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Dental Implant connection to Natural Teeth

Dental implants are more rigid than natural teeth and if a rigid attachment is used between the prosthesis and natural tooth, the stress generated from forces are loaded primarily on implants. The following problems may be the result:
1. The implant may be overloaded resulting to failure.
2. The natural teeth may undergo disuse atrophy, affecting the supporting tissues more rapidly.
3. The natural teeth are overloaded, leading to extraction type forces that result in tooth loss.

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Flap Design in Oral Surgery

A surgical flap is a soft tissue flap that is incised and retracted so that underlying bone can be removed to expose teeth, roots and pathologic tissue. The indication for the surgical flap is inability to remove the structure or tissue without traumatizing the surrounding tissues.

In order to design a mucoperiosteal flap successfully for oral surgery there are points that must be considered. Proper instrumentation is also a must. A surgical incision will heal by primary intention but if tissue is torn as a result of poor flap design or handling the healing will be delayed.

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Periodontally Compromised Patient

Periodontal diseases are often neglected. It can be due to the difficulty to interpret the signs of the pathology itself, but sometimes a not accurate analysis of the patient has been done by a general dentist. It is important to understand and record all the periodontal signs and symptoms. Only after doing that the clinicians are able to prepare a treatment plan comprehensive of the specific periodontal one and all the other dental care needed by the patient.

Periodontally Compromised Patient

Periodontally Compromised Patient

Periodontal treatment options will be examined from the non surgical therapy up to the surgical approaches to the defects and to the root coverage. Proper guidelines should be known to avoid the mistake of the patient selection in order to understand and expect a proper prognosis of the treatment.

Reference
Diagnosis, management and predictability of peridontally compromised patient by
Dr. Nicola Di Angelis
Adjuct Professor of Periontology, University of Turin
Professor, University of Genoa Degree in Dentistry