Applied Techniques for Predictable Suture Placement Part 1
Lee H. Silverstein, DDS, MS, FACD, FICD
Chu's Aesthetic Guages: Crown Lengthening
The Crown Lengthening Gauge has the Biologic Periogauge (BLPG) tip on one end and the Papilla tip on the opposite end. The BLPG tip is used to achieve the propermid-facial clinical crown and biologic crown (osseous crest to incisal edge position) length during surgical crown lengthening procedures. The Papilla tip follows the use of the BLPG tip to establish the correct aesthetic position of the interdental papilla fromthe incisal edge before the flap is closed and sutured.
Applied Techniques for Predictable Suture Placement Part 3
Standard protocols for suturing have been developed for the positioning and securing of surgical flaps to promote optimal healing. Parts 1 and 2 of this article discussed the indications for a variely of suturing techniques, including the periosteal suture technique, the simple look modification of interrupted suture technique, and several continuous suture techniques. Vertical mattress sutures, coronally repositioned mattress sutures, horizontal mattress sutures, and vertical sling mattress sutures…
A Technique for Surgical Mandibular Exostosis Removal
Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually an issue with patients. However, when removable prosthetics must sit either adjacent to or over these areas, pressure, food abrasion, ulceration, or limited tongue space can occur. This article describes a surgical technique for exdsion of exostosis through the presentation of a case. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. The…
Post Op Patient Care
Medication protocol for the post-op.
Smile Design 3D vs. 2D: The Evolution of Precision in Esthetic Digital Dentistry
In the digital dentistry era, trials never stop to achieve a full digital workflow to fabricate aesthetic restorations based on predictable and accurate facial guided smile design methods but the existing techniques present limitations in the process of transferring the design from 2D to 3D as they are mainly based on 2D Photography and 2D to 3D superimposition and transfers.
In this presentation a review of the available techniques and technologies is presented as well as a novel technique that has been used to design a 3D smile frame using 3D face scans, 3D intra oral optical scans, CBCT and multiple software to overcome the limitations of already available 2D smile design systems offering predictable, more accurate and easier to use workflows for success in analysis, planning, design and execution in everyday clinical practice.
A new tip of the week!
Bone Augmentation and Implant Planning in a 3-D CBCT World
Don’t sit on the sidelines! Incorporate CBCT technology into your practice today for improved implant treatment planning, perio defect diagnostics, identification of perio-endo involvement, bone grafting evaluation, surgical guide fabrication and implant outcomes assessment. This presentation will highlight cases where CBCT unparalleled views positively affected diagnosis, treatment plans, outcomes and case acceptance.
TMD, Parafunction and Occlusion for Natural Teeth and Implants: Diagnosis and Management
This presentation will address the basic science related to mechanics of the head and neck and the interrelationship with everyday clinical dentistry directly related to occlusion involving implants and the natural dentition. Alternative strategies for the management of parafunction and TMJ related issues will also be outlined.
The Interdisciplinary Software Platform. The Key For Modern Digital Dentistry
The starting point of a facially driven interdisciplinary dental treatment plan is "The Smile Frame". A few crucial photos and steps will come together to create the ultimate template you need to communicate to your dental team, colleagues, and the patient to ultimately increase case acceptance and create the most aesthetic and functional method of rehabilitation to your patient. We will discuss how this paradigm shift of regular analog dentistry has shifted to this modern digital world and the benefits it provides.
The protocol proposed will improve the diagnosis, communication and predictability of esthetic rehabilitation, from simple implant or restorative cases to complex cases, combining perio, ortho, and othognathic surgery. Emphasis will be given to the utilization of digital tools to enhance and facilitate the Dentist/Technician interaction and communication with the patient.
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