June 5, 2015


Hope you’re enjoying the daily updates

So I thought I’d share the expert guidance given in 3 key sessions today…

1. Periodontitis and Antimicrobials: At the European Workshop, it was concluded that in specific clinical situations, such as with patients with deep pockets, patients with progressive or ‘‘active’’ disease, or with specific microbiological profiles, antimicrobial therapy adjunctive to scaling and root planing could be clinically relevant. There is not enough evidence to support their use with periodontal surgery. Indirect evidence suggests that antibiotic intake should start on the day of debridement completion, debridement should be completed within a short time (preferably <1 week) and with an adequate quality, to optimise the results. – D Hererra

2. Periodontal regeneration for furcation defects: Regenerative furcation therapy works better than open flap debridement in class II furcations at buccal/lingual sites of mandibular molars and buccal sites of maxillary molars, under favourable conditions (non-smoker, key hole defects). We may be able to transform a class II defect with regeneration into at least a class I, thereby significantly improving the long-term prognosis of the tooth. – P Eickholz

3. Implant-abutment connection: The impact of the implant–abutment connection lacks documentation and may not allow for any robust conclusions. Crestal bone remodelling has been observed for either internal and external, or conical and butt–joint connections. Some evidence suggests that microbial leakage may occur irrespective of the design of the implant–abutment connection. The clinician is advised to choose a stable implant–abutment complex to minimise the potential impact of micromovement and microbial leakage on crestal bone remodelling. – F Schwarz

Final day tomorrow! Until then, Over and out.

Periodontology

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