S C E L L A N E O U S

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

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

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

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

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

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

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

F I G H T O N !

THANK YOU