Connective Tissue Graft Using Alloderm
Lee H. Silverstein, DDS, MS, FACD, FICD
Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra
The key to the success of soft tissue
lasers is their ability to cut and coagulate the
soft tissue at the same time. Present work is
aimed to derive the wavelength-dependent
differences in photo-thermal ablation and
coagulation efficiencies for oral soft tissue
pulsed dental Near-IR Diode, Mid-IR Erbium
and IR CO2 lasers. Even though the soft tissue photothermal
ablation has been extensively
studied, there remains a discrepancy
between (a) the widely proliferated notion
about efficient Near-IR 800-1,100 nm laser
ablation of the oral soft tissue, and (b)
studies reporting the inefficient soft tissue
Near-IR absorption/ablation. Indeed, the notions about “the key to
the usefulness of the Nd:YAG is that this
wavelength is highly absorbed in oral soft
tissue”, and “all currently available dental
laser instruments and their emission wavelengths
have indications for use for incising,
excising... oral soft tissue surgery”,
contradict an observation illustrated here...
Palatal Augmentation Technique: A Predictable Method to Increase the Palatal Connective Tissue at Donor Sites - A Consecutive Case Series
The palatal masticatory mucosa between the canine and first molar is the main source of connective tissue graft (CTG) for use in periodontal plastic surgery. The purpose of this study was to evaluate the palatal augmentation technique (PAT) to increase the palatal connective tissue donor area using a collagen sponge inserted between the palatal flap and bone. The 26 patients enrolled in this study were referred for root coverage and ridge augmentation procedures. All patients lacked adequate donor palatal tissue thickness. The PAT uses a full thickness flap and bone. The palatal thickness was clinically assessed before and after collagen sponge insertion. A Manual probe was inserted in the mucosal surface perpendicular to the long axis of each tooth approximately 6mm from the gingival margin. Probing depth and recession were also recorded. Treatment with PAT resulted in a statistically significant increase in the palatal thickness.
Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation
Osseointegrated dental implants have enjoyed longterm success in the rehabilitation of totally edentulous patients. Every aspect of traditional treatment planning protocols continues to be re-evaluated and updated to better incorporate the benefits of osseointegration into clinical practice. This is particularly evident as dentistry has committed to fully integrating this approach into the more varied and demanding environment of the partially edentulous patient.
Zero Bone Loss Protocol - Part I: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability
It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorption. The role of soft tissue thickness is well established in aesthetic treatment. It is known that thin soft tissues present an unfavorable situation for implant placement, crestal bone stability and subsequent prosthetic treatment.
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.
Tunneling Technique for Treating Multiple Recession Defects - A Surgical Technique Video
Dr. Maurice Salama describes the utilization of the tunneling technique in treating multiple recession defects in a thin tissue environment.
Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting
The loss of alveolar ridge contour in the esthetic zone compromises both esthetics and function. This clinical presentation will focus on the application of both hard and soft tissue grafting in the esthetic zone implementing state of the art interactive CT diagnosis and treatment planning for optimal esthetic implant reconstruction.
Emphasis will be on indications, graft and harvest site assessment, timing, and use of bioactive modifiers including BMP, PRGF and PDGF. The surgical protocol utilizing allogeneic and autogenous grafts in conjunction with connective tissue grafts, acellular dermis matrix, and related soft tissue procedures to avoid functional and esthetic pitfalls will be featured. Pre and post-grafting prosthetic workup, interactive CT graft assessment and perio prosthetic driven implant planning, stent driven implant placement, and computer milled abutment fabrication including guided surgery will be included.
The Evolving Role of Soft Tissue Grafting in Esthetic Reconstructive Dentistry
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted.
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.
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