Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction
Alejandro James, DDS, MsD, FID; Jose L. Castellanos, DDS
Healing of Gingival Recessions Using a Collagen Membrane with a Demineralized Xenograft
A Randomized Controlled Clinical Trial
Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis
This report investigates the outcome of CLS procedures performed at an urban dental school in a population of
individuals with HIV. Specifically, this retrospective clinical analysis evaluates the healing response after crown lengthening surgery (CLS). Of the 21 patients with HIV examined after CLS, none had postoperative complications, such as delayed healing, infection, or prolonged bleeding. Variations in viral load, CD4 cell count, smoking, platelets, and neutrophils did not impact surgical healing. In addition, variations in medication regimens
(highly active anti-retroviral therapy; on pro-tease inhibitors; no medications had an impact. The results of this retrospective analysis show the absence of postoperative complications after CLS in this population with HIV. Additional investigation into this area will help health care practitioners increase the range of surgical services provided to this group of patients.
Alargamiento clínico coronal en la erupción pasiva alterada - aspectos diagnósticos y quirúrgicos para el logro estético y la estabilidad tisular
El siguiente articulo nos muestra de una manera completa cómo se llevan a cabo este tipo de decisiones fundamentadas en aspectos biológicos y estéticos.
Developing White and Pink Esthetics through Reconstructive Surgery
This lecture/video presentation describes the comprehensive treatment of a case in which we needed to reconstruct the hard and the soft tissue after the extraction of a central incisor. The video demonstrates on of several possible surgical procedures for the reconstruction of tissue defects within the esthetic zone. Specifically, a non-resorbable membrane was utilized and combined with a modification of the pedicle connective tissue graft at the same time of the extraction.
Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile.
The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.
Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6
Dr. Maurice Salama describes the step-by-step surgical techniques required to ensure successful Guided bone as well as soft tissue enhancement of a deficient extraction site.
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.
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.
"The Root Membrane Technique” / Socket Shield: Long-Term Results
Loss of blood supply derived from the periodontal ligament (PDL) has been identified as a major etiologic factor for ridge resorption. Animal studies and case reports provide proof-of-principle data on the feasibility of immediate implant placement in proximity to a retained root fragment for the strategic preservation of the natural tooth apparatus. This novel concept relies on the preservation of PDL, buccal bone and soft tissue esthetics via selective preservation of the buccal portion of the root and PDL which can lead to predictable and sustainable clinical stability of immediately placed and loaded implants.
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