Complex perio-prosthetic cases that require multidisciplinary therapy often result in compromised aesthetics. Traditional treatment planning philosophies, as well as existing interdisciplinary relational patterns, do not promote the achievement of predictable aesthetic results. Implementation of a restorative-driven approach requires the development of an aesthetic blueprint that will serve as a guide through treatment. This lecture describes a team approach for periodontal and restorative treatment intended to produce a predictable, biologically sound outcome that preserves more supporting bone and restores carious and broken down teeth. The goal of periodontal treatment, when performed in conjunction with restorative dentistry, is to provide restorative dentists with a high percentage of tooth structure that allows for a supragingival margin.
An equally important goal is to ensure that an adequate thickness of connective tissue exists to create an environment more resistant to trauma and inflammation.
The team approach consists of a restorative phase and a surgical phase. The restorative phase involves preparation with complete caries removal, adhesive core buildups, and provisionalization. The surgical phase involves biologic shaping of the roots and judicious osseous resection.
Learning Objectives
Pre-restorative digital aesthetic analysis and treatment
Tissue development preparation technique for crowns and veneers
Soft tissue management around teeth and implants
Role of provisional restorations for achieving the right emergence profile
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77 Comments
Thanks for the amazing lecture! Greetings from Lithuania
What is the prognosis for a long term smoker for lower implants with bone loss? thank you Carolyn, Las Vegas
Thank You for the wonderful lecture God Bless
Fr: NY
THANK YOU VERY MUCH! YOU GUYS ARE EXTREMELY AWSOME!
STAY SAFE…
Great program Re-I forces the concept of saving teeth
Colin Richman Periodontist Atlanta Ga USA
Thank you for your interesting presentation
What if a patient has bruxism. Is it wise to implant?
Thank you so much for this valuable webinar.
thank you very much doctors for this webinar, your italian accent makes it more lovely
Hello from Latvia
Are your patients “fit” for further treatment after 1 month hygiene only?
Multiple layers of prf membrane + caf ? For class 1 millers any experience?
good reception and information, thank you from Carolyn Las Vegas
Do you refuse treatment to non-compliant patients?
Regards from Seattle, Washington. How do you balance the classic, fundamental perio-prosth work of people like Amsterdam, Carnevale, Kramer, Nyman, Scharer, etc. (and YOUR magnificent perio-prosth work), with implant dentistry? When to save highly compromised teeth vs. replacing with implants?
Imediate loading of implants vs. delayed loading (3 months).
How do you decide?
What means TXP ?
Greetings from Reggio Emilia. An Agnini Bro’s Old Fan !
Good evening and thank you for the case report presentation. If you approach bone grafting, do you apply any additional methods? (plasma concentrates, membranes etc. and which?)
Great cases! Congrats from Liechtenstein!
Hi from New Orleans, Louisiana
Thank you both for the great lecture
From Kuwait
does your hygiene clinician use a
perioscope?
Two excellent speakers who made this webinar an afternoon well spent.
Gracie.
Thank you for this webinar.
Greetings from Greece
Nice Presentation ! Thank you !
why means TXP ?
Thank you for the informative lecture.
What is your experience regarding CTG for lower anteriors gum recession
wonderful presentation
Thank you from Germany
Thank you for the great presentation
Thank you from Cleveland, Ohio
Thank you
Great lecture
Thanks
Thank you for the great presentation
Thank you so much
Thank you so much !
Hello. What’s your opinion on full ceramic vertiprep?
Pleased to listen to this complete and professional lecture, thanks! paolo
Hi, Good Afternoon Dr. Alessandro and Dr. Andrea Agnini. Are both of you and the dental hygienist use Extra Oral Suction Equipment during treatment in preventing spread of aerosols?
How you will manage occlusion IN full mouth rehiblitation with implants in cases of sever skeletal Class lll and severe skeletal Class ll cases.
Do you think there is some minimum lenght of root in the bone that is safe for bridge planning? if you have stable teeth, patient under perio treatment, no inflamation
Do you use temporary bridges when you plan bridge on periodontally compromised teeth? If yes- for how long?
How we will manage occlusion of implants in sever skeletal Class lll case in the upper arch is small and vice versa in sever skeletal Class ll
Bravi
Thank you, for your knowledge and efforts to learn and speak English!
Do you recommend pinhole surgeries for recession ?
Good evening from Latvia !
Greetings from Portugal
Hi! Good morning
good evening, do you prefer corsodyl 0.20% because of the alcohol that it contains? or can you also use perio-aid 0.12%? thank you
What is the significance of polishing with glycine before srps
What are the chances of the patient to maintain good oral hygiene after treatment?
Do you agree of remove the prosthesis for professional cleaning? How regularly?
Greetings from São Paulo – Brasil
Please , remind me what is BOT as a risk factor
Thank you
Dr richard schell
Greetings from Health Center Nevesinje, Bosnia and Herzegovina
What do you mean with “Infection Control”? Use of mouthrinses, improved oral hygiene and regular appointments in the clinic or anything else different? Thank you. Greetings from Portugal
Good morning from Mexico City
Are they together? without mask?
Good evening from Athens Greece
How long after esthetic crown lengthening do you give definitive restoration
Buenos dias
Evening from Durban
Very good morning from Malaysia.
Hello
Good evening from South Africa
Hello
Buenas tardes! Saludos desde Perú
Hello from Nashville, TN USA
When would you consider bone grafting for a chronic periodontitis patient Stage 3 grd ctype.I have a patient who has had laser treatment with good out come but has significant bone loss.Is splinting useful?
Good afternoon from Rochester, NY!
Greetings from Brazil!
Hi from libya
My question
What is the best place & thickness for CTG for correction periimplant soft tissue recession
Good Morning
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