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Dr. Gustavo Avila-Ortiz, DDS, MS, PhD

Dr. Avila-Ortiz is a tenured Professor in the Department of Periodontics at the University of Iowa College of Dentistry. He completed his DDS and PhD training programs in his hometown at the University of Granada, Spain, before moving to Ann Arbor (USA) to attain his MS and certificate in Periodontics at the University of Michigan School of Dentistry. Dr. Avila-Ortiz currently serves as department chair (DEO) and graduate program director. He also oversees the international visiting scholar program in Periodontics. He is a Diplomate of the American Board of Periodontology and currently maintains a faculty practice limited to Periodontics and Oral Implantology. Dr. Avila-Ortiz’s research spans a number of clinical topics, including the understanding of the influence of local and systemic individual patient factors on healing dynamics following periodontal therapy, as well as bone and soft tissue grafting, particularly in relation to therapeutic strategies for implant site development.

Presentation Title: Management of the Extraction Site: State of the Art and Clinical Applications

Synopsis:
Dental extraction is commonly indicated when a tooth cannot be restored or maintained in acceptable conditions compatible with long-term health, function and/or esthetics. The absence of a tooth in its alveolus triggers a cascade of biologic events that typically result in the volumetric reduction of the alveolar process. Alveolar ridge atrophy may have a considerable impact on tooth replacement therapy, particularly when an implant-supported restoration is planned. Hence, adequate management of the extraction site represents a major component of contemporary dental practice. This presentation is primarily aimed at reviewing the healing dynamics that typically follow tooth extraction and different conventional and novel strategies to minimize the negative impact of tooth loss for adequate restorative-driven dental implant planning (either immediate or delayed) on the basis of current evidence.

Learning objectives: 

  • Review the sequence of biological events that take place subsequent to tooth extraction, and how the result of these processes may affect future implant placement and restorative management
  • Discuss the role that some critical local anatomic factors may play in the healing dynamics following tooth extraction
  • Recognize different treatment options available for the management of the extraction site and their indications
  • Understand the rationale and scientific evidence supporting alveolar ridge preservation via socket grafting as a strategy to minimize alveolar ridge reduction after tooth extraction
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