OAP Meeting Saturday Nov 12, 2016
Speaker: Daniel J. Melker
“The Team Approach to Comprehensive Periodontal-Restorative Treatment”
Topics discussed included:
♦ Diagnosis as it relates to restorative treatment.
♦ Understanding attached gingiva as it relates to restorative dentistry. A surgical discussion will be undertaken as to when treat inefficiencies as well as various modalities to accomplish these results.
♦ Cores and provisionals and their importance in periodontal surgery
♦ Biologic shaping—an adjunct to conventional periodontal surgery
♦ Biologic width as it relates to restorative dentistry and the importance as it relates to the non-invasion of this area
♦ Cosmetics: periodontal and restorative understanding
♦ Altered active and passive eruption: treatment surgically to achieve ideal esthetic results
♦ Margin location and material for ideal restorative outcome predictability for long-term success
The reason for the buildup is multifold. It blocks dentinal tubules close to the pulp which decreases sensitivity and endodontic need. It provides strength to the residual dentin which means there is less likelyhood of tooth fracture. It provides a homogenous thickness of the restoration which is used just to replace enamel…not dentin. It increase retention/resistance form if one so desires. It determines the exact position of sound tooth structure apically which serves as a guide to the periodontist when doing crown lengthening. It does block out undercuts and makes it easier for the technician to wax and finish a case. The bond strength of core buildup to tooth is greater than resin cement to tooth (that is a major reason to do core buildups). The bond strength of resin cement to core buildup is greater than resin cement to tooth structure. Large gaps of cement induce unnecessary stress on the ceramic and frequently result in air pockets which cause biting and cold sensitivity.
About the Speaker
- University of Florida 1966 to 1969
- Emory University 1969 to 1973 Boston University School of Dentistry 1973 to 1975
- Specialty training in Periodontics Daniel J. Melker, D.D.S. has been in private practice of Periodontics for the past thirty nine years in Clearwater, Florida.
Dr. Melker has lectured to the University of Florida Periodontic and Prosthodontic graduate programs on the Periodontic-Restorative relationship and has also lectured at Baylor University, University of Houston, University of Alabama Birmingham, as well as LSU GraduatePeriodontal Program. Dr. Melker’s lectures include the Florida Society of Periodontics, the Pankey Institute, Florida Dental Hygiene Society, the Southwest Florida Dental Society, the West Coast Dental Association, Florida Society of Prosthodontics, the Massachusetts Dental Association, the New Orleans Dental Congress, American Academy of Periodontology and the Florida Academy of Cosmetic Dentistry, Arizona Dental Society, Connecticut Society of Periodontists, Iowa Dental society, Maimonides Society in Washington DC, Greater Orlando Dental Society, Institute for Advanced Laser Dentistry and the Ontario Academy of Periodontics.
The highlight of Dr. Melker’s presentations occurred when he spoke to the Illinois Academy of Periodontics. Each Periodontist was able to bring his or her referrals which truly made it a TEAM concept presentation. Presentations in 2015 include Seattle study clubs in California and Maryland as well the Midwinter meeting for Illinois Society of Periodontics.
Dr. Melker has published articles in The International Journal of Periodontics & Restorative Dentistry, Academy of General Dentistry, Contemporary Esthetics,
Dentaltown, JIACD, Chairside Dentistry and Dentistry Today. Dr. Melker is also a two time Gold Medal recipient from The Florida Academy of Cosmetic Dentistry.
In participation with Proctor & Gamble/Alza and Biora Dr. Melker was a clinical researcher in relationship to the tetracycline delivery system, ActisiteÒ and Emdogain enamel protein matrix. In addition, Dr. Melker participated in the ActisiteÒ湡 Launch Satellite
Symposium as a case presenter and has also lectured for Biora on the benefits of using Emdogain in bone regenerative procedures.