Connective Tissue Graft Using Alloderm
Lee H. Silverstein, DDS, MS, FACD, FICD
Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota
Amoxicillin is commonly used in oral surgery for antimicrobial prophylaxis against surgical-site infection and
bacteremia because of its effect on oral streptococci. The aim of this study was to determine whether amoxicillin reaches
the break-point concentrations in saliva and has any effect on the salivary microbiota, colonizing bacteria on mucosal
membranes and on the gingival crevice after a single dose of amoxicillin. A single dose given as prophylaxis to prevent a surgical-site infection results in a significant reducing effect on
the oral streptococcal microflora in the gingival crevice and may have an impact on bacteria spreading into tissues and the
bacteria of streptococci.
Laser Assisted Gingival Tissue Procedures
Soft tissue lasers are increasing in popularity among clinicians in part due to their potential value in preprosthetic gingival procedures. The ability of soft tissue lasers to control moisture and facilitate hemostasis appears particularly promising for clinicians excising gingival tissues, performing esthetic crown lengthening, and using resective techniques for gingival troughing—and these applications will grow as practitioners become more familiar with such technologies. This presentation highlights…
Maxillary Anterior Papilla Display During Smiling: A Clinical Study of the Interdental Smile Line
The purpose of this research was to quantify the presence or absence of interdental papillae during maximum smiling in a patient population aged 10 to 89 years. The visual display of interdental papillae during maximum smiling occurred 380 of the 420 patients examined in this study, equivalent to a 91% occurrence rate. Eighty seven percent of all patients categorized as having a low gingival smile line were found to display the interdental papillae upon smiling. Differences were noted for individual age groups according to the decade of life as well as a trend toward decreasing papillary display with increasing age. The importance of interdental papillae display during dynamic smiling should not be left undiagnosed since it is visible in over 91% of older patients and in 87% of patients with a low gingival smile line, representing a common and important esthetic element that needs to be assessed during smile analysis of the patient.
Prevention and Management of Peri-implant Soft Tissue Complications
A variety of soft tissue procedures have been employed for treatment of soft tissue and ridge defects around implant sites. Some of the limitations of current techniques include scar formation at recipient sites due to surface incisions, relapse of recession due to muscle pull during healing, wound dehiscence and graft exposure. This presentation will discuss the myriad flap and incision designs, tunnel techniques as well as grafting options and suturing.
Dento-Facial Esthetics in Search of Equilibrium
Dr. Rogerio Zambonato outlines new perspectives on dento-facial esthetic paradigms that aim at bringing into equilibrium function, health and comfort along with the alignment of dento-facial parameters of beauty.
Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management
This presentation by the Troeltzsch Brothers features the fundamentals of surgical procedures in the oral cavity. Highlighted are the basic concepts we all must integrate into our daily clinical practice. A discussion of the essential anatomic guidelines as they relate to flap design options and indications are emphasized. Furthermore, material selection, sutures and techniques of wound closures are clearly addressed. Critical solutions to common surgical complications are also described. This lecture is intended for surgical beginners as well as experienced clinicians who want to update their surgical knowledge. These fundamentals are also very popular in the hands-on courses given by the Troeltzsch brothers.
Connective Tissue Graft Harvesting Techniques - Part 1
In this presentation, Prof. Giovanni Zucchelli develops a critical comparison between the different CTG harvesting techniques, and shows the correct management of this kind of graft as well as its use in coronally advanced flap surgical technique for the treatment of gingival recessions.
Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry
Implant dentistry in the esthetic zone is highly challenging. In recent years several studies, well defined approaches have been published on how to achieve pleasing outcomes. We must understand the biology of extraction sites and different treatment options for preserving or even reconstructing bony structures for predictable implant insertion. This clinical and evidence based presentation emphasizes the importance of proper 3-dimensional implant surgery and how soft tissue grafting can effect the final end result. There will be a special focus on immediate extraction site placements and surrounding tissue management as well.
Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team.
This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.
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