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Periodontic and Implant Dentistry. Dr. Claudia Esther Simoza Vásquez.
- Dentistry Degree from Venezuelan Central University. 1992.
- Postgrade in Periodontic.University of Texas-Houston Dental Branch U.S.A. 1995.
- Chairman of Periodontic Department Santa María University, Venezuela 1997-2007.
- Active Member of Colegio de Odontólogos de Venezuela. Since 1992.
- Active Member of Venezuelan Periodontology Society. Since 1995.
- Officers Member of Venezuelan Periodontology Society. 1998-2000.
- International Member of American Academy of Periodontology. Since 1995.
- International and National Speaker in Periodontic and Implant Dentistry.
- Coordinator of Continuing Education Courses with different International Institutes: Texas-Houston University U.S.A. 1998-1999. Chapell Hill, North Carolina University U.S.A. 1999-2000. Pittsburgh University U.S.A. 2000-2001-2002.
- Annual assistance in important Periodontic and Implant Dentistry Scientific Events
(International congress):
-American Academy of Periodontology annual meetings,
-The International Symposium on Periodontic and Restorative Dentistry, Boston; and International
Implant Society.
-Annual assistance in important Periodontic and Implant Dentistry Scientific Events
(National congress):
-Venezuelan Dentistry Congress;
-Metropolitan Dentistry Congress; and Congress National of Periodontology.
-Winner of awards for presentation of scientific poster in different national congress.
- Private practice limited to Periodontic and Implant Dentistry since 1995.
- Languages to master: Spanish and English.
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Options treatment service offered: |
- Complete attention to a periodontal compromised patient that include: Periodontal evaluation and preventive education to the patient.
- Oral and periodontal diagnosis.
- Study and periodontal treatment planning with the aid of others disciplines as: Periodontic-prostodontic, periodontic-orthodontic, periodontic-oral surgery,
periodontic-implant dentistry.
- Non-surgical periodontal treatment to control the infection: scaling and root planning,
local and systemic antibiotic and antiseptic therapy.
- Surgical treatment to correct the periodontal pockets as:
Osseous resective surgical procedures, Guided Tissue Regeneration, plastic reconstructive periodontal surgery to increases and improve soft tissue, Guided Bone Regeneration to correct alveolar ridge deformities.
Use of osseointegrated dental implants to restore a patient totally edentulous and/o partially edentulous.
Treatment Occlusion.
- Regular maintenance periodontal appointments.
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Cases: Before & After |
Case 1:
Some times the gingiva move far away from the tooth leaving the root exposed. This situation is known as a
gingival recession. Generally, when this happen the dental root is very sensitive to the food impact, could beverage, and the dental hygiene with a toothbrush and oral rinse produce discomfort because the sensibility; the gingiva begin to imflame and the root more disposed to develop caries. Besides, the gingival recession affect the esthetic appearance if it occur on a tooth that you show when you smile.
Female patient 39 years old with gingival recession on tooth # 11 #12, 3 to 4 mm. Her chief complaint was hypersensitive on those teeth.
Treatment done: Subepithelial connetive tissue graft to cover the root exposed.
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Before treatment
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After treatment
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Case 2:
Male patient 26 years old that came to us to correct the gingiva defect in the mandibular anterior region before the orthodontic treatment proposed.
Treatment done: Scaling and root planing, and periodontal plastic surgery to increase the amount of attached gingiva: Epithelialized free graft.
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| Before treatment |
After scaling and root planing.
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After epithelialized free graft |
Case 3:
Periodontal disease or Periodontitis is an infection that extend from gingiva to the alveolar bone; the bone support is lost, and as result is formed a deep espace between the tooth and the gingiva called periodontal pocket, that serve as a bacterial deposit. If this periodontal pocket is not treated, then it become more pathogenic and the tooth will be lost. There are regenerative periodontal surgical procedures to create a new support tissue. It is possible with the use of bone graft materials and a membrane that work as a filter to guide the desired cell to grow into the bone defect.
Male patient 26 years old, that presented mobility type III in tooth # 7, and 12 mm pocket depth in distal and palatine.
Treatment done: Endodontic and Guided Tissue Regeneration with the use of bone xenograft and resorbible membrane.
Case 4:
Male patient 57 years old with 8 mm periodontal pocket depth in mesial of
tooth # 12.
Treatment done: after completed the hygienic phase, Guide tissue
regeneration was done to gain support periodontal tissue.
| Bone defect 6 mm of Vertival component. |
Bone xenograft placed into the defect. |
Stabilized membrane. |
Sutured flaps. |
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| Before treatment. |
After treatment. |
XR before treatment. |
XR after treatment 4 months post. |
Case 5:
Is frequent that the patients lose an important amount of dental structure because advanced caries, or crown fractures. Some times this caries or fractures are below the gingiva and the alveolar crest. To restore the tooth is necessary to discover part of the dental structure that allow to put the border of the restoration at the level or above of the gingival margin to avoid inflammatory process, without invade the biologic width. It is achieved doing a periodontal surgical procedure called: Crown lengthening procedure.
Male patient 75 years old that fractured the crown of tooth # 26. Observed that is not possible to see the borders of the remains dental estructure.
Treatment done: Pre-prostetic periodontal surgery: crown lengthening.
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| Before treatment |
During treatment:
mesure of the biologic width |
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| Position of soft tissue with sutures |
Borders of the restoration above gingiva |
Case 6:
A lot of patients, for dental caries reasons, tooth fracture and periodontal diseases, lose teeth at the early age. Today the dentistry has an excellent option treatment to replace a tooth loss: The osseointegrated dental implant. The periodontic together with the prostodontic make a plan to restore using the implants. With this technique we can avoid removable denture, crown and bridge prosthesis that involve the preparation of healthy teeth. On the other hand, this alternative dental treatment allow to rehabilitate complete edentulous patients, partially edentulous patients and single tooth replacement. The implant is inserted into the bone and it works as a dental root. Over this dispositive the restoration is connected.
Female patient 28 years old with second right mandibular premolar missing tooth. After finished the orthodontic treatment was decided replace the tooth with a osseointegrated implant and metal-ceramic crown.
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| Before treatment |
After treatment |
XR post-treatment |
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FAQ (Frequent Asked Questions): |
| 1. What is
Periodontic?
Periodontic is the branch of dentistry that study the process of health and illness of periodontal tissue: gingiva, root cementum,
periodontal ligament and alveolar bone.
2. Who is a Periodontics?
The periodontics is the dentist that is specialized in diagnosis and treatment of periodontal diseases.
3. Which are the goals that our clinical periodontal practice look for?
We lead our clinical periodontal practice to the early diagnosis of periodontal disease, determining if it is in progress or not, apply the different options treatment according to the periodontal tissue destruction degree, that allow us assure the adequate bases to make the indicated dental restoration: partial removable denture, complete dentures, crown and bridge, osseointegrated dental implants; and establish the periodontal maintenance therapy to control the recurrence or progression of periodontal disease.
4. Are the dental implants an alternative of treatment?
Yes, the dental implants are an excellent alternative of treatment, because this elements made of titanium are biocompatible with oral tissue and does not reject and neither produce secondary effects. The implant works as a dental root. It is inserted into the bone and support the restoration. The dental implant can be used in totally edentulous patients, partially edentulous patients and to replace a single tooth.
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