Årsmøde 2018

26. oktober 2018
Sted: Hotel Munkebjerg

Peri-implantitis: evidence-based facts on prevalence, diagnosis and treatment approach

Peri-implantitis: evidence-based  facts on prevalence, diagnosis and treatment approach.

 

Evolving biologic knowledge and scientifically based enhancements in dental implant surfaces and macroscopic design features have continuously improved the treatment outcome over the last decades. It has improved the functional and aesthetic outcome with direct impact on patient’s quality of life. Additionally the indication for implant treatment has enlarged and predictability has improved in general but also in patients with compromised bone healing such as smokers or patients with reduced bone volume or reduced bone quality. Despite high implant survival, biologic complications are of great concern to clinicians, patients and implant manufacturers. Especially peri-implant diseases that lead to bone loss and jeopardise the aesthetics, comfort and long-term prognosis are of great concern to clinicians and manufacturers.This presentation will give the latest evidence-based update on the diagnostis, risk patients, prevalence and treatment of peri-implantitis.Special focus will be on the aspect of bone stability in the prevention of peri-implant disease.

Knogleregeneration – biologisk baggrund og kliniske applikation

Knogleregeneration – biologisk baggrund og kliniske applikation

Knogleregenerative procedurer er ofte nødvendige ved implantatbehandlinger, for at muligøre at implantatet kan indsættes med tilstrækkelig initial stabilitet og med sin omkreds helt dækket af knogle. Autogen knogle beskrives ofte som “guldstandarden”. Er autogen knogle faktisk det bedste materiale til alle kliniske indikationer eller kan den erstattes? Og kan den erstattes helt eller er det bedst at den bliver brugt i kombination med knoglesubstitutter ? Præsentationen giver et kort overblik over hvad der er de mest indikerede opbygningsmaterialer til de almindeligste kliniske situationer

Teeth or Implant

Only a careful collection of anamnestic, clinical and radiographic data that lead to the compilation of a complete medical and dental record can allow to evaluate the prognosis of a periodontally involved tooth and to plan a rational treatment and rehabilitation project. The decision to extract a severely compromised tooth or not must go through a careful analysis of all treatment options, considering the cost-benefit ratio. The costs must be evaluated from both an economic and biological standpoint, while the benefits must be assessed based on scientific evidence and on a realistic assessment of one’s own clinical experience. Upstream of the decision-making process, it is appropriate, in complex cases, to have a clear treatment and rehabilitation plan, which allows a strategic assessment of the compromised elements to help the decision-making process. Only after the completion of this process will it be necessary to evaluate the most appropriate therapeutic procedure to change the prognosis of a compromised tooth in a positive way, carefully evaluating the probabilities of success and the risk factors involved

Give teeth a chance

Since many years dental implants are the primary treatment option to replace missing teeth. More recently, despite available evidence of long term survival of teeth treated for dental or periodontal disease, replacing slightly to severely compromised existing teeth with dental implants is becoming more and more a common treatment option. Unfortunately dental implants are often applied irrespective to previous treatment of periodontitis and frequently peri-implant complications are reported, leading to extremely complex clinical conditions of difficult treatment.

Available evidence together with long term clinical experience suggests that the option of preserving existing natural dentition, instead of planning for replacement with implants should be evaluated and discussed with the patient whenever it’s possible to achieve the best treatment option.

Breaking news about cracked Teeth

Every day in practice dentists need to decide whether a tooth can be maintained or is deemed to be extracted and replaced. This presentation will expand on objective criteria leading to an evidence based decision.

Lots of misconceptions about cracks in teeth and how to restore teeth to prevent them from breaking circulate. A classification of longitudinal cracks in teeth which can be immediately translated into relevant therapeutic decisions will be covered. Given the fact that symptoms only appear in an advanced stage after serious damage to dentine, pulp, periodontium or bone will already have been caused, the presentation also addresses a method by which as yet symptom free teeth can be managed to prevent them from getting irreversibly damaged. This presentations also covers some urban legends like teeth weakened by the endodontic treatment, the need for posts, the emotional resistance against cusp coverage for the sake of tissue preservation etc.

Autotansplantationer – erfaringer fra Esbjerg

Autotransplantation af specielt præmolarer er en velbeskrevet procedure og en fin behandling i udvalgte tilfælde af manglende tandanlæg hos patienter i vækst. Det er indtrykket, at autotransplantation er en ”glemt” disciplin med det aktuelle store fokus på brug af implantater ved tandmangel.

Autotransplantationer ad modum Andreasen er udført i samarbejde med henvisende ortodontister fra den kommunale tandpleje på Kæbekirurgisk afdeling Sydvestjysk Sygehus Esbjerg siden 2001.
66 patienter er fulgt i minimum et år og forsøgt indkaldt til langtidsopfølgning. Disse resultater er opgjort og vil blive præsenteret med fokus på indikation, metode, komplikationer og udfald og sammenlignet med den aktuelle status i litteraturen.

Rodbehandlede tænder eller implantater – hvad er bedst?

Man kunne tro, at dette vil være et nemt spørgsmål at svare på; men overvejelsen ved om, hvornår en tand bliver ekstraheret, er der flere aspekter. Når en tand står til at blive rodbehandlet, skal man overveje, hvilke yderligere behandlinger, der kan komme på tale, for at den får en god prognose. Vil tanden få den bedste prognose, hvis den også forsynes med krone, og i givet fald skal den så også forsynes med en rodstift? Eller vil det bedste være at ekstrahere tanden og indsætte et implantat? Foredraget vil – illustreret med patienttilfælde -behandle, hvad vi egentlig ved om disse spørgsmål.

Dette foredrag er lavet af prof. Flemming Isidor til DSOI. Pga hans alt for tidlige død lige før jul holdes det til ære for Flemming af Dr.Odont Søren Schou

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