North Texas Dentistry Volume 5 Issue 2 - Page 17

Ruben Ovadia, DDS, MS Dr. Ruben Ovadia is a Board Certified periodontist and Diplomate of the American Board of Periodontology with a private practice limited to periodontics and dental implants in Dallas, Texas. Dr. Ovadia has presented his clinical work and research about topics related to Dental Implants and Periodontal Disease both nationally and internationally in Europe and Asia. He is an active member of many professional associations and has written several articles in scientific journals and publications. Surgical Guide The use of lasers with a “closed approach” was contraindicated in this case due to the irregular osseous anatomy and presence of buccal bony ledges. Due to the extensive zone of keratinized gingiva, it was possible to utilize submarginal incisions without causing a mucogingival deformity. Full thickness buccal and palatal flaps were raised to expose and recontour the osseous architecture accordingly in order to provide a harmonious anatomy and adequate space for the biologic width. 5-0 Vicryl vertical sutures utilized for closure. Incision Design Suture Gingivectomy Flap Elevation (Ostectomy-Osteoplasty) Two-week Post-Op RESULTS Provisional restorations were utilized for 3 months to allow proper healing and maturation of the periodontium before cementing the final all ceramic crowns. Occlusal analysis and adjustment with delivery of a maxillary occlusal nightguard was utilized to protect the dentition and address parafunctional habits. The interdisciplinary periodontal/restorative approach was able to meet the patient’s expectations and obtain a result that is compatible with health, comfort, function and esthetics. Final Result Dallas Periodontal Associates 8722 Greenville Ave #100 Dallas, TX 75243 214.503.1000 | NORTH TEXAS DENTISTRY 17