Periodontal surgery – from domestic to structural engineering

As dentistry and technology has evolved over the years, so too has the role of the periodontist.

We were once ‘gum gardeners’, focused on root debridement and reduction of periodontal pathologies. Surgical and non-surgical periodontal therapies were our bread and butter until advances in regeneration and healing were developed. With the advent of bio-compatible regeneration therapies for hard and soft tissue, now is the time for a change in perspective in terms of the role of periodontics in dental practice.

Delivering predictable and aesthetic results in dental implant placement means being invested in the best materials, which are substantiated by research and adhering to tried and tested protocols. Key factors for success are using systematic case selection and treatment planning. Ridge preservation is the single most important element of dental implant surgery. In cases where the ridge is defective, regeneration of the lost tissue prior to embarking on implant placement is paramount. Soft tissue must also be assessed and grafting considered for optimum aesthetics. Failing to plan for hard and soft tissue changes will ultimately lead to functional or cosmetic failure.

As periodontal engineers, our building blocks are regeneration and augmentation materials. As a practitioner, I have had many years of success using the Botiss system – bone and tissue regeneration biomaterials. These products have been developed over many years to suit a variety of surgical scenarios. For me, the Botiss system has provided ease of use along with a reassurance that I am delivering materials that are reliable and predictable. By creating a strong healthy foundation, I am confident that this system gives me the best opportunity for long-term dental implant success.


Dr Anne O’DonoghueDr Anne O’Donoghue, Periodontist & Clinic Director

The Northumberland Institute of Dental Medicine 

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