Lorenzana Periodontics and Dental Implants

Lorenzana Periodontics and Dental Implants Dr. Eduardo R. Lorenzana is a Board-Certified Specialist in Periodontics, Oral Plastic Surgery, Dent Eduardo R. in Biology.

Lorenzana, DDS, MS, is a Diplomate (Board Certified) of the American Board of Periodontology and maintains a private practice limited to Periodontics and Dental Implants based in San Antonio, Texas. Dr. Lorenzana is a 1992 graduate of Southern Methodist University in Dallas, Texas, where he earned his B.S. He graduated in 1996 from Baylor College of Dentistry with his D.D.S. degree, followed by a

Certificate in Periodontics and Masters in Oral Biology also from Baylor College of Dentistry- TAMUS in Dallas, Texas in 1999. Dr. Lorenzana holds academic appointments at BCD-TAMUS as an Adjunct Assistant Professor in the Graduate Periodontics Department and at The University of Texas Health Science Center at San Antonio (UTHSCSA) Dental School as a Clinical Assistant Professor in the Department of Restorative Dentistry. Dr. Lorenzana is a Fellow in the International Team for Implantology (ITI) and is President of the Texas Society of Periodontists. He lectures nationally and internationally on oral plastic surgery, dental implants, and dental implant aesthetics and has been voted a Texas Monthly top Periodontist and Implant Surgeon by his colleagues every year since the inception of the award.

I ♥️ tunneling. 🪏🕳️Absolutely it is technique sensitive. It requires patience, skill and care. 🫶🏼But in the mandibular a...
08/03/2026

I ♥️ tunneling. 🪏🕳️

Absolutely it is technique sensitive. It requires patience, skill and care. 🫶🏼

But in the mandibular anterior it offers some undeniable advantages. 99.99% of the time I tunnel at least the midline papilla to prevent damage to the blood supply to the area and reduce the possibility of flap retraction. In this case, the three middle papillae were tunneled with the only papilla access incisions peripherally between 22/23 and 26/27. 🔪

Combined with a tuberosity CTG modified into an extended continuous trifold design, the patient was provided with a minimally invasive, high quality graft with long-term documented root coverage and esthetics. ⏳

A win-win, palate-free autogenous alternative the patient was relieved to receive. 😅


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I’ve been wanting to post this case we just completed, where a free gingival graft was modified to expand its coverage i...
07/14/2026

I’ve been wanting to post this case we just completed, where a free gingival graft was modified to expand its coverage in an edentulous site. Extractions and GBR were already in place but the soft tissue situation was inadequate for the planned implant-supported restorations. The foundation still needed work. 🏛️

Several approaches to expanding FGG coverage have been proposed. This is perhaps the oldest, first published by Rateitschak et al in 1985 as a “mesh graft.” More recent approaches have been published by De Greef et al 2024 (Expanded Mesh FGG), and Urban et al 2015 (strip gingival graft + xenogeneic collagen matrix) which I have shared previously, among others.📚

While I am always looking for less invasive options, such as tuberosity grafts or free CTGs, it is tough to argue with these results! 🤩

The donor site was addressed with laser to stop bleeders, collagen tape plus tissue adhesive, and a Elemental stent with topical lidocaine jelly applied prn. ❤️‍🩹

With the foundation properly set, three Straumann US implants were placed with a surgical guide and restored after 6 weeks healing by Dr Alan Layton (San Antonio). The result is a happy patient and an improved long-term prognosis.⏳

06/05/2026

As part of a presentation a few years ago comparing tissue harvest techniques for connective tissue grafts, we did an audit of how many of our CTG surgeries required treating three teeth or less vs. 4 teeth or more. 🎤

Why is that important? It is important because typically, the tuberosity or subepithelial CTG harvest techniques yield enough tissue to graft 1-3 teeth. We found that 84% of the cases treated in one year required only 1-3 teeth of grafting. 🧐

The de-epithelialized CTG continues to be touted by many as the preferred approach to harvest connective tissue for many reasons, but the primary claim is better quality tissue than traditional parallel incision techniques that often include fatty tissue. While this would be true for parallel incision techniques, it is not true for both tuberosity tissue and for techniques that harvest periosteum which is part of the single incision protocol. You can refer to our classic article in IJPRD as well as more recent articles that show that CTGs containing periosteum return exactly the same results as dFGG EXCEPT when it comes to patient morbidity, where dFGG results in greater stress, bleeding and inability to chew (Mashaly et al, 2022). 🩸

So, while de-epithelialized harvest remains a viable alternative in certain situations, it should not be considered a first- choice approach for most situations. Agree or disagree? 👍🏼👎🏼




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06/03/2026

NBA Finals 2026!!!! Spurs vs. Knicks!!! 🏀

👽 vs. the Big 🍎

GO SPURS GO!!! 🩶🖤🩵🩷🧡

Show us your Spurs ♥️!!!


San Antonio 2026. 💪🏼We won’t know the final numbers for a few days but it was nothing short of inspiring to see the San...
05/31/2026

San Antonio 2026. 💪🏼

We won’t know the final numbers for a few days but it was nothing short of inspiring to see the San Antonio dental community show up BIG in support of Smiles Foundation’s signature community outreach event. 🎖️

And it was an additional blessing to do another TMOM with . I hope this tradition continues!!! 🙏🏼

My respect and admiration goes out to all the TMOM volunteers who made this such a success. I especially want to commend and and their teams for the local arrangements. This is a huge undertaking and they handled it with positivity and purpose. 🫵🏼

And this is San Antonio, so everything is better with mariachis! 🪅

Now, it’s Game 7 - Go Spurs Go!!!! 🏀

Sometimes the unexpected happens…but Don’t Stop Believin’!!! 🙏🏼🙏🏼🙏🏼Relatively routine ridge preservation on a failed cen...
05/20/2026

Sometimes the unexpected happens…but Don’t Stop Believin’!!! 🙏🏼🙏🏼🙏🏼

Relatively routine ridge preservation on a failed central incisor turned into a loooong waiting game after the edge of the Ti-reinforced Cytoplast membrane became exposed. 😬

Typically I remove these at 4 weeks but patient compliance was a bit of an issue. So when she returned at 3 months, I can’t say I was surprised but I was still concerned. Membrane was easily pulled and the area allowed to heal while she finished ortho. ⏳

Of course I didnt expect it to take 2 years to re-enter, but as I said, compliance. 🤷🏻‍♂️

Nevertheless, upon re-entry there was sufficient bone for .us implant placement, but I still elected to add more bone for contour and protection. And because I am a Nice Guy. 😇

Our excellent outcome was tested a few years lafter when 10 failed, and here we go again…🤦🏻‍♂️

But Rory and I agree: all’s well that ends well.
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Just started working with the Anatomic Healing Abutment (AHA) and so far we are really digging it! 💚🤍We picked a good c...
05/09/2026

Just started working with the Anatomic Healing Abutment (AHA) and so far we are really digging it! 💚🤍

We picked a good case here with fractured 3-5, thick phenotype, ideal socket anatomy and bone for primary stability. A flapless approach, careful removal and site preparation, PRF “sticky” bone 🦴 and tuberosity CTG for the HDD and socket seal. 🍣

The AHA provided the finishing touch to preserve the emergence profile and eliminate a tissue shaping step and (if digital impression protocol is utilized) a separate scan body step, saving the patient time and money 💰

Read all specs and info here:https://www.straumann.com/content/dam/media-center/straumann/en/documents/brochure/technical-information/707883-en_low.pdf

Anyone else already using this? Thoughts? 🤔

Restorative work by the great Dr. Daniel Estrella ✨

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Join the largest evidence-based dental implant community in the world - 25,000 members and growing!!! www.iti.org 🌎

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🎥Harrel, Wilson, and colleagues have shown it repeatedly: residual calculus is a primary driver of failed periodontal t...
05/04/2026

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Harrel, Wilson, and colleagues have shown it repeatedly: residual calculus is a primary driver of failed periodontal therapy. (Harrel SK, Wilson TG Jr, et al. J Periodontol. 2020;91:1562–1568 / Harrel SK, Cobb CM, et al. Dent J. 2022;10:195) 📚

Lasers, locally delivered antibiotics, growth factors, EMD — none of it overcomes a root that isn’t clean. Before I reach for any of these modifiers I know a clean root surface is the non-negotiable foundation. 🏛️

At up to 100x magnification, periodontal endoscopy finds calculus blind SRP misses. No flap; no guesswork. 👁️

When it comes to effective perio without a flap, this is the standard. 🏅

10+ years using periodontal endoscopy and I can tell you once you see what you’ve been missing, there’s no going back! 🌳

Back home after an epic weekend at the ITI Congress USA in Napa with my beautiful Mrs. ♥️ and so many highlights!! 🤩✅ F...
04/28/2026

Back home after an epic weekend at the ITI Congress USA in Napa with my beautiful Mrs. ♥️ and so many highlights!! 🤩

✅ First visit to Stag’s Leap Vineyards during the 50th anniversary of the Judgment of Paris with great friends 🍷

✅ Another successful ITI Live! with my partner in crime - futból style! ⚽️

✅ Sharing experiences with the next generation of presenters during the Straumann Next Leaders summit 🎤

✅ Moderating world-class sessions with world-class speakers providing world-class implant education. 📚

✅ Ver el gremio Salvadoreño crecer adentro del ITI Section USA: Dr. David Medina, Dra. Ana Oliva y Dr. Enrique Melgar. Te extrañamos Dr. Eduardo González! 🇸🇻

✅ Unexpected run-ins with great friends from near and far (looking at you, Andrea, Josh, Shandon, Butler, Tinou, and so many more!) ♥️

✅ 20 years as an Fellow in alongside some of my favorite professionals and people in the world. 🌎

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04/19/2026

Just sayin’…. ⚔️

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3519 Paesanos Pkwy, Ste 103
San Antonio, TX
78231

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