NotesE a s t e r n O k l a h o m a P e r i o d o n t i c s

Kel ly Profess ional Bui ld ing • 6565 South Yale Ave. , Ste. 1008 • Tulsa , Ok lahoma 74136 • 918.492.0737 • w w w.eoper iodont ics.com

Winter Is HereBasketball, the Super Bowl, and of course Periodontics is what is on people’s minds. Last year was an exciting year for us, and we are super excited for this year. Last year, I invested a lot in new equipment and technology in the practice, and that is going to continue in 2018. One of the things I have done is incorpo-rate the Hu-Friedy Airflow technology. I am primarily using it on peri-implantitis cases and for peri-implant mucositis. In the airflow we can use glycine powder that is less abrasive to the tissue and to the implant surface. I feel like it is a huge game changer in our practice and the ability to treat these patients.

Speaking of peri-implantitis, sub-gingival cement is one of the biggest culprits. I recently came across a new study, which is a systematic review of the literature by Quaranta A, Lim ZW, Tang J, Perrotti V, Leichter J. Implant Dentistry 2017 June;26(3) 465-474. They found residual cement to be strongly associated with peri-implant mucositis which is a risk factor for increased probing depths, crestal bone loss, and peri-implantitis. They preferred the use of zinc oxide eugenol cements to resin cements, especially in patients with a history of periodontal disease.

www.eoperiodontics.com

Eastern Oklahoma Periodontics

Professionalism, Integrity, & Quality

Winter 2018

6565 South Yale Ave. Ste. 1008Tulsa, OK 74136

Case Presentation 1: Treatment of gingival recession with Perioderm donor tissue. In this case tooth #’s 10 and 11 were treated. The roots were thoroughly cleaned on the buccal and a pouch was made using intrasulcular incisions. The Peri-oderm was placed and the tissues were coronally advanced over the graft.

Case Presentation 2: The patient presented with severe recession and mucogingival defect on tooth #25. In this case a sub-epithelial connective tissue graft was performed. The tissue was harvested from the palate. A lateral sliding pedicle was done to cover the graft. This patient came in for another procedure, so the post op photo is over four years out.

Case Studies

Pre-Op Pre-Op

Pre-Op Post-Op

Dr. William B. Wynn, IV

Services Offered By Eastern Oklahoma Periodontics

• Implant placement • Hard and soft tissue grafting which includes implant site preparation • Cosmetic periodontics • Treatment of periodontal disease

(918) 492-0737