73
HARD AND SOFT TISSUE MANAGEMENT IN THE ORAL CAVITY Vahe Nakashyan, DDS, MDS Board Certified Periodontist & Implant Surgeon Diplomate of the American Board of Periodontology
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
