Daniele Cardaropoli DDS, Cert Perio
Doctor in Dentistry and Certificate in Periodontology at the University of Torino, Italy. Active Member of Italian Society of Periodontology, European Federation of Periodontology, Italian Academy of Osseointegration and Academy of Osseointegration. International Member of the American Academy of Periodontology. Scientific Director of PROED - Institute for Professional Education in Dentistry in Torino. Winner of the "Goldman Award" from the Italian Society of Periodontology and the "National Award" from the Italian Society of Orthodontics. Editorial Consultant for The International Journal of Periodontics and Restorative Dentistry, member of the Editorial Review Board of American Journal of Orthodontics & Dentofacial Orthopedics,.
Author of several articles published on peer-reviewed journals, he focused his interest on Periodontology, Implant Dentistry, Regenerative Therapy and Ortho-Perio Interdisciplinary treatment. Private practice in Torino, Italy.
Periodontal treatment – An interdisciplinary approach
Advanced periodontitis may be characterized by the formation of infrabony defects adjacent to pathologically migrated teeth. In such cases, the ortho-perio interdisciplinary approach is an option. Literature supports tooth movement into infrabony defects aiming to defect closure, bone fill and possibly new attachment formation. Augmentation procedures also can be added. During the lecture, implications for orthodontic movement into infrabony defects will be addressed.
The treatment of periodontal patients with tooth migration may require a combined perio-ortho therapy. The possibility of moving teeth into infrabony defects will be discussed, focusing on the rationale, timing and biological implications. Management of soft tissues and the benefit added from the concomitant use of augmentation procedures will also be addressed. During the presentation, the indications and the proper treatment sequence in combined perio-ortho treatment will be assessed, the basic science and clinical evidence regarding intrusive tooth movement into infrabony defects will be discussed and participants will learn how to clinically manage periodontal tissues before, during and after orthodontic therapy.
Gingival recession coverage
The treatment of gingival recessions is provided following the principles of the mucogingival therapy. The use of a coronally advanced flap (CAF) together with a connective tissue graft (CTG) is able to reach predictable outcomes in terms of root coverage, gain of keratinized tissue and increase of the soft tissue thickness. Moreover, long term stability of the results and decrease of relapses seems to be related to the use the use of a graft with bilaminar technique. However, the connective harvesting from the palate increases overall morbidity, requires a second surgical site creates a risk for post-op bleeding. Recently, a tridimensional collagen matrix has been introduced in order to limit the negative aspects of the use of a connective tissue graft.