Save the tooth or what's next? Periodontal therapy for Retention of the natural dentition versus extraction/ridge preservation:

Clinical cases involving successful outcomes utilizing surgical periodontal therapy will be contrasted with cases deemed to have a poor prognosis and treated with extraction, ridge preservation and implant therapy. Clinical and radiographic parameters that indicate the potential for a positive prognosis with periodontal therapy are reviewed. Techniques to save teeth i.e. periodontal regeneration /repair, crown lengthening, and exposure of ectopic canines with subsequent orthodontic extrusion will be presented. In clinical cases where the tooth was deemed to have hopeless prognosis, procedures for ridge preservation/augmentation will be reviewed. The rationale for choosing tooth retention versus extraction will be discussed for the cases presented. Regenerative materials utilized in tooth retention or ridge preservation will be described.

Learning Objectives:
- Learn clinical and radiographic findings for predictable regenerative outcomes
- Review periodontal regenerative techniques and materials
- Examine indications/ contraindications crown lengthening
- Review techniques for exposure of ectopic canines with orthodontic extrusion
- Review concerns regarding atraumatic extraction of teeth to preserve bone
- Describe methods and materials utilized in ridge preservation/augmentation

Timothy Hempton

Timothy Hempton, DDS

Dr. Hempton is an Adjunct Associate Clinical Professor at Tufts University School of Dental Medicine. He previously served as the Director of the postdoctoral program in Periodontology at Tufts. Dr. Hempton is a Diplomate of the American Board of Periodontology and also maintains a private practice Limited to Periodontics and Dental Implants in Dedham, MA. He currently serves on the Editorial Board for the Journal Dimensions of Dental Hygiene and is a contributor to their advice column for Dental Hygienists, “Ask the Expert.” Dr. Hempton received the Deans Award for Excellence in preclinical teaching at Tufts University in 2014, the Yankee Dental Congress Clinician of the Year award in 2011 and The American Academy of Periodontology Mentoring award in 2005.