Connective Tissue Graft Using Alloderm
Lee H. Silverstein, DDS, MS, FACD, FICD
Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery
During the past two decades, significant advancements with the integration of periodontal plastic surgery into esthetic
restorative dental procedures have received increased attention. While ovate pontics have traditionally been used as a
restorative design following augmentation procedures to enhance esthetics, an alternate E-pontic design aims to
predictably support and maintain the gingival architecture between a single missing anterior tooth adjacent to a natural
tooth or an implant that is in harmony with the lip line and face. In addition, the E-pontic design promotes the gingival
facial tissue to coronally migrate over the pontic, creating a gingival sulcus. This article describes an innovative new
technique and a pontic design that predictably will develop, support, and maintain the gingival architecture to provide a
long-term esthetic and functional outcome.
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.
A Decision Tree for Soft Tissue Grafting
The decision tree proposed serves as a guide for clinicians to select the most appropriate and predictable soft tissue grafting procedure to minimize unnecessary mistakes while providing the ultimate desired treatment outcome.
Socket Shield Technique with Immediate Implant Placement & Provisional
The collapse of the buccal bone and the subsequent recession following teeth extraction is effectively prevented with the socket shield technique. This short presentation goes through the techniques for socket shield preparation of a central incisor as well as the fabrication of an immediate chorused provisional utilizing the patients own crown. Creating a walk out as you walk in scenario. This presentation will show a number of tips and tricks to make this technique as simple as possible. It will also show long term stability of the soft tissue and ridge after 18 months. This technique is one that needs to be in everyones armamentarium. The benefits are unbelievable.
The "Modified Tunnel" Technique and the development of the Lateral Tunnel Approach
The "Modified Tunnel" technique is a method of esthetic connective tissue grafting that protects the interdental papillae. First published in 1999, this lateral tunnel approach uses vertical incisions on both sides of the treatment area. These vertical incisions facilitate placement and positioning of the graft over the root surfaces without the need to disturb the interdental papillae. This technique is very useful in esthetic areas and those that involve several teeth. An acellular dermal connective tissue allograft is an excellent choice of graft material to use with this technique.
Revisiting the Papilla in 2015 - Part 1 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.
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.
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.
Biologic Strategies to Enhance Clinical and Aesthetic Success in Oral Implantology
This webinar will discuss clinical strategies for treatment of the complex implant site involving bone grafting and implant placement. Our understanding of cellular pathways, and our ability to control the wound response, expands our capacity to effect better aesthetic outcomes and compress treatment time. The reduction of the inflammatory phase of tissue regeneration speeds up osseointegration, prevents crestal bone loss, maintains papillary form, increases the density of peri-implant bone and increases tissue biotype. This enhanced tissue response allows us to predictably treat even the most complex surgical cases, compress time to final reconstruction, and to maintain these favorable tissue outcomes over an extended period of time. The use of dental implants with advanced biologic features and the incorporation autologous growth factors will be demonstrated.
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