Page 1 - GP Fall Final 2017

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GP Guest Editorial ........................................................ 3 AGD Annual Meeting 2017 ................................. 16

FALL 2017

FALL 2017
From the President ................................................. 4
An Interdisciplinary Approach: Solving A Complex
From the President-Elect........................................ 4
Mandibular Anterior Reconstruction ......... 17-20
Indirectly Precise: The Use of Non-Rotary
From the Regional Director ................................... 5
Instrumentation for Margin Refinement ... 21-22
From the National Trustee ..................................... 5
Improving Outcomes for Periodontal Patients:
From the Executive Director .................................. 5
The Role of Oral Microbiology Testing ...... 23-26
Oral Lichen Planus ............................................... 6-7
Remembering Dr. Renzo Nylander........................ 7
The Touro College of Dental Medicine ............... 27
Celebrating Our Members:
NYU Oral Cancer Walk 2017 ................................ 31
Dr. Fabiola Milord, DDS, MPH, FAGD ............. 8-9
Formation of AGD Student Chapter at
2017 Course Schedule .......................................... 32
Mastertrack .......................................................... 33
NYU College of Dentistry ................................... 9
Fellows and Masters ....................................... 10-11
New Members ...................................................... 34
Free Health Screenings ........................................ 35
Immediate Implant Placement and
Provisionalization: A Case Report .............. 12-14 Treatment of Melanoma and MRONJ ............ 28-31
NYSAGD 2017 Continuing Education Calendar ...BC
Nominating Report .............................................. 15

Celebrating Our Members:
Remembering AGD Annual Meeting Dr. Fabiola Milord IN SUMMARY
Dr. Renzo Nylander 2017 Following the initial stages of soft tissue maturation, Mandibular anterior crowding will provide challenges to

resulting in the anticipated reduction of post-surgical
reconstruction following tooth loss. Two frequently
edema in the surrounding soft tissues, reconstruction
selective extraction that may include healthy, mal-
of the implant fixture can begin. Some minor selected restorative treatment options can include
reduction of the abutment may be necessary to posed adjacent teeth or Orthodontic intervention.
achieve adequate inter-arch clearance. Most dental Both methods have the potential to develop necessary
bur manufacturers now produce non-sparking, metal restorative space. In this case, both avenues of care
cutting burs. These burs are ideal for titanium play an important part in attaining the final result.
reduction, when needed. A bur often used with Close analysis of the established occlusion with
predictable success in our office is the Brasseler USA existing periodontal support will often highlight one
#H283E.31.012. The use of well-designed, metal- method over the other. Other factors to consider are
cutting burs, in conjunction with copious cool water patient compliance, cost and time constraints. One
irrigation, will decrease the risk of overheating the important issue is the likelihood of long-term success
implant fixture. Raising the implant temperature can following treatment. Will the care meet or exceed the
compromise the metal to bone integration. With single patient’s immediate expectations and future goals?
Solving A Complex
stage dental implant fixtures, conventional crown and Exceeding patient expectations should be an ultimate
Mandibular Anterior
bridge impression techniques are sufficient to achieve goal.
marginal fit and integrity.
Reconstruction To achieve and maintain an aesthetic result,
Indirectly Precise: The Use of Non-Rotary Oral Lichen Planus regeneration of lost or compromised tissues becomes
an important part of the process. Overlooking the
Instrumentation for Margin Refinement existence of adequate support for the proposed care
can lead to a misalignment or a non-functional result.
The premature loss of natural teeth or dental implants
may also occur when alveolar support is inadequate.

Continuous, close communication between the patient
Fig. 22 Fig. 23 and all involved clinicians is paramount when sharing
ideas during the development of the case. Space
requirements and inter-arch relationships need to be
repeatedly evaluated to satisfy each phase of
preparation for restorative care; from determining the
space required for placing implant fixtures to the
restorative dentist’s needs for crown development.

This technically involved yet seamless
treatment plan provided our patient with a
Fellows & Masters NYU Oral Cancer Walk 2017 final restorative result that does exceed her
Fig. 24
A ridge-lap, crown design is often necessary to achieve
expectations. The authors join together to
symmetry with the adjacent dentition. The crown has
Thank You for reviewing this case report. We
a noble metal coping with porcelain application. In its
restored state, this case now possesses a Class I hope you enjoyed reading about an
anterior relationship with incisal edge contact for alternative approach for attaining a
mastication. Even though the final result suggests a predictable restorative success. If this
stable relationship, fixed resin-wire retention is applied publication leaves you with any unanswered
to the anterior sextant, preventing rotation or relapse. questions, please contact any of us for
additional clarification.

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