Supportive Periodontal and Peri-implant Care – Periodontal Retreatment and Management of Peri-implant Mucositis and Peri-implantitis

<< Back to the Course Calendar

Supportive Periodontal and Peri-implant Care – Periodontal Retreatment and Management of Peri-implant Mucositis and Peri-implantitis

Andreas O. Parashis, D.D.S., Dr. Odont. completed his dental education at the University of Athens, Greece. He then attended Tufts University and graduated with a Certificate in Periodontology. He earned his Doctorate Degree (PhD) from the Department of Periodontology, University of Athens, Greece. Currently, an Adjunct Assistant Professor at the Department of Periodontology at Tufts University School of Dental Medicine, Diplomate of the American Board of Periodontology, Dr. Parashis maintains a practice limited to Periodontics and Implant surgery in Athens, Greece.

<< Back to the Course Calendar

Y. Natalie Jeong, D.M.D. received her Bachelor of Science Degree (Biology) and Bachelor of Arts Degree (Psychology) from Northeastern University.  She earned her D.M.D. and her Certificate in Periodontology from Tufts University. Currently an  Assistant Clinical Professor at the Department of Periodontology at Tufts University School of Dental Medicine, a Diplomate of the American Board of Periodontology, Dr. Jeong maintains a practice limited to Periodontics and Implant surgery in Lincoln, Massachusetts.

Evangelos Papathanasiou, DDS, MS completed his dental education at the Aristotle University of Thessaloniki, Greece. He then earned both a Certificate in Periodontology and a Master of Science Degree from Tufts University School of Dental Medicine. Dr. Papathanasiou is an Assistant Professor at the Department of Periodontology, t Tufts University School of Dental Medicine, a postdoctoral research fellow at Forsyth Institute and   Diplomate of the American Board of Periodontology.

Supportive periodontal and peri-implant treatment (SPT) is an integral part of managing patients with periodontal diseases and dental implants. However, numerous clinical studies indicate that most patients do not adhere to SPT despite the best efforts and re-enforcement of its importance by clinicians. The growing use of implants requires also in addition to the traditional diagnosis and maintenance of periodontal health, diagnosis and early identification of peri-implant tissues pathology and maintenance of peri-implant health. Furthermore, a significant number of patients could require additional periodontal retreatment or develop peri-implant diseases (mucositis and peri-implantitis) even with adherence.

This full-day course will discuss risk assessment after completion of active treatment to determine SPT intervals and strategies to identify non-compliant patients in private practice. Participants will also discuss the use of decision trees for when periodontal retreatment is necessary and the procedures indicated by the extent and severity of recurrence. The etiology, risk indicators and recommended procedures for diagnosis of peri-implant tissues pathology will be presented. The recommended procedures for effective maintenance of peri-implant health and treatment of peri-implant mucositis and peri-implantitis will be described and discussed.

Learning objectives

Upon successful completion of this course, participants will be able to:

  • Discuss the endpoints of periodontal treatment
  • Analyze how do we decide on the frequency of supportive periodontal and peri-implant care
  • Clarify if risk assessment on the patient and tooth/implant level is necessary for every patient
  • Assess the main barriers to supportive care and how they can be overcome
  • Discuss how we can identify possible non-compliers
  • Analyze when periodontal retreatment is indicated
  • Describe with the help of multiple clinical examples, decision trees and interactive discussion with the participants the recommended non-surgical and surgical periodontal procedures for effective periodontal retreatment and the use of local and systemic antimicrobials
  • Assess how effective is supportive care in preventing tooth loss
  • Discuss the etiology, risk indicators, and procedures for diagnosis of peri-implant mucositis and peri-implantitis
  • Describe with the help of multiple clinical examples, decision trees and interactive discussion with the participants the recommended techniques for effective maintenance of implants and treatment of peri-implant mucositis and peri-implantitis.