Economic Periodontal and Implant Dentistry

Advances in research, science and industry and their responsible application create the fundament for a trustful and economic relationship between dental health care providers and their patients. The dental practice is growing and ensures referrals if a qualified service follows patient needs for treatment duration, comfort and appropriate esthetic solutions.

Overall understanding of host responses is necessary if medical significance of oral infection and inflammation is to be appreciated and communicated to our patients. The aim of this education is to provide students and young dentists with the basics of periodontics from medical aspects. They will then always practice periodontal dentistry accordingly. If you want to improve your knowledge of the medical basis of today’s periodontology, and provide your patients with comprehensive advice and care, the following informations about oral biology are exactly what you need.

Periodontal dentistry represents a multi-tasked field to be realized successfully only in a collaborative team approach between dental professionals, patients and dental staff members. The enrollment of a rational periodontal treatment regimen into dental practices is a process requiring patience, sensitivity and corporate action. The dentist and dental hygienists are motivational trainer, health care consultants and coaches for prophylaxis and oral preventive therapy. You want to offer your patients an up-to-date periodontal treatment with focus on oral and body health? Then you should read this important contribution.

Inflammation, uncoped stress, smoking, malnutrition and lack of motion are common characteristics for chronic diseases in medicine and dentistry. Chronic diseases exert adverse effects on vascular permeability, circulation and metabolism. On a few pages, you get a comprehensive understanding of origin, course and adverse outcomes of chronic diseases to body health. Periodontal dentistry as preventive treatment complex promotes health and improves quality of life. Envisioning the future of dentistry and shaping a patient-centered care, the medical relevance is presented for periodontal and implant dentistry.

Comprehensive evaluation of periodontal diseases comprises the dental case history, the assessment of periodontal records, x-rays and the update of medical history, current medications, allergic disposition including treatment plan and preliminary charges. In advanced periodontal disease and implant planning, indepth advices for microbial testing and antibiotic treatment are presented. With the present chapter, dental practitioners and hygienists obtain a practical guide for a contemporary, patientoriented diagnosis of periodontitis and assessment of implant placement.

Accurate diagnosis, knowledge of treatment efficacy including limits of surgery with continuous interdisciplinary treatment exchange comprise the key factors in evaluating subjects at high periodontal risk. Premise is a logical and efficient treatment sequence based on biological fundamentals. Beside clinical and microbial parameters, patients at periodontal risk with general diseases additionally require laboratory analysis. The complete healing capacity enrolls if conventional treatment regimens with subsequent plaque control, comprehensive initial therapy, antibiotics and corrective surgery are implemented. If you want entering the borderlines of periodontics with your high risk periodontal patients, here is an overview for appropriate diagnosis.

Appropriate periodontal treatment encompasses the full range from scaling and root planing, mucogingival, regenerative and esthetic surgery to implant planning, loading and adequate prosthetic restoration including establishment of front-canin- -alignment. Safeguarding long-term preservation of natural teeth, detailed anatomic and surgical skills with clinical expertise are required to realizing the different periodontal treatment approaches. If you want improved safety in periodontal surgery with enhanced patient comfort and compliance, update your knowledge of tissue anatomy, vascularization and micro-surgical handling.

High-risk periodontal patients respond susceptible to inflammation with the risk-determining factors occurring on a molecular level that cannot be altered. Successful therapy of periodontal risk patients requires medical assessment of clinical, microbial and immunological laboratory parameters including regular maintenance. High-risk patients are incorporated into a comprehensive medical and dental treatment plan with focus on preventive planning. If you need informations about treatment solutions for patients at medical or periodontal risk, if you want to advise your patients more comprehensively or simply want to refer your patients with more expertise and knowledge, then read on.

In the growing global health market, periodontal dentistry is subject to constant change. Special techniques with reduced treatment duration are emerging. Customers are becoming increasingly attracted to periodontal therapy if both economics and individual expectations for health, comfort and well-being are implemented into treatment planning. If you are you looking for a clinical guide to economic periodontal therapy with resulting charges, this chapter promotes your ideas and foster your skills. Please also read between lines.

Defensive management, tissue quality and vascularization represent the fundamentals of successful esthetic and regenerative therapy. Key steps comprise splitflap techniques, connective tissue graft surgery and micro-suturing. The following factors involved in the tissue care concept should be carefully adjusted to each other: Lack of inflammation, perfusion, tissue volume, tissue stability and tissue fixation. If you already have experiences in micro-incision flap surgery and need a better knowledge and skills for soft tissue plastic surgery, then read on and explore your needs to improving minimal access surgery.

Esthetics are always natural and minimal. Integration of natural esthetics into dental routine requires commitment and empathy with the customers in an individual treatment environment. Leaving natural enamel improves cementing characteristics and supports natural enamel coloring. Please follow patient expectations, and apply predictable defensive treatment regimens instead of surgery when covering interdental dark spots. Read on and find out what is important.

Current evidence-based studies describe a variety of medically relevant interactions that directly affect dental health care. Among all associations, the focus inflammation has the strongest impact on advanced periodontal diseases. If you want to inform your patients with medical expertise and reasonable advices for treatment planning with medical background, then update your knowledge and improve medical awareness. The present interdisciplinary treatment regimen is waiting for you.

Preservation of natural teeth is the primary goal of dentistry. In severe periodontal settings, knowledge of patient expectations, case prognosis, properly diagnostic and surgical skills with delegation of basic services to dental hygienists are the key elements of long-term implant success. Implant dentistry in advanced periodontitis requires a 2 step, time-tested approach evaluating the outcomes of basic periodontal therapy prior to implant placement.

Implants are becoming increasingly popular with low-cost offers promoting this development. The number of customers preferring implants to customary restorations is expanding. The variety of client demands, individual settings, treatment options and risks related to inflammation and bone damage following implant treatment advocate evident, comprehensible and durable solutions. Safeguarding implant treatment includes careful tooth removal, pre-implant treatment and defensive implant planning respecting oral tissues, function and health.

Developments in practice, science and industry together with the new economics being accelerated by global markets necessitate dental treatment strategies focused both on medical and economic basis. As in orthopedics, cardiology or vascular medicine, implants are indispensible for rehabilitation, especially in advanced organ or functional damage. These benefits known from medicine represent the fundamentals for today’s dentistry. The new economics call for a comprehensive, cost-effective treatment with focus on patient expectations.

Soft tissue surgery includes a two-stage approach with primary surgery (phase I) for securing and stabilization of periodontal and periimplant soft tissues, and secondary surgery (phase II, optional) with appropriate tools to reconstructing the defect site. Clinical outcomes of phase II therapy are frequently overestimated. This chapter applies the basic rules of reconstructive surgery to periodontal and implant dentistry.

Dental health care providers use dental implants for rehabilitation and improvement of life quality. Periimplant therapy is developing to a key service in today’s dentistry. It includes regular patient information and motivation, cost transparency and economic incentives with discounts, installment payment options and refunds. Providing long-term implant success requires a comprehensive periimplant treatment regimen prior to implant placement and during implant maintenance. Read what you can do to prevent and manage both implant and periimplant failures.

The patient's personal responsibility for oral health is increasingly determined by offers from media, industry, healthcare providers and health insurance plans. Full cost coverage, high-tech promises and loans present a portfolio of opportunities for patients “tired” about teeth. Patient expectations of dental implants include the values comfort, appearance, function, hygiene and health. The decision for implant placement is determined by patient’s dental awareness and well-being with their natural teeth. If implant surgery is safe, free of complications, and the implantprosthetic restoration appears naturally, many customers are satisfied over the long term.

Turnover of skilled dental personnel usually reach approximately one third of the dentist’s revenues per hour. Economic assessment of dental clinics display that consistent delegated services by qualified employees result in a sustained annual turnover increase. This guarantees basic economical securing of the dental office as business company. Both patients and dentists benefit from a trained, qualified team. This chapter includes guidelines to organize your dental clinic in a economical and customer-driven perspective with help of qualified dental assistants.