The Perioscopy System, Part 3: Case studies by Dr. David Trylovich and Shelly Andreoli, RDH, and Dr. Morris Wasylenki and hygiene staff

Results from a case study by Dr. David Trylovich and Shelly Andreoli, RDH, dealing with endoscopic debridement and Arestin, as well as a case study by Dr. Morris Wasylenki and hygiene staff involving perioscopy plus Emdogain are presented.

Pennwell web 286 310

By John Y. Kwan, DDS, and Suzanne Newkirk, RDH

Case #3: Endoscopic Debridement and Arestin by Dr. David Trylovich and Shelly Andreoli, RDH

Pennwell web 286 310Pennwell web 290 310

#26: 12mm MF and ML (above left); BOP, Class ll mobility (above right)

3 Years post treatment:

Pennwell web 266 310Pennwell web 290 310

PD #26: 2mm M and F (above left), Great bone fill (above right)

Pennwell web 170 200David J. Trylovich, DDS, MS, is a practicing periodontist in Las Vegas since 1993 and is the director of the Las Vegas Dental Study Club. He is committed to having his hygienists use the Perioscope for all root planing since 2009.

Pennwell web 160 200Shelly Andreoli, RDH, graduated from the College of Southern Nevada in 1993 and has worked in the periodontal office of Dr. David Trylovich for 15 years. Shelly has been using the perioscope since 2003 and says "the perioscope has completely changed how I practice.”

Case #4: Perioscopy plus Emdogain by Dr. Morris Wasylenki and hygiene staff

Pre-treatment:

Pennwell web 600 83

Pennwell web 600 60

Probing depths posterior and anterior teeth, 4 to 8mm

Pennwell web 219 280

Note the severe vertical bone loss on the mesial of #'s 8-9

Pennwell web 365 280

#19 presents with Class I furcation involvement
#18 presents with a mesial vertical defect and Class II furcation involvement


9 months Post-Treatment:

Pennwell web 600 85

Pennwell web 600 65

Probing depths posterior and anterior teeth 3-4mm

Pennwell web 238 300Pennwell web 372 300

Note the bone fill on the vertical defects of #8-9 and 18 and 19
The furcation involvement in both molars has resolved

Pennwell web 150 200Morris Wasylenki, DDS, MS obtained a Master's Degree in Oral Biology and a Certificate in Periodontics from Northwestern University in 1990 and currently maintains a full-time private practice in Mansfield, Ohio.


Pennwell web 171 200Dr. Kwan is a board-certified periodontist and maintains a private practice providing periodontal and implant care in Oakland/Berkeley, Calif. He is an Associate Clinical Professor at the University of California, San Francisco School of Dentistry. Dr. Kwan is also the President/CEO of Perioscopy Incorporated.

Pennwell web 170 213Ms. Newkirk graduated from the University of Alaska, Anchorage, in 1981 and has dedicated the last 30 years to excellence in clinical dental hygiene and periodontics. Suzanne is a periodontal therapist, dental hygiene coach and mentor. She is also a Perioscopy instructor and speaker. Ms. Newkirk is a member of the American Dental Hygienists' Association and Washington State Dental Hygienists' Association.

More in Clinical Hygiene