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DISEASES OF PERI IMPLANT AND COLLABORATIVE TREATMENT PLANNING
Dr. Sweety Kantilal Christie*
Traditional goals of the dental profession are to conserve the natural dentition for the life of the patient. In cases where dental disease presents, such as caries, periodontal disease, endodontic disease, etc, the goals are to restore the teeth and supporting structures to a state of health, function, and aesthetics. Periodontists, working in collaboration with restorative dentists, diagnose and treat gingivitis and the various forms of periodontitis—both chronic and aggressive—in an effort to help our patients keep their natural teeth. Clinical procedures such as the elimination of pathological pockets, crown lengthening, and rebuilding of the lost surrounding soft and hard tissues are some of the technique’s periodontists use to control and reverse the disease process. If the natural tooth cannot be saved, periodontists are able to prepare the supporting tissues for any necessary restorative therapy. With the advent of dental implants, new options have become available for the replacement of teeth that could not be preserved. Currently, teeth with hopeless prognoses can be extracted and successfully replaced by implant supported restorations. For patients who present with poor bone quality or tissue deficiencies, periodontists are able to rebuild bone and soft tissue using ridge, sinus, and socket augmentation procedures along with autogenous and allogenic soft tissue grafts. In fact, success rates of implants placed in regenerated bone have been reported to be equal to that of implants placed in native bone. The key to achieving long-term success of dental implants goes beyond just ensuring that they are placed in an ideal environment. Dental implant success also requires professional monitoring and careful maintenance by both the periodontist and restorative dentist. However, as periodontists and restorative dentists collaborate in placing and restoring an increasing number of dental implants, they have become aware of a new threat to implant survival: peri-implant diseases.[Full Text Article]