Dr. Sam Malkinson

Session Date:  Friday October 20, 2023

Session Time:  1:30 PM – 4:30 PM

Presenter Name: Dr. Sam Malkinson


A patient presents to you, upset because they have fractured a tooth. They’d really like to save it, if possible, but want to be aware of other options as well. Looking at the tooth, you’re on the fence as to whether you want to save it or replace it with an implant. You decide to visualize the tooth with an exploratory surgery to help your final decision. 

In Advanced Periodontal Surgical Therapy, we will begin by exploring crown lengthening as a means to improve the restorative prognosis of a tooth. Proper case selection is vital, and once the decision has been made to keep a tooth, precise technique is important to ensure that the treatment objectives are achieved. Despite their seemingly unsavory reputation, crown lengthening procedures are an excellent way to increase the longevity of a tooth, provided some basic rules are followed. 

On the other hand, what if the tooth can’t be saved? In that situation, it’s important to have the ability to pivot smoothly. The second half of Advanced Periodontal Surgical Therapy addresses ridge preservation as a means to ensure that the alveolar ridge you have when you go to finally place an implant is as close to what it was while the tooth is still in place, or better. Using contemporary materials and techniques, the procedure maintains osseous and soft tissue volume very predictably. An otherwise straightforward implant placement can easily become complicated if the site lacks bone or keratinized tissue. Avoid this trap entirely by keeping ridge preservation in your pre-implant surgical management toolbox. 

Course Learning Objectives: 

By the end of this lecture, participants will 

  1. become familiar with the indications for clinical crown lengthening and ridge preservation. 
  2. become familiar with the contraindications for crown lengthening and ridge preservation, and how to avoid them. 
  3. become aware of the surgical steps involved in crown lengthening and ridge preservation. 
  4. become familiar with common materials and techniques used to preserve the alveolar ridge. 
  5. get an idea of what results to expect from the procedures. 
  6. understand about which complications patients should be warned, and how these complications should be managed if they occur. 

About The Speaker

Dr. Sam Malkinson graduated from McGill’s Faculty of Dentistry in 2007, and went on to do an Advanced Education in General Dentistry Residency at the University of Connecticut, followed by a General Practice Residency at the University of British Columbia. He then pursued a specialty in Periodontics at Virginia Commonwealth University, where he also earned his Master’s degree for his thesis concerning the effects of aesthetic crown lengthening on social perceptions. Having returned to Montreal in 2012, he is in full-time private practice limited to periodontics and implantology. He has been a Faculty Lecturer at McGill University since 2012, and is currently involved there in teaching through Continuing Dental Education. In 2014 he was named McGill Dentistry’s Clinical Demonstrator of the Year. In 2015 he was honoured with the W.W. Wood Award for Excellence in Dental Education, and the American Academy of Periodontology Outstanding Teaching and Mentoring in Periodontics Award, for commitment to excellence in providing education in the full scope of clinical periodontics, and relaying that enthusiasm to students. He also spent a brief period at Université de Montréal’s Faculté de médecine dentaire as a clinical instructor of periodontics. 

Dr. Malkinson is a Fellow of the Royal College of Dentists of Canada, and a Diplomate of the American Board of Periodontology and Dental Implant Surgery. He is a member of the Ordre des dentistes du Quebec, the Quebec Periodontal Association, the Federation of Dental Specialists of Quebec, the Canadian Academy of Periodontology, the American Academy of Periodontology, and the Alpha Omega Dental Fraternity. He has been appointed by the National Dental Examining Board of Canada as an Examiner Expert in Content for Periodontics, and is a manuscript reviewer for the Acta Odontologica Scandinavica journal. 

In his spare time, Dr. Malkinson enjoys cycling, running, cross-country skiing, competitive shooting, hunting, martial arts, driving motorcycles and choral singing. 



Dr. Sam Malkinson


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