Clinical Realities - Maximizing Aesthetics and Health Using a Closed-Flap ER: YSGG Laser Technique
Hugh Flax, DDS, PC
Aesthetic Crown Lengthening
The rationale for crown lengthening procedures has progressively become more aesthetic-driven due to the increasing popularity of smile enhancement therapy. Although the biologic requirements are similar to the functionally oriented exposure of sound tooth structure, aesthetic expectations require an increased emphasis on the appropriate diagnosis of the hard and soft tissue relationships, as well as the definitive restorative parameters to be achieved. The development of a clinically relevant aesthetic blueprint and attendant surgical guide is of paramount importance for the achievement of successful outcomes.
Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy
This article suggests a strategy to provide a more predictable protocol for esthetic implant treatment for multiple- tooth defects using the root submergence technique (RST). The RST maintains the natural attachment apparatus of the tooth in the pontic site, which in turn allows for complete preservation of the alveolar bone frame and assists in the creation of an esthetic result in adjacent multipletooth- replacement cases.
Similarities Between an Acellular Alloderm and a Palatal Graft for Tissue Augmentation
Predictable tissue regeneration presents a considerable challenge in the surgical treatment of gingival tissue defects. Soft-tissue augmentation procedures to increase the existing or create a new zone of attached keratinized gingival tissue have classically been performed using the patient's own masticatory mucosa and, more recently, using an acellular dermal allograft as the donor material. This article presents a clinical case whereby an acellular dermal allograft was placed on the buccal surface…
Modified Tunneling Technique
Surgery utilizing modified tunneling technique.
Revisiting the Papilla in 2016 - Part 2 of 2
In dental esthetics the regeneration of a compromised papilla , remains the most complex aspect of any reconstructive endeavor. The original 5mm Rule was found to exist only for a papilla bordered by 2 teeth and was expanded into a classification of 6 Types dependent on alternative adjacent support.e. implants or pontics.
A Microsurgical Approach in the Esthetic Zone: Recession Coverage Utilizing a Modified Tunneling Technique
This surgical video is intended to present a predictable technique for recession coverage. Using micro surgical instruments in a minimal invasive manner, we can avoid tissue damage and we can enhance the healing of the surrounding structures.
Revisiting the Papilla in 2015 - Part 1 of 2
This program will clarify the 6 categories of papilla, and just how to predictably re-develop each type utilizing surgery, pink composite, orthodontics and/or porcelain. It will also demonstrate how to use The Classification Dimension chart to predictably optimize esthetic incomes with innovative treatment planning.Including pontics on at least 1 side of a papilla greatly enhance potential outcomes, simplify treatment choices and decrease treatment time. Preemptive planning is the key to rapid, successful esthetics.
Revisiting the Papilla in 2016 - Part 2 of 2
While different surgical techniques can restore most aspects of a ridge deficiency,as part of the soft tissue restorative frame, the regeneration of lost proximal papilla form is surgically limited to those papillae bordered on each side by a pontic The Classification of 6 types of papilla defects is based on the specifics of the restorative support on either side of the individual site,and can therefore be a tooth, implant or pontic, or combinations of the 3.
Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry
Implant dentistry in the esthetic zone is highly challenging. In recent years several studies, well defined approaches have been published on how to achieve pleasing outcomes. We must understand the biology of extraction sites and different treatment options for preserving or even reconstructing bony structures for predictable implant insertion. This clinical and evidence based presentation emphasizes the importance of proper 3-dimensional implant surgery and how soft tissue grafting can effect the final end result. There will be a special focus on immediate extraction site placements and surrounding tissue management as well.
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