Osseous Resective Surgery

Credit Details
This electronically delivered self-instructional program is designated for 1.75 hours of ADA CERP and AGD PACE CE credit by Farran Media. AGD Code: 490.

The fee to view this course is $36. This cost includes the fee to take the exam and claim your CE credits.

Synopsis:
Periodontal disease attacks the underlying or supportive bony architecture and this resorptive process often results in a crestal osseous form with sharp, uneven marginal deformities and irregularities: crestal bone maintains these irregularities, whereas the gingival tissue tends to follow a more fluid form.

These inherent differences result in deep pockets that can be probed. Osseous resective surgery (ORS) is dedicated to the removal of osseous deformities and the creation of a physiologic parabolic contour; a physiologic osseous form will mimic the final anticipated gingival architecture and this osseous contour will be conducive for pocket elimination and maintenance of physiologic gingival architecture.

Also, ORS is aimed at treating teeth with moderate to advanced furcation involvement: they represent one of the greatest challenges in periodontal therapy since furcation-involved molar teeth respond less favorably to conventional periodontal therapy.

In all these cases, the underlying osseous topography is probably the most important aspect of the diagnostic and prognostic path, so 3D digital imaging can be of great help for the clinician in order to make a correct morphologic diagnosis. Clinical crown lengthening will be also addressed: it refers to procedures designed to increase the extent of supragingival tooth structure for restorative or aesthetic purposes that often employ some combination of soft tissue reduction or removal, osseous surgery, and/or orthodontics for tooth exposure in order to provide a stable dentogingival complex by preserving the supracrestal tissue attachment.

Distal wedge procedures represent an additional topic of this CE Course: distal wedge procedures are designed primarily to eliminate the pocket by facilitating access to and treatment of the distal bone defect at the last tooth in the dental arch and, secondly, to make it possible to preserve or create ideal amounts and thicknesses of keratinized gingiva. This CE Course is aimed to clarify the role of all these success factors as well as to describe the biologic rationale and clinical protocols which are the basis of osseous resective surgery for the treatment of various grade of bone defects. When it comes to the surgical approach, a clinical flow chart leading to the right choice among the details of ORS protocols is presented and each surgical procedure will be showed following a “step by step” approach with the help of a large number of pictures and clinical videos.

Clinical potential, effectiveness and limits of ORS compared with other surgical techniques will be discussed on the basis of speaker’s personal experience and in the light of most recent high level scientific evidence.

Educational Objectives:
Upon completion of this course, you should be able to:

• Familiarize with biological concepts of osseous resective surgery
• Understand when and why performing osseous resective surgery
• Make a biologically-oriented choice in order to select what type of bone defects are the best candidates for osseous resective surgery
• Treat any kind of bone defect according to the osseous resective surgery principles
• Understand biologic width and principles of surgical clinical crown lengthening

Description of Speaker:
Giacomo Tarquini, DDS, graduated with honors in Dentistry and Dental Prosthetics from the University La Sapienza of Rome in 1994. He completed his training and specialized in periodontology at the Department of Periodontology of University La Sapienza of Rome. Today he practices the free profession in Rome with particular interest in the disciplines of periodontology and implantology. He is also a consultant, professor, tutor and lecturer for a variety of dental specialties. Along with various articles, Tarquini is the author of the textbook, Techniques of Periodontal Surgery from Diagnosis to Therapy.

Disclosure:
The author declares that neither he nor any member of his family has a financial arrangement or affiliation with any corporate organization offering financial support or grant monies for this continuing dental education program.

Legal Disclaimer:
The CE provider (Farran Media) uses reasonable care in selecting and providing content that is accurate. The CE provider, however, does not independently verify the content or materials. The CE provider does not represent that the instructional materials are error-free or that the content or materials are comprehensive. Any opinions expressed in the materials are those of the author of the materials and not the CE provider. Completing one or more continuing education courses does not provide sufficient information to qualify the participant as an expert in the field related to the course topic or in any specific technique or procedure. The instructional materials are intended to supplement, but are not a substitute for, the knowledge, expertise, skill and judgment of a trained health care professional.

Licensure:
Continuing education credits issued for completion of online CE courses may not apply toward license renewal in all licensing jurisdictions. It is the responsibility of each registrant to verify the CE requirements of his/her licensing or regulatory agency.

State CE Requirements:
Click Here for CE requirements by state. Please note that this information is current as of the time of listing. This information is subject to change at any time from the state boards. For the most up-to-date information, please contact your state board directly.

Refund Policy
There are no refunds for Online CE courses. Please contact technical support if you run into technical difficulty.

CE Contact
For any questions, please contact Nareg Apelian, DMD, Director of Continuing Education at nareg@farranmedia.com