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Newport Study Club - 09 May 2017

Should I Put Implants In My “Perio” Patients ?

Presented by: Adrian Binney
Exhibitor: The Dental Imaging Company, Dentsply Sirona, Panadent
Date: 09 May 2017
Time: 1900 Refreshments 1930 Lecture
Location: The Celtic Manor Resort, Coldra Woods, The Usk Valley, Newport, South Wales, NP18 1HQ

Dental implantology is a universal and important part of modern dentistry allowing the restoration of patients in ways that could not be considered many years ago. Different treatment options are directly marketed to clinicians and patients alike, raising expectations.

Patients present for many reasons requesting dental implant based restorations and the advantages it can bring, a common presentation for patients losing multiple teeth in the population is lost due to periodontal disease. These patients present often with a number of risk factors which can have a significant impact on their care, both at time of treatment and in the future.

During this presentation I will visit a number of cases I've treated over the years who presented with these risk factors and in particular who presented with periodontal disease as a cause of tooth loss and present in their oral cavity. We will discuss how we have managed them, presenting some cases which have been treated for over 10 to 15 years ago. This will allow us to explore the long term likely results and complications in this group of complex patients.

Presenting these cases allows us to highlight the challenges they bring to our clinical lives and how we can best avoid the specific problems they present us.

Interestingly I presented a similar talk some years ago at the London ADI Members Forum and will revisit some of these cases to give the delegates some long-term perspective.


To allow delegate to understand the specific problems this group of patients present. To understand the treatment strategies which can be successfully employed in this group of patients

Learning outcomes:

Delegates will be able to recognise the relevant risk factors that add complexity. Delegates will have a better idea of how to manage these difficult and challenging patients for the long term and what would be expected as successful outcomes

The management of these patients in the long term and the specific problems the present has will also be clearly outlined.


Adrian Binney, BDS FDS RCPS MScD, Specialist Periodontist, Dental Implant Surgeon

Adrian qualified from the University of Wales College of Medicine Cardiff Dental School in 1987.

In 1993 Adrian was awarded a Fellowship in Dental Surgery from the Royal College of Surgeons in Glasgow. Following several hospital surgical posts he returned to Cardiff to complete a Master's Degree in Dentistry specialising in Periodontology (the treatment and cure of gum disease and management of gum problems).

In 1997, Adrian was invited to join the Parade Specialist Dental Team and since that time he has focussed on the treatment of patients with advanced problems, periodontal problems and the restoration of patients utilising dental implants and requiring various bony enhancements to improve their dental outcomes.

He has completed dental implant training in the UK, Germany, and USA. In 2000 he was awarded specialist status in periodontics by the General Dental Council in recognition of the extensive training he had carried out in this area.

He is regularly invited to speak on periodontology (gum problems), and Dental Implantology throughout the UK, regularly providing teaching to postgraduate dentists by lecture and with hands-on surgical courses.

He is past chairman of the South Wales, British Dental Association and was on the national UK committee of the Association of Dental Implantology for some years. He has extensive teaching experience and is a clinical lecturer at Cardiff Dental School, University of Wales in Dental Implantology.

Adrian's clinical practice involves treating all aspects of dental and restorative cases, in particular focussing on the treatment of patients with advanced periodontal problems and advanced dental implant restoration involving bony regeneration and bone grafting. These are exceptionally challenging cases and he receives referrals from many colleagues and spends time discussiong with patients their wishes and how it will impact on their life and in what way it will improve many aspects of their life.

This involvement of patients and ensuring patients fully understand and are aware of their treatment is a really key part of Adrian's care and he spends a lot of time talking to patients ensuring they are fully comfortable before undertaking their care.

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