Dmitriy Ivanov, DDS Board Certified Periodontist and Implant Specialist

Dmitriy Ivanov, DDS Board Certified Periodontist and Implant Specialist Periodontist and Dental Implant Specialist Periodontist and Implant Specialist
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Complex cases require many stages and some fine tuning alongside patients commitment and compliance! Started case with h...
07/11/2025

Complex cases require many stages and some fine tuning alongside patients commitment and compliance!

Started case with hard and soft tissue rebuild ans subsequent implant placement with more soft tissue added!

I love the use of VIP CTG for these cases where we have a need for vertical height and/or papilla reconstruction.

Amazing orthotics by who diligently worked with me to dial in not just adequate spacing but also aesthetics of the case at the end!

Provisional phase of treatment was crucial to dial in the spacing as well as the zenith of the lateral Pontic site to closely match the contralateral tooth #10.

Provisional and Final restoration Zirconia with anodized gold abut by one and only LAB guy who knows his stuff well

Happy weekend ahead!

🔔 Come learn Bone and tissue Management techniques in many of our courses this and next year! Check our website for more information! Link in profile above ☝️ or perioamigos.com
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There are usually not many complications associated with the use of autogenous , although sometimes we may need to addr...
06/30/2025

There are usually not many complications associated with the use of autogenous , although sometimes we may need to address challenges ourselves.

Some possible complications include:
- Incomplete root coverage
- Infection
- Bleeding from the palate
- Significant pain beyond the norm due to early loss of palatal protection
- Suture tips poking the lip, which may cause painful aphthous-like ulcerations on the mucosa lining the lip

Management is always best achieved through prevention or by setting appropriate expectations for these issues whenever possible.

However, even with best practices, we may still need to manage one or more of the above complications.

In this case 👆, it appears that a small amount of composite was left on the root surface during preparation, blending closely with the root shade. The tissue never reattached to that biologically incompatible root surface.

Another important aspect of management is applying different techniques when needed—for example, a coronally repositioned flap to treat a single tooth without extending the flap to sites previously treated with connective tissue grafts (CTG).

No graft was added during the second surgery because the preexisting CTG had already integrated with the tissue of #11, allowing us to simply reposition the tissue coronally.

The CAF was performed according to the Zuchelli Split Full Split protocol and stabilized with a sling suture.

One month post-op, healing was excellent, and we anticipate a beautiful maturation of all sites moving forward.
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3 NEW 🥵 🔥 soft tissue management only courses Added on our website!!! December 2025 , April and August 2026! Make sure to check it out and grab your seats while we have early birds!! They will sell out!
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Monday funday with our fave area : anterior mandible root coverage in the presence of proximal attachment loss. This are...
06/02/2025

Monday funday with our fave area : anterior mandible root coverage in the presence of proximal attachment loss.

This area is so perfect to manage with a modified 3mmhole technique (VISTA) bc it allows us to predictably manage the muscle position 💪 and create a better tension free tissue to advance.

CTG is always best option here to gain us excellent thickness, perfect attached tissue (functional mucosa) and deeper vestibule.

Healing after 2 months ✌️
amigos 3 Day Tissue course is in a few weeks in SF , few spots still available! Register on our website !

Happy Hump Day!Previous failed implants site 20-21, failing 19 which we kept till the end. - GBR first- kept failing imp...
05/14/2025

Happy Hump Day!

Previous failed implants site 20-21, failing 19 which we kept till the end.
- GBR first
- kept failing implants site 19 at that time until the end as a stop for his provisional, we removed implant at the time when I did stage 2 surgery #20-21 sites
- FGG was done after about 2 months post placement to rebuild the vestibular depth and zone of KG

Final restoration would be 18-x-20 implant supported bridge and single #20

Come learn Bone and Tissue Management at one of our flagship 3 day courses ! Info on our website , next course in San Francisco in June! Spots still available!

❤

Happy Mothers Day to my boss lady Best Mom, Wife , Friend and person!We love you so much
05/11/2025

Happy Mothers Day to my boss lady

Best Mom, Wife , Friend and person!

We love you so much

Happy Mother’s Day! Previous failed implants site 20-21, failing 19 which we kept till the end. - GBR first- kept failin...
05/11/2025

Happy Mother’s Day!

Previous failed implants site 20-21, failing 19 which we kept till the end.
- GBR first
- kept failing implants site 19 at that time until the end as a stop for his provisional, we removed implant at the time when I did stage 2 surgery #20-21 sites
- FGG was done after about 2 months post placement to rebuild the vestibular depth and zone of KG

Final restoration would be 18-x-20 implant supported bridge and single #20

Come learn Bone and Tissue Management at one of our flagship 3 day courses ! Info on our website , next course in San Francisco in June! Spots still available!

❤

Finally got to open 6 mo post op of this GBR! Great solid bone density and volume. GBR done with Mix of Cortical Cancell...
04/14/2025

Finally got to open 6 mo post op of this GBR!

Great solid bone density and volume.

GBR done with Mix of Cortical Cancellous allograft 70% and Cortical Allograft 30% and stabilized with Ossix Plus using periosteal slings.

CT showed great fill of the Apico we did on 26 at the time of GBR!

Implant to be restored after 3 months

Peace and happy week ahead

🔔 Don’t forget to register for our West Coast Bone and Tissue Course coming up in June in San Francisco!

Comprehensive Bone Management Course !About this event-This course is designed for general practitioners and specialists...
04/11/2025

Comprehensive Bone Management Course !

About this event
-This course is designed for general practitioners and specialists who want to learn and advance their hard tissue management skills in implant site development

-Biology, Diagnosis and Treatment planning of hard tissue defects and science behind discussed

-Principles used Guided Bone Regeneration and Khoury Plate /Split Bone Technique Reviewed (Developing a decision tree)

-Treatment planning, Flap Design and Management in Bone Augmentation procedures will be reviewed in great detail. Harvesting techniques from the external oblique ridge will be reviewed and practiced in hands on part of the course

-Autogenous vs Allograft in Khoury Split bone techniques vs Variety of GBR methods will be compared and contrasted

– Course will review a wide range of defects and clinical situation to help preparing site for implant placement (socket management, deficient ridge management, horizontal and vertical defect management, autogenous and allo plate management)

-Review of Bone and Membrane Biomaterials and suture variations involved will be discussed

– Soft tissue management involved in hard tissue site development will be reviewed in detail (FGG/CTG/VIP CTG/Periosteal Flap release/Mylohyoid Lingual Release)

– Membrane stabilization techniques reviewed and practiced in Hands on: Internal Mattress suture stabilization and Bone Tacks/Pins

– Management of post operative complications.

-3 day Hands-on on models and pig jaws performing GBR technique (sling suture membrane stabilization and bone tacking techniques), suturing techniques (Graft and flap), bone harvesting and site preparation techniques, bone augmentation using resorbable membranes, Buccal and lingual release of the flaps and how to achieve primary wound closure.

– Khoury Plate harvesting techniques and Split plate technique fixation vs alloplate fixation.

Registration is open on our website! Link in profile!

Our 3 day Bone and Tissue Course is in San Francisco Next ! Course outline -This course is designed for general practiti...
04/11/2025

Our 3 day Bone and Tissue Course is in San Francisco Next !

Course outline

-This course is designed for general practitioners and specialists who want to learn and advance their hard & soft tissue management skills around teeth and implants

-Biology, Diagnosis and Treatment planning of mucogingival defects and science behind discussed

-Principles used in root coverage procedures and gingival augmentation around teeth and implants (Developing a decision tree)

-Recipient and donor site preparation, harvesting techniques(Free gingival grafts, Connective tissue grafts,VIP-CTG) and donor site protection

-Autogenous vs Allograft in root coverage and implant coverage as well as various soft augmentation procedures.

-Autogenous vs Allograft vs Xeonograft n Bone augmentation procedures.

– Management of post operative complications. Recovery of Soft and Hard Tissue Aesthetics

-3 day Hands-on on models and pig jaws performing Free Gingival Graft and Root Coverage procedures, suturing techniques, harvesting and site preparation techniques, bone augmentation using resorbable membranes, Buccal and lingual release of the flaps and how to achieve primary wound closure.

Register on our website : www.perioamigos.com

Double 👿 CTG Monday! Love when pts come by after 1 year for the post op after CTG and we see maturation of tissue, vesti...
04/07/2025

Double 👿 CTG Monday!

Love when pts come by after 1 year for the post op after CTG and we see maturation of tissue, vestibule, thickness maintenance and Offcourse root coverage!

Pt still have not started ortho as we planned due to some personal things but hoping for that next!

Modified Vista : sub-muscular tunnel and muscular dissection was done with palate CTG over a year ago.

This should age well 🍷over time!

Happy week ahead everyone!

📟 Next Soft tissue and Hard tissue Course is in June in San Francisco! Join .amigos for 3 days Hard and Soft Tissue Management around teeth and implants.

🖥️ Register on our website perioamigos.com
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Pre Ortho clearance in a young patient! Very thin phenotype is always a challenge especially if ortho requires an expans...
04/05/2025

Pre Ortho clearance in a young patient!

Very thin phenotype is always a challenge especially if ortho requires an expansion in the presence of preexisting recession and mucogingival defects.

We always recommend addressing the soft tissue defects prior to initiation of pts long term ortho, as the labial tooth movements can increase the likelihood of recession progression and attachment loss further if not treated prior.

Post op after 1.5 years post ortho, fantastic phenotype modification, gaining tremendous strength to bone and tissue support, great gain in attached tissue (keratinized and non keratinized), deepened vestibule, great root coverage, all things we love after an Autogenous Connective tissue Grafting! This should age very well for next few decades!

✌️

📟 Next Soft tissue and Hard tissue Course is in June in San Francisco! Join .amigos for 3 days Hard and Soft Tissue Management around teeth and implants.

🖥️ Register on our website perioamigos.com
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Colorado you were absolutely epic!!! ❤️ what an incredible show trip with my boss lady for an amazing Date weekend! Gl...
03/30/2025

Colorado you were absolutely epic!!! ❤️

what an incredible show trip with my boss lady for an amazing Date weekend!

Glad to see and snowboard with for a day too! And to see Regina and baby Aspen! ❤️ 👶

Booked another Breck ski trip for next year already, can’t wait to be back!

❄️ ❄️

Address

Redondo Beach, CA

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Website

http://www.precisionperioimplant.com/

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