Evaluation of bone support, tissue recession, tooth mobility, bleeding points, and periodontal pockets all have tremendous influence on your ability to achieve an esthetic as well as functional result. Presence or absence of appropriate ridge tissue also can change the treatment approach. A major reason for predestined esthetic failure is a failure to realize the negative factors involved.
If your patient has periodontal disease that you feel will not heal with routine prophylaxis treatment, you may first wish to institute soft tissue management procedures. This is especially important if the final treatment plan could vary, depending on how successful the soft tissue management therapy will be. In fact, spending extensive time establishing your patient’s entire treatment plan at this time could be counter-productive. What may appear to be the best plan of action now could be considerably altered depending on not only your therapy, but also on how well the patient follows your homecare program.


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