Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction
Alejandro James, DDS, MsD, FID; Jose L. Castellanos, DDS
Alveolar Ridge Preservation and Reconstruction
Periodontal plastic surgery procedures designed to reconstruct deformed, partially edentulous residual ridges were introduced to the dental profession between 1971 and 1986. They have been revised and refined to their current state of development, where they now occupy a major place in the reconstructive armamentarium. Before these concepts were developed, it was generally believed that it was impossible to surgically reconstruct deformities in the partially edentulous ridge. Deformities were filled…
Periodontal Photo Essay
Dr. Daniel J. Melker presents a Periodontal Photo Essay. Question: Why do we barrel in furcations?
Peptide-Enhanced Bovine Xenograft to Treat Severe Defects
The following case studies highlight patients who presented with various severities of recession, and for whom periodontal plastic surgery was successfully completed without the use of the patient's palate as a donor site.
Treatment of the Mesial Concavity of Maxillary 1st Bicuspids in Comprehensive Periodontal and Restorative Cases
This video will discuss one of the most difficult areas to treat definitively, the mesial concavity of maxillary 1st bicuspids. Techniques will be evaluated whereby the surgeon can treat the cause of periodontal problems rather than the effects. A step by step presentation of removal of the concavity and the proper restoration of the post treated root surface will be shown.
Tooth Extraction Revisited - The Utilization of the Physics Forceps
This short clinical video will use animation and a clinical case to highlight the Physics Forceps for tooth extraction.
Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Preexisting malocclusion can aggravate this condition. This case report
demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases. The authors emphasize the importance of carefully planning the timing and sequence of performing periodontal, orthodontic, and implant therapies. The advanced techniques and technologies successfully implemented in this case report include the growth factor and titanium mesh (Ti mesh)-assisted bone augmentation; ovate pontic-mediated, noninvasive soft tissue contouring; and photofunctionalization
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.
Esthetic Periodontal Surgery: Making Recession Defects Disappear by Grafting
Expert discussion of soft tissue grafting; first an overview of current trends, the second showing a specific allograft technique for treating multiple adjacent recession defects.
Advanced Immediate Implant Placement Strategies Including the Socket Shield (SS) Technique and its Complications
Immediate implant placement in the aesthetic zone has become a controversial topic with regards to the long term aesthetic demands that both the profession and our patients have placed on this treatment modality. Since the controversy broke a few years ago there have been a number of outstanding developments that have revolutionized the way we do immediate implant placement. Soft tissue augmentations using the tunnel technique as well as the socket whiled technique are 2 of these techniques which form the baseline of treatment in our clinic. This lecture will go through all the updated protocols of immediate implant placement supported by the literature as well as deal specifically with the finer details of the socket whiled technique including step by step photos and video of the technique. More importantly it will cover numerous complications that we have had to deal with over the last few years that we have been doing this technique.
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