Applied Techniques for Predictable Suture Placement Part 1
Lee H. Silverstein, DDS, MS, FACD, FICD
Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report
Excessive gingival display is a frequent
finding that can occur because of various
intraoral or extraoral etiologies. This report describes
the use of a mucosal coronally positioned flap for the
management of a gummy smile associated with vertical
maxillary excess and hypermobility of the upper
lip. For patients desiring a less invasive
alternative to orthognathic surgery, the mucosal coronally
positioned flap is a viable alternative. We demonstrate
short-term successful use of this technique
for the management of excessive gingival display in
the presence of slight vertical maxillary excess and
hypermobility of the upper lip. Long-term follow-up
studies are needed to determine stability of the results.
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…
Post Op Patient Care
Medication protocol for the post-op.
The CO2 Laser and it's Application in Modern Clinical Oral Surgery
Co2 Laser is a simple and versatile tool which can replace the knife for majority of minor oral surgical procedures which can be done on the chair side under local anaesthesia. The advantage of Co2 laser is a fact that it creates a bloodless, painless and heals with minimal scarring. Most common applications which include frenctomies, exposure of impacted teeth, pre-orthodontic exposure of canines, Excision of small fibromas, papillomas, warts and mucoceoles. Small hemangiomas and lymphangiomas can also be excised with minimal blood loss. This presentation gives the viewer an overview of the co2 laser and its application in various clinical scenarios. The safety aspect of using laser for the patient, operator and dental surgery assistants is also demonstrated.
Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc...
However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.
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 Innovative New Lip Stabilization Technique (LipStaT): Treating a Gummy Smile
There are various etiologies for a “gummy smile.” A new classification with appropriate management based on the etiology will be discussed. The innovative and minimally invasive LipStaT Procedure to correct a high and gummy smile in patients with vertical maxillary excess, short and hypermobile upper lip will be presented and discussed in detail.
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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