RESUMO
Various forms of periodontal therapy, including surgery, have been advocated and documented in the dental literature during the last three centuries. This variety of treatment modalities has been developed to address the anatomical consequences (pocket formation and bone loss) sustained from chronic periodontal disease. The marked differences in techniques have created significant controversies between the greatest leaders in dentistry and their equally influential disciples. Nevertheless, these leaders have always shared a common goal: the preservation of the natural dentition in a harmonious environment of health, comfort, and proper function. This article discusses the history of periodontal osseous surgery, including not only the technical issues, but also the conceptual underpinnings of this form of therapeutic intervention. In the process of examining this subject closely, three main controversies in the field of periodontics are brought into sharper focus: non-surgical versus surgical periodontal therapy; gingivectomy versus osseous resective periodontal therapy; and the nature of clinical decision-making: scientific and evidenced-based versus subjective clinical judgement.
Assuntos
Alveolectomia/história , Periodontite Crônica/história , Periodontia/história , Alveoloplastia/história , História do Século XX , Humanos , Estados UnidosRESUMO
A thorough literature review of root form implants yielded a paucity of information regarding the true pioneers of this discipline. Numerous articles have been written on the history of endosseous implants, although little information is available describing the individuals to whom we attribute the major developments in implant dentistry. This article will present information regarding significant contributors to modern-day implant dentistry. Initially, articles and textbooks printed early in the 20th century were reviewed, and the relevance of implant-related information was ranked based on current concepts. This article highlights four major contributors in implant dentistry: E.J. Greenfield (1913), who developed many of the surgical techniques and principles used today; Alvin Edward Strock (1939), who introduced the first biocompatible material; Per-Ingvar Brånemark (1969), who proved the long-term success of titanium implants; and André Schroeder (1976), who introduced the roughened implant surface.