News
02.09.2024
The healthy patient with pre-existing periodontal disease & peri-implantitis
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A 52-year-old patient presents at a prevention session. The patient has no systemic disease and is not taking any medication. He has had various dental treatments and also has two active carious lesions. In addition, the patient has four implants (2nd, 3rd and 4th quadrants). He is revealed to have early periodontal disease (stage IV, grade B). His periodontal condition is stable; a probe depth of 5 mm is only evident at the implant in region 36. Gingivitis is also identified.
30.08.2024
ISQ as a guide for implant rehabilitations
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Long-term success in implant therapy is an aim that all clinicians strive for. Fundamental to this is proper implant placement, surgical site preparation, and good osseointegration after insertion. Although a torque value is a basic prerequisite for primary stability, it alone does not provide complete information for the clinician. Therefore, knowledge of ISQ values is fundamental to assess both primary implant stability (mechanical stability) and secondary implant stability (biological stability or osseointegration).
19.07.2024
Snus causes mucosal lesions & gingival recession
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Snus is usually brought into contact with the oral mucosa via its placement beneath the upper lip, and in some cases under the lower lip, whereby the nicotine it contains can enter the bloodstream via the oral mucosa
19.07.2024
Stress + poor sleep = even more periodontitis …?
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Stress, defined as a state in which the affected individual perceives a sense of threat or lack of control, as well as sleep disorders and poor sleep quality, are both undeniably issues that cause a significant degree of difficulty in today’s society.
04.06.2024
Innovation and problem-solving with W&H's Synea Power Edition
![](http://a.storyblok.com/f/45617/640x440/13c8fe68e8/wh-synea-power-edition-teaser.jpg/m/640x440?t=1725755439)
The concept of using rotary tools to cut hard materials, such as granite, is at least 6,000 years old. As early as 25,000 BCE, our ancestors were using hand-held lithic borers to cut through shells without breaking them. These tools were generally made of flint, and pressed against the object to be perforated and then rotated back and forth at low speed and relatively high torque. Powerful modern handpieces have elevated the principle of variable speed and high torque to enable precise cuts into much harder materials like zirconia.
23.05.2024
Is one visit to the dentist per year enough if you have implants?
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This study once more underlines that patients who do not regularly attend check-ups after receiving their implant-supported restoration have a very high risk of peri-implant diseases in general and specifically peri-implantitis; based on this data, at least two check-up visits per year are recommended.
12.04.2024
Tooth or implant?
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The fight for periodontally compromised teeth and therefore retaining these teeth usually also pays off for patients from a financial perspective and is usually cheaper than extraction and subsequent implantation.
12.04.2024
More arthritis, more periodontitis?
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Patients with rheumatoid arthritis are at significantly higher risk of periodontitis and this risk increases further for patients with particularly active rheumatoid arthritis.
26.03.2024
What does interdental cleaning achieve in the long term?
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Interdental cleaning with dental floss or interdental brushes significantly reduces interdental plaque build-up and even tends to lead to a reduced rate of tooth loss in the long term.
15.03.2024
A pragmatic approach to manage
peri-implant biological complications
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Explore the complexities of dental implant care: This scientifically backed article summarises the critical aspects of diagnosis, oral hygiene, and expert strategies for the effective management of both, mucositis and peri-implantitis.
08.03.2024
Periodontal treatment improves more than just the periodontium in diabetics
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A non-surgical periodontal treatment can reduce the long-term blood glucose level (HbA1c) in type 2 diabetics by 0.3% and this effect persisted even after six months following treatment.
08.03.2024
Caution parents – risk of infection!
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Untreated periodontal disease in parents can negatively influence the development of their children’s oral microbiome and promote the development of a dysbiotic oral microbiome.
20.11.2023
Implant crowns must be kept clean… but how?
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The shape of an implant crown has a significant influence on how well it can be kept clean using home oral hygiene, and concave crown shapes appear to be easier to clean; it also seems that the underside of an implant crown in the molar area is easiest to access with dental floss.
20.11.2023
Unhealthy lifestyle = worse treatment outcomes?
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Factors that can be categorised as a poor lifestyle, and primarily also a combination thereof, significantly increased the number of residual pocket probing depths with ≥ 6 mm and significantly reduced the likelihood of attaining the desired treatment outcome in periodontitis patients following non-surgical periodontal treatment (treatment step 1 and 2).
23.10.2023
Successful treatment – does it make a difference? Part 2
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Commonly used definitions for successful periodontal treatment are extremely difficult to achieve, but are nevertheless associated with a lower rate of tooth loss; however, the tooth loss rate in patients who regularly attend supportive periodontal treatment sessions is generally very low.
23.10.2023
Prevention is the best treatment – Part 2
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Biofilm accumulation is the main aetiological factor in the development of peri-implant diseases; plaque control and supportive implant therapy are therefore crucial in preventing peri-implant diseases.
25.09.2023
Social participation in society even without teeth?
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In old age, tooth loss leads to significantly reduced social participation in society, while maintaining a minimum of 20 teeth has the opposite effect and leads to a significant improvement and therefore more frequent social participation.
29.08.2023
Patient- and implant-related factors – what affects the outcome of treatment?
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In this study, non-surgical treatment of peri-implantitis was only successful in 25% of cases and was adversely affected by a medical history involving periodontitis and smoking, inadequate oral hygiene and a wide implant diameter.
29.08.2023
Keratinised soft tissue crucial for implants
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The prevention of peri-implant diseases is the best treatment and the peri-implant soft tissue can play a decisive role here; for this reason, the team should discuss if there is a need for treatment in patients with a lack of keratinised mucosa (i.e. < 2 mm width of keratinised mucosa).
29.08.2023
Implants – Also a success story from a patient perspective?
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A very high percentage of patients had a positive experience of implant treatment and most patients were very happy with the result; however, frequent points of criticism were the treatment costs and the cleansing ability.
26.07.2023
Exercise is great for our health … and our teeth too?
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Women who exercise regularly showed a significantly reduced risk of periodontitis and a significantly reduced severity of periodontitis.
26.07.2023
No teeth, no quality of life?
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Rehabilitation and replacement of missing teeth lead to a significant improvement in quality of life relating to oral health and also tend to improve general health.
26.06.2023
Periodontitis also impairs our sense of
taste and smell!
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A questionnaire-based survey showed that periodontitis significantly increases the risk of an impaired sense of taste and smell.
26.06.2023
Smoking and increased probing depths are early warning signs
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Smoking and increased probing depths at a young age (i.e. at an age of < 20 years) are significant risk factors for the early onset of periodontitis (i.e. at an age of < 30 years).
24.05.2023
Tooth brushing in just 10 seconds?
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Automatic toothbrushing could have future potential, but still requires further technical developments to improve existing shortcomings with regard to customizsation for different jaw sizes and tooth positions, interdental spaces and choice of optimal brushing time.
24.05.2023
When as well as possible is not good enough
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Even when told to brush their teeth as well as possible, the quality of tooth brushing among young adults is poor; the main weaknesses are cleaning palatal/lingual surfaces and overall brushing technique.
02.05.2023
Prevention is the best treatment!
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Optimal diabetes control, regular supportive implant therapy and augmentation of peri-implant soft tissue deficits have proven to be crucial features in primary prevention of peri-implant diseases.
27.04.2023
Peri-implant mucositis – are chemical adjunctive therapies effective? Part 2!
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Additional measures locally applied or taken systemically by the patient (e.g. antiseptics in the form of mouth-rinse solutions or probiotics) could have an additional positive effect in the treatment of peri-implant mucositis.
31.03.2023
Non-surgical peri-implantitis treatment – chemical cleaning ...?
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Chemical additives for cleaning the implant surface as part of non-surgical peri-implantitis therapy may make sense, but there is a shortage of well-conducted studies with a sufficient number of patients and a long-enough follow-up period to really be able to recommend a specific method and/or a specific product.
31.03.2023
Non-surgical peri-implantitis treatment – gold standard ...?
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Due to a continuing lack of well-conducted clinical studies, it is still not possible, based on the evidence, to give a clear treatment guideline for mechanical cleaning as part of non-surgical peri-implantitis treatment.
11.11.2022
Gingivitis treatment = happier and healthier patients!
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Treating gingivitis is not only the most effective option for preventing the occurrence of periodontitis, but also leads to a reduction in systemic inflammatory markers, whilst also improving the patient’s quality of life in terms of oral health.
27.07.2022
Periodontitis doesn’t normally come alone!
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As early as 2016 (Monsarrat et al. 2016), a study outlined a link between periodontitis and 57(!) systemic diseases, the most well-known of these being diabetes mellitus and cardiovascular diseases. Time and again, these links prompt a discussion about the need for positive cooperation between dentists and doctors in order to improve early diagnosis of specific systemic diseases.
27.07.2022
Sensitive tooth cervix following periodontal therapy...
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Experiencing cervical tooth sensitivity following periodontal therapy? Here’s what you can do about it! Non-surgical periodontal therapy can unfortunately entail a number of disadvantages, which are the sources of some complaints from our patients time and again. For example, they complain about the longer appearance of their teeth and/or about increased sensitivity of the exposed tooth cervix. Studies have shown that around 60 to 90% of our patients suffer from cervical tooth sensitivity in the period immediately following non-surgical periodontal therapy and that from a third up to a quarter of patients still suffer from cervical tooth sensitivity after 4 to 8 weeks (Lin et al. 2012).
24.02.2022
Prognosis for teeth with through-and-through furcations
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The optimal treatment result for periodontitis patients is for them to keep their own teeth in good condition for as long as possible. However, there are both patients and teeth with certain characteristics that make it significantly harder to actually achieve this objective!
03.01.2022
How to correctly diagnose peri-implant mucositis
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Up to what point can an implant and its surrounding tissue be described as healthy? And at what point are caution and appropriate treatment required because the diagnosis of peri-implant mucositis already applies?
03.01.2022
Classification of clinical periodontal health
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For the first time, the new classification scheme for periodontal diseases, which was presented in June 2018, contains a definition of the concept of clinical periodontal health (Lang & Bartold, 2018).
03.01.2022
How to correctly diagnose peri-implantitis
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The article ‘How to correctly diagnose peri-implant mucositis’ discussed the criteria for peri-implant health and peri-implant mucositis. But how can you tell that the patient’s condition has already reached an advanced stage – in other words, how can I correctly diagnose peri-implantitis?
22.12.2021
A residual pocket probing depth of 6 mm – is it a problem?
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It is a situation we are all too familiar with: following the active phase of treatment, nearly all the patient’s teeth are now unaffected by increased pocket probing depths. However, there are still 1 or 2 places where the treatment goal has unfortunately not been achieved.
22.12.2021
Periodontal maintenance therapy – how often do I need it?
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A very common question after the active phase of periodontal therapy is how high the patient’s risk is of re-developing periodontal problems.
22.12.2021
Does periodontal treatment really pay off?
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The previous report discussed a question that patients frequently ask: ‘will periodontal treatment really make me feel better?’ And, based on the literature, this question should be answered with a resounding ‘yes!’ However, personal well-being and oral-health-related quality of life are not the only issues – for many patients, financial considerations are also of primary concern, prompting the question: ‘does periodontal treatment really pay off?’
14.12.2021
S3 guideline – Subgingival instrumentation
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In collaboration with the German Society for Periodontology (DGParo), in October 2019 the German Society for Dental, Oral and Maxillary Medicine (DGZMK) published a new S3 guideline on the topic of ‘Subgingival instrumentation’, which is now valid for five years. This new guideline primarily focuses on the following two main topics: