Periodontal, Implant and Prosthetic Treatment for Advanced Periodontal Disease
You will receive 1 credit(s) of continuing education credit upon successful completion of this course. The purchase price of this course is $41.00


This course offers a case report of multidisciplinary treatment for advanced periodontal disease.

Learning Objectives:

Upon completion of this course, participants should be able to do the following:

  1. Identify the need for a multidisciplinary team approach to treating an advanced case of periodontal disease.
  2. Determine the ideal sequence of treatment.
  3. Explain the advantages of a fixed provisional prosthesis during the treatment phase of an implant case.
  4. Discuss the goals of pre-prosthetic periodontal therapy.
  5. Describe the principles and techniques of guided bone regeneration.


This course reports a case that involved a challenge in multidisciplinary decision-making. A patient presented with severe periodontal disease and the need for prosthetic rehabilitation to facilitate tooth replacement and stabilization of periodontally compromised teeth. The initial diagnosis revealed that the treatment regimen would require periodontic, endodontic, and orthodontic treatment, as well as dental implants. The case report demonstrates teamwork and a sequential approach to a complex case in a postgraduate clinical setting.



  1. Introduction

  2. Case Report

    1. Diagnosis

    2. Treatment Plan

    3. Treatment Rendered

  3. Discussion

  4. Summary 

  1. Haber J, Wattles J, Crowley M, et al. Evidence for cigarette smoking as a major risk factor for periodontitis. J Periodontol. 1993; 64:1225-1230.
  2. Grossi SG, Zambon JJ, Ho AW, et al. Assessment of risk for periodontal disease (I): Risk indicators for attachment loss. J Periodontol. 1994; 65:260-267.
  3. Grossi SG, Genco RJ, Machtei EE, et al. Assessment of risk for periodontal disease (II): Risk indicators for alveolar bone loss. J Periodontol. 1995;6 6:23-29.
  4. Langer B. Spontaneous in situ gingival augmentation. Int J PeriodonticsRestorative Dent. 1994; 14(6):525-535.
  5. Lucia VD. A technique for recording centric relation. J Prosthet Dent. 1964; 14:492-505.
  6. Langer B, Calagna L. Subepithelial graft to correct ridge concavities. J Prosthet Dent. 1980; 44:363-367.
  7. Israelson H, Plemons J, Watkins P, et al: Barium coated surgical stents and computer assisted tomography in the preoperative assessment of dental implant patients. Int J Periodontics Restorative Dent. 1992; 12(1):52-61.
  8. Buser D, Dula K, Belser U, et al. Localized ridge augmentation using guided bone regeneration (II): Surgical procedure in the mandible. Int J Periodontics Restorative Dent. 1995; 15(1):11-29.
  9. Nevins M, Mellonig JT. The advantages of localized ridge augmentation prior to dental implant placement: A staged event. Int J Periodontics Restorative Dent. 1994; 14(2):97-111.
  10. Bain C, Moy P. The association between the failure of dental implants and cigarette smoking. Int J Oral Maxillofac Implants. 1993; 8:609-615.
  11. Lazzara R. Immediate implant placement into extraction sites: Surgical and restorative advantages. Int J Periodontics Restorative Dent. 1989; 9(5):333-343.
  12. Gelb DA. Immediate implant surgery: Three year retrospective evaluation of 50 cases. Int J Oral Maxillofac Implants. 1993; 8:388-399.
  13. Buser D, Dula K, Hirt HP, et al. Lateral ridge augmentation using autografts and barrier membranes: A clinical study with 40 partially edentulous patients. J Oral Maxillofac Surg. 1996; 54:420-432.
  14. Skurrow HM, Nevins M. The rationale for the preperiodontal provisional biologic trial restoration. Int J Periodontics Restorative Dent. 1988; 8(1):9-29.

American Dental Association is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.