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.
Surgical and Orthodontic Management of Impacted Maxillary Canines
Although the mechanical management of impacted teeth is a routine task for most orthodontists, certain impactions can be frustrating, and the esthetic outcome can be unpredictable if the surgeon uncovers the impacted tooth improperly. When referring a patient to have an impacted toothuncovered,theorthodontist might assume incorrectly that the surgeon knows which surgical procedure to use. However, if not instructed properly, the surgeon could select an inappropriate technique, leaving the orthodontist with…
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…
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.
Post Op Patient Care
Medication protocol for the post-op.
Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
The need for an adequate alveolar ridge width has been a long-standing principle in pre-prosthetic surgery. Since the introduction of root-form endosseous dental implants, the necessity of proper alveolar ridge width has become essential. Many surgical pre-implant bone augmentation techniques with the goal of reconstructing deficient alveolar width, height, or both have been proposed. A variety of alveolar ridge augmentation techniques for treatment of 2-D and 3-D bone deficiencies have been described and include guided bone regeneration (GBR) with a cancellous graft, onlay/veneer block graft, inlay grafting, ridge-split, vertical and horizontal distraction osteogenesis, and others.
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.
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”.
Mastering Surgical Principles: Key to Constant Success
Clinical success depends on material and technique selection, but no material or technique will succeed if surgical principles are not respected. Attention to detail is imperative and mastering surgical principles is key to constant success. This course aims to review principles of flap design and elevation, as well as degranulation, debridement, suturing and wound stabilization of the most commonly performed periodontal, implant and advanced bone grafting procedures. Pharmacologic protocols and anesthesia will also be discussed.
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