Parodontology and Implantology
The knowledge of how inflammatory periodontal destructive processes occur has been deepened and expanded in recent years. It is the tissue response caused by microbial irritation from subgingival biofilms that initiates the destruction of the marginal periodontium and also shows systemic effects as chronic periodontitis.
New therapy approaches have therefore been developed to supplement mechanical therapy. These have made enormous progress in terms of methodology and instrumentation. Due to the contemporary demand for the protection of tissue with regeneration potential, the generous periodontal flap operations have been replaced by delicate, reconstructive and repairing methods that are able to meet even the highest aesthetic standards. However, there are limits to both perio therapy and endotherapy. Teeth are removed and replaced by implants.
The primary requirement for the correct insertion and problem-free retention of implants in edentulous jaw sections is favourable assessment of the quality and quantity of the alveolar bone and the thickness of the mucosa using appropriate modern methods. If therapeutically necessary, the jawbone and/or peri-implant mucosa must be augmented beforehand using plastic perio surgery methods to ensure that implants are perfectly anchored.
Periodontal therapy measures and implants invariably require personal and professional aftercare. Modern mechanical, hydrodynamic and chemical aids are included in daily oral hygiene according to the patient’s manual skills.
Univ.-Prof. Dr. Dr. Ralf Gutwald
Dean and Coordinator of Scientific Continuing Education and Postgraduate Studies at Danube Private University (DPU)
Univ.-Prof. Dr. Moritz Kebschull, Chair of Restorative Dentistry, University of Birmingham, United Kingdom