Enamel pearl case studies
01/04/2013
Case #1: “Enamel projection with furcation involvement”
by Dr. John Y. Kwan
The below pictures and corresponding video show a tooth with an enamel projection which has developed bone loss.
In the video “Enamel Projection,” a Satelec diamond tip was made Magnetostrictive by the Tony Riso Co. and is used to remove the projection and clean into the furcation.
Photo 1
Photo 2
Photo #1 identifies the enamel projection. Photo #2 shows the curved unltrasonic insert removing the projection and cleaning into the furcation.
As the above picture demonstrates, the enamel projection has been removed and the furcation is now clean and clearly defined post instrumentation.
Prior to the Perioscopy System, this area would have required surgical intervention to view and treat.
The below Enamel Projection video may be viewed at:
http://www.youtube.com/watch?v=d7OkAnXaoh4
Case #2
By Dr. Robert Gottlieb and Suzanne Newkirk, RDH
The below pictures and corresponding video show an enamel pearl found on a molar tooth that developed a periodontal infection with a 6mm pocket depth.
With Perioscopy, the doctor removed the enamel pearl quickly and efficiently with no post treatment discomfort or downtime for the patient.
Enamel pearl MB #3 pre treatment
Post enameloplasty the root is clean
3 months post treatment pocket is now 3mm
To view the video “Enameloplasty visualized with the Perioscope”, go to:
https://www.youtube.com/watch?v=S1IKT2KoVj4
Conclusion:
We suggest that the Perioscopy System as a diagnostic tool in the detection and treatment of various anatomical factors, such as cervical enamel projections (CEP’s) and enamel pearls may help reduce potential for localized periodontal destruction.
Dr.
Kwan is a board-certified periodontist and maintains a private practice
providing periodontal and implant care in Oakland/Berkeley, Calif. He
is an Associate Clinical Professor at the University of California, San
Francisco School of Dentistry. Dr. Kwan is also the President/CEO of
Perioscopy Incorporated.
Dr.
Bob Gottlieb received his Certificate in Periodontics from the
University of Washington. Practicing for 35 years, he was voted one of
Seattle’s Best Dentists. Dr. Gottlieb mentors and directs numerous study
clubs.
Ms.
Newkirk graduated from the University of Alaska, Anchorage, in 1981 and
has dedicated the last 30 years to excellence in clinical dental
hygiene and periodontics. Suzanne is a periodontal therapist, dental
hygiene coach and mentor. She is also a Perioscopy instructor and
speaker. Ms. Newkirk is a member of the American Dental Hygienists'
Association and Washington State Dental Hygienists' Association.
To read articles in RDH eVillage FOCUS written by John Kwan, Robert Gottlieb, and Suzanne Newkirk, click on Kwan, Gottlieb, and Newkirk.
by Dr. John Y. Kwan
The below pictures and corresponding video show a tooth with an enamel projection which has developed bone loss.
In the video “Enamel Projection,” a Satelec diamond tip was made Magnetostrictive by the Tony Riso Co. and is used to remove the projection and clean into the furcation.
Photo 1
Photo 2
Photo #1 identifies the enamel projection. Photo #2 shows the curved unltrasonic insert removing the projection and cleaning into the furcation.
As the above picture demonstrates, the enamel projection has been removed and the furcation is now clean and clearly defined post instrumentation.
Prior to the Perioscopy System, this area would have required surgical intervention to view and treat.
The below Enamel Projection video may be viewed at:
http://www.youtube.com/watch?v=d7OkAnXaoh4
Case #2
By Dr. Robert Gottlieb and Suzanne Newkirk, RDH
The below pictures and corresponding video show an enamel pearl found on a molar tooth that developed a periodontal infection with a 6mm pocket depth.
With Perioscopy, the doctor removed the enamel pearl quickly and efficiently with no post treatment discomfort or downtime for the patient.
Enamel pearl MB #3 pre treatment
Post enameloplasty the root is clean
3 months post treatment pocket is now 3mm
To view the video “Enameloplasty visualized with the Perioscope”, go to:
https://www.youtube.com/watch?v=S1IKT2KoVj4
Conclusion:
We suggest that the Perioscopy System as a diagnostic tool in the detection and treatment of various anatomical factors, such as cervical enamel projections (CEP’s) and enamel pearls may help reduce potential for localized periodontal destruction.
Dr.
Kwan is a board-certified periodontist and maintains a private practice
providing periodontal and implant care in Oakland/Berkeley, Calif. He
is an Associate Clinical Professor at the University of California, San
Francisco School of Dentistry. Dr. Kwan is also the President/CEO of
Perioscopy Incorporated.Dr.
Bob Gottlieb received his Certificate in Periodontics from the
University of Washington. Practicing for 35 years, he was voted one of
Seattle’s Best Dentists. Dr. Gottlieb mentors and directs numerous study
clubs.Ms.
Newkirk graduated from the University of Alaska, Anchorage, in 1981 and
has dedicated the last 30 years to excellence in clinical dental
hygiene and periodontics. Suzanne is a periodontal therapist, dental
hygiene coach and mentor. She is also a Perioscopy instructor and
speaker. Ms. Newkirk is a member of the American Dental Hygienists'
Association and Washington State Dental Hygienists' Association.To read articles in RDH eVillage FOCUS written by John Kwan, Robert Gottlieb, and Suzanne Newkirk, click on Kwan, Gottlieb, and Newkirk.
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