Applied Techniques for Predictable Suture Placement Part 1
Lee H. Silverstein, DDS, MS, FACD, FICD
Preserving Needle Edges During Dental Suturing
The evolution of suture materials has presented today's clinician with numerous alternatives when performing dental suturing. Contemporary sutures not only eliminate some of the difficulties that the surgeon may have encountered previously during closure, but also decrease the potential of postoperative infection and help provide optimal healing. Despite the sophistication of the suture materials (ie, Perma Sharp, Hu-Friedy, Chicago, IL) and surgical techniques now available, closing a wound still involves…
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…
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.
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.
Post Op Patient Care
Medication protocol for the post-op.
Beta-Tricalcium Phosphate Composites in Bone Regeneration
Socket preservation procedures and bone regeneration with beta-tricalcium phosphate composites.
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.
Controlled Ridge Splitting (CRS)
To demonstrate a new technique of controlled ridge splitting (CRS) in severely atrophied maxillary cases as an alternative to autogenous block graft. Twenty cases were completed using a controlled ridge splitting (CRS) technique with a total of 65 implants were placed in severely atrophied Maxillae and followed after the implants were loaded.
Results: The CRS technique was used in very complex cases, where the alternative method will be autogenous block graft. A total of 65 tapered implants were placed. The implants diameter ranged between 3.25-5mm with a length ranged between 10-13mm. The implants were restored and were followed for 1-3 years. All implants achieved osseointegration and continue to have successful prostheses. Conclusion: The CRS is a predictable treatment option and could be a good alternative to autogenous block grafts is severely atrophic maxillae.
The Holy Grail of True Regeneration - Fibronectin
This webinar will involve a histologic study review about the key role of fibronectin, "Nature's Nectar" & why it is the Holy Grail of true regeneration. Come follow a real Professor's histologic journey in search of the Raiders of the Lost Attachment and how to get it back.
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