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Biologically guided implant therapy: A diagnostic and therapeutic strategy of conservation and preservation based on periodontal staging and grading
Author(s) -
Greenwell Henry,
Wang HomLay,
Kornman Kenneth S.,
Tonetti Maurizio S.
Publication year - 2019
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1002/jper.18-0495
Subject(s) - periodontology , grading (engineering) , medicine , periodontitis , dentistry , radiation treatment planning , dental alveolus , orthodontics , medical physics , surgery , radiation therapy , civil engineering , engineering
Biologically guided implant therapy is based on the new periodontitis classification system recently released by the American Academy of Periodontology and the European Federation of Periodontology that uses staging and grading for the diagnosis of periodontitis. This paper proposes that periodontitis staging and grading should be used in dental implant therapy as a means to ensure maximum conservation of teeth and maximum preservation of alveolar bone. These biologic principles should guide the treatment planning process and supersede a mechanically based, restoratively driven rationale that should be secondary to the biologic principles of conservation and preservation but part of the collaborative treatment planning process. And treatment alternatives throughout the patient's lifetime should be provided for in case of prosthesis loss due to peri‐implantitis. The use of grading will help with recognition of systemic aspects that can have a negative impact.