Connective Tissue Graft Using Alloderm
Lee H. Silverstein, DDS, MS, FACD, FICD
A Novel Approach to Root Coverage: The Pinhole Surgical Technique
Free connective tissue graft techniques are currently considered the most predictable surgical method for root coverage. However, morbidity associated with secondary graft sites has generated interest in other methods. The purpose of this study was to investigate the feasability of a novel surgical approach to root coverage: the pinhole surgical technique (PST). The retrospective study examined the results of PST used for 43 consecutive patients on 121 recession sites, of which 85 were Class I or II and 36 were Class III. The documented results indicate that PST holds promise as a minimally invasive, predictable, effective, and time and cost-effective method for obtaining optimal patient-based outcomes.
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.
Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc...
However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.
A Microsurgical Approach in Hard and Soft Tissue Grafting in Post Extraction Sockets
Minimally invasive surgery has demanded us to develop innovative tools and techniques and instruments to reduce postoperative complications and enhance faster and better healing in regeneration and reconstruction in hard and soft tissue grafting , especially in the esthetic zone. This case report shows the use of microsurgical approach and intervention to reconstruct the post extraction socket and the soft tissue around it.
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.
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.
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.
The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions
This program is a perspective into how cross- disciplinary interface planning has become and integral part of clinical esthetic dentistry, in particular implant diagnostics. Today it is essential to combine “white” tooth esthetics with “pink” gingival aspects. Understanding the individual prosthetic, surgical, and biologic limitations is part of innovative treatment-planning protocols developed in an approach to provide, simplify, and expedite minimally invasive limited therapy. Preemptive CBCT and 3D CAD/CAM planning of soft and hard tissue procedures, implant placement, ridge reduction, and restorative design now utilize new innovative protocols for the entire restoration from top to bottom - implant, abutment, and restoration - and the interfaces in between.
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