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

Connective Tissue & Bone Graft for Anterior Immediate Implant Placement Connective Tissue & Bone Graft for Anterior Immediate Implant Placement

Author(s):

Thomas J. Han, DDS

Date Added:

7/21/2008


Summary:

Immediate implant placement in a one-stage approach, with or without provisionalization, has proven to be advantageous in preserving gingival anatomy around dental implants. But placing implants immediately in the changing alveolar bone of an extraction socket can result in progressive recession of the gingival labial margin over the implant restoration. Thicker biotypes and bone of the labial periimplant tissue have been shown to promote long-term stable gingival margins. A surgically simple technique is presented here, utilizing crescent-shaped connective tissue and grafting to promote thicker labial bone and biotype. Surgical procedures as well as their biologic and clinical rationale are described. One-year postrestoration results showed stable labial gingival margins over the implant placed in one-stage approach.

Related Articles
Labial Bone Thickness in Area of Anterior Maxillary Implants Associated with Crestal Labial Soft Tissue Thickness

Labial Bone Thickness in Area of Anterior Maxillary Implants Associated with Crestal Labial Soft Tissue Thickness
Soft tissue problems (ie, gingival recessions) are common in implantology and are often associated with thin soft tissue biotypes or buccally placed implants. Goaslind described 2 types of biotypes commonly found in the natural dentition: thick and thin. It has been suggested that thicker soft tissue biotypes are associated with less tissue recession, higher crestal bone levels, and better aesthetics. A thin tissue biotype has been shown to be more prone to tissue recession. Gingival recession is always associated with alveolar bone dehiscences. Furthermore, there is evidence that thick soft tissue may be protective against crestal bone loss (ie, tissue thickness of ,2.5 mm resulted in crestal bone loss of 1.45 mm vs. thicker tissues had 0.26 mm). This protective effect occurred, despite the supracrestal position of the implant-abutment interface.

Author(s): Bach Le, DDS, MD, FICD;Ali Borzabadi-Farahani, DDS, MScD, MOrth RCS
View Article>>
Connective Tissue Graft Using Alloderm

Connective Tissue Graft Using Alloderm
Gingival recession is a clinical condition encountered in many dental practices during routine patient care. Fortunately, there are a variety of surgical procedures that the clinician can use to address gingival recession and return the patient to optimal health and aesthetics. As dental professionals gain a higher awareness of the available surgical materials and restorative techniques, the success and predictability of treatment for gingival recession on single and multiple adjacent teeth has…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
Current Trends in Gingival Recession Coverage

Current Trends in Gingival Recession Coverage
The recession of the gingiva is increasingly becoming a more prominent condition in the oral health of many patients and should be treated at its earliest detection. The multifactorial etiology, decision modality, and current trends followed in the treatment of gingival recession are discussed in this presentation. The correction of Class I and II gingival recessions are presented as a means of minimizing surgical trauma and achieving predictable aesthetic results. Part II of this discussion will present alternative techniques in treating gingival recession.

Author(s): André P. Saadoun, DDS, MS
View Article>>
Related Videos
PORTUGUESE - Free Gingival Graft Premium Member Content

PORTUGUESE - Free Gingival Graft
Surgical Techniques in Grafting

Presented By:: Maurice Salama, DMD;Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Free-Gingival Graft - A Detailed Video Review Premium Member Content

The Free-Gingival Graft - A Detailed Video Review
This video presentation displays a step by step review of the clinical surgical process from incision, to bed prep, all the way through to final suturing and stabilization.

Presented By:: Daniel J Melker, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 2 of 3 Premium Member Content

The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 2 of 3
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Perioderm), platelet rich in growth factors (PRGF, PRF), and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, and dentulous ridges, will be reviewed as to its critical role in "Complete Esthetics".

Presented By:: Maurice Salama, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Combination Therapies in the Esthetic Zone: Steps for Success Premium Member Content

Combination Therapies in the Esthetic Zone: Steps for Success
This presentation will cover the critical aspects to consider for deciding the sequence and implementation of combination therapies. Successful esthetic zone treatment must begin with a well thought-out space management plan. This plan involves a three dimensional adjustment of the periodontal attachment, with a possibility of root submergence and partial extraction technique. Following this, a decision is made concerning the timing and position of implant placement, and an adequate hard tissue foundation can be restored using GBR with titanium mesh and collagen membrane. On top of this base a more efficient soft tissue augmentation and adjustment completes the requirements for success in the esthetic zone.

Presented By:: Tomohiro Ishikawa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2 Premium Member Content

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration. Tissue support, emergence profile and The provisional restoration phase of implant therapy has become one of the most critical steps in immediate or delayed placement for several reasons including the following...

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Self-Study 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
©2018

Preferred Language: English Flag
Contact Us · Login · Register