Connective Tissue Graft Using Alloderm
Lee H. Silverstein, DDS, MS, FACD, FICD
Aesthetic Crown Lengthening
The rationale for crown lengthening procedures has progressively become more aesthetic-driven due to the increasing popularity of smile enhancement therapy. Although the biologic requirements are similar to the functionally oriented exposure of sound tooth structure, aesthetic expectations require an increased emphasis on the appropriate diagnosis of the hard and soft tissue relationships, as well as the definitive restorative parameters to be achieved. The development of a clinically relevant aesthetic blueprint and attendant surgical guide is of paramount importance for the achievement of successful outcomes.
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.
The Endentulous Ridge in Fixed Prosthodontics
In those clinical situations in which missing teeth are replaced with fixed prosthodontics, the clinician is faced with the task of fabricating the pontics to fulfill the requirements of esthetics, form and function, and oral physiotherapy. The relationship of the "dummy tooth", or pontic to the underlying ridge is inordinately complex, since the esthetic requirements invariably conflict with those of function and hygiene. Although pontic designs have been discussed in some depth in the literature,…
The Use of Triple Graft for Compromised Alveolar Sockets Associated with Gingival Recession
The Immediate Dentoalveolar Restoration technique has been used for over 7 years, allowing the reconstruction of tissue losses in the same surgical session of dental extraction, implant placement and provisional crown installation, minimizing the treatment time and morbidity of the procedures.
Papilla Preservation and Regeneration in Reconstructive Therapy
Dr. Thomas Han outlines the clinical decision making rational for choosing a specific surgical technique for diverse papilla regenerative challenges in the anterior region.
What Tissue Changes Can We Expect with Anterior Implant Therapy?
Minimizing soft tissue changes following anterior implant therapy is one of the holy grails in implant dentistry. Gingival recession will not only impact the patient’s esthetics, the difficulties in correcting such problem create further challenges to the clinicians.
This presentation will focus on how much soft tissue changes can be expected following implant in the esthetic zone. Discussion will be made as to the etiology of gingival recession and what we can do to prevent it from happening.
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...
A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.
From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone
This webinar will highlight surgical and restorative techniques to accomplish predictable outcomes in the esthetic zone with implant therapy. Treatment modalities will be demonstrated with high quality photography and case series discussion. Surgical modalities presented will include ridge preservation, the current evidence on the use of growth factors such as PRP and hr-PDGF bb. Also timing of implant placement as well as soft and hard tissue augmentation will be discussed. Special emphasis will be placed on immediate provisionalization of implants to accomplish optimal peri-implant mucosa architecture. Techniques to transfer provisional emergence profile to the final restoration will be presented.
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