Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction

Author(s):

Alejandro James, DDS, MsD, FID; Jose L. Castellanos, DDS

Date Added:

9/15/2010


Summary:

Bone atrophy is a natural response to tooth extraction, and anatomic and functional aberrations can be magnified when alveolar atrophy is accompanied by periodontitis, root fracture, radicular caries, apical processes, or endoperiodontal complications. Some of these concerns require the clinician to perform several surgical procedures (eg, soft tissue and hard tissue autograft and allograft) with sometimes unpredictable results relative to interdental papilla reconstruction and the invariable loss of the gingival margin. In some instances, it may be advisable to preserve, rather than reconstruct, the papillary and marginal appearance, since this favors the predictability of the outcome.

Related Articles
The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement

The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues buccofacial to an immediately placed implant. The socket-shield technique is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the procedure in clinical practice with a 1-year follow up.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD
View Article>>
A Periodontal-Restorative Approach to Achieving an Esthetic Outcome in Worn Dentition

A Periodontal-Restorative Approach to Achieving an Esthetic Outcome in Worn Dentition
Esthetic dentistry demands more of clinicians than just simeple knowledge of tooth anatomy and the proper dimensions of teeth. Dentists must also know and understand the proper positions of the teeth in relation to the gingiva, the lips, and entire face. Esthetic measurements are not the only important factors. Other considerations need to include the patient's phonetics and function. A example of a situation where this knowledge and awareness is imperative is in the case of the worn dentition (eg, attrition, abrasion, etc). This article addresses a simple case of how a patients esthetics have been compromised as a result of erosion as well as parafunctional activity (toothbrush abrasion) and how the patient was eventually restored with an interdisciplinary approach between the restorative dentist and the periodontal surgeon.

Author(s): David Wong, DDS;Jerome Cha, DDS
View Article>>
Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report

Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report
This case report demonstrates the successful management of excessive gingival display with a lip-repositioning procedure.

Author(s): Ari Rosenblatt, DMD, DDS; Ziv Simon, DMD, MSc
View Article>>
Related Videos
Controversies in Modern Implant Therapy; Lasers and Immediate Loading Premium Member Content

Controversies in Modern Implant Therapy; Lasers and Immediate Loading
The biological basis for clinical applications of Lasers and Immediate Loading will be discussed and and protocols for clinical applications will be demonstrated. Protocols for soft tissue management, treatment of peri-implantitis with lasers and the positive effects of the loading forces on the bone will be used in order to accelerate treatment in Implant dentistry.

Presented By:: Georgios E. Romanos, DDS, PhD, Prof. Dr. med. dent.
Presentation Style: Video
Community Rating:
 
Watch Now>>
Removal of Failed Dental Implant in a Patient with Peri-Implantitis Premium Member Content

Removal of Failed Dental Implant in a Patient with Peri-Implantitis
In this video, Dr. Hamid Ryan Kazemi presents a patient who presented with atypical pain associated with a dental implant. Through a methodical work up, a peri-implantitis condition was diagnosed. In this video, Dr. Kazemi discusses the work up process and describes a non-invasive and conservative technique to remove the involved dental implant. Additionally, site grafting to prepare it for future implant is discussed

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities Premium Member Content

Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities
In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today.

Presented By:: David Wong, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool Premium Member Content

CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
This presentation will discuss and demonstrate the utilization of CBCT imaging from the perspective and scope of a periodontist and an oral and maxillofacial surgeon. Treatment planning, critical thinking skills and surgical execution of cases demonstrating complex dentoalveolar bone reconstruction and craniofacial deformities will be presented demonstrating how this paradigm shift has expanded capabilities and predictability to treat demanding cases.

Presented By:: Daniel B. Spagnoli, DDS, PhD;George A. Mandelaris, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z Premium Member Content

Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z
In this complete surgical video, Dr. David Wong performs an esthetic crown lengthening procedure to address a "gummy smile" as part of comprehensive therapy and smile enhancement. Dr. Wong will outline the indications for crown lengthening surgery as opposed to orthognathic correction. The surgical video will demonstrate the complete crown lengthening surgery, including incision design, flap management and instrumentation. In addition, suturing and post-operative care will also be outlined in detail.

Presented By:: David Wong, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist Premium Member Content

Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist
Contemporary patient expectations have made esthetics a major requisite of all treatment plans, especially in situations where there is a high smile line. Although new restorative materials have highly improved predictability and esthetic outcomes, soft and hard tissue management play a fundamental role when working in esthetic areas. To achieve ideal esthetics, preservation of the natural soft and hard tissue architecture is a primary clinical objective. These new proposed techniques illustrate the importance of pre-prosthetic soft and hard tissue management when working in highly esthetic compromised areas.

Presented By:: Giuseppe Cicero, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free





Contact Us | Privacy Policy | Terms of Use
©2017

Preferred Language: English Flag
Contact Us · Login · Register