Connective Tissue Graft Using Alloderm
Lee H. Silverstein, DDS, MS, FACD, FICD
Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery
Protocols and techniques for immediate tooth replacement in the esthetic zone have become more popular and predictable within the past decade. Two different clinical scenarios are presented where immediate temporization of implants placed into healed or augmented ridges is exemplified. The benefits of augmentation prior to implant placement and temporization are that flap elevation is not required; therefore, the blood supply to the labial plate is not compromised, thereby eliminating potential midfacial recession. In addition, the soft tissue subgingival shape of the temporary crown can be non-surgically sculpted at the time of implant placement since the patient is already anesthetized.
Use of the Natural Tooth for Soft Tissue Development - A Case Series
esults from this study showed that all patients achieved a normal or Class 1 papilla appearance similar to the original appearance of the natural tooth.
Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation
Osseointegrated dental implants have enjoyed long-term 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. Along with the many benefits of added predictability and enhanced options, the ever-evolving role of osseointegrated implants in the treatment pf the partially edentulous jaw has also created new challenged. Unlike the fully edentulous individual who maintains the implant-restorative interface beyond the lip perimeter, many partially edentulous patients undergo the transition within the esthetic zone.
Vestibuloplasty: Indications and Techniques
Description: Following the complete loss of teeth, the alveolar bone undergoes various degrees of resorption, particularly in response to tissue-supported conventional dentures. This results in loss of vestibule and decreased surface area for denture support. In this presentation, Dr. H. Ryan Kazemi reviews various vestibuloplasty procedures that have been described for restoring the vestibular depth and increasing denture surface area. Additionally, he discusses the application of vestibuloplasty in the management of patients with bone augmentation and implants who commonly present with decreased vestibular depth, the inadequate zone of keratinized gingiva, and thin soft tissue biotype. A step-by-step surgical technique is presented that will increase vestibular depth, the zone of attached gingiva, and soft tissue thickness for enhanced aesthetics and function of dental implants.
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.
Ceramic Reconstruction of Soft Tissue - Digital Information
This case demonstrates some digital tools that our dental team uses to provide as much as information as possible to the lab technician in order to achieve an acceptable result.
Revisiting the Papilla in 2016 - Part 2 of 2
While different surgical techniques can restore most aspects of a ridge deficiency,as part of the soft tissue restorative frame, the regeneration of lost proximal papilla form is surgically limited to those papillae bordered on each side by a pontic The Classification of 6 types of papilla defects is based on the specifics of the restorative support on either side of the individual site,and can therefore be a tooth, implant or pontic, or combinations of the 3.
A Review of Clinical Applications for Soft Tissue Allografts & Autografts: Solutions for Teeth, Implants, and Dentures
The presentation focuses on the clinical applications for acellular dermal graft (ADG) materials. ADGs have been commonly presented and discussed to provide solutions for treating gingival recession. Compared to autogenous grafts, they have the advantage of minimizing pain, discomfort, and surgery time for patients by avoiding an intraoral donor site such as the palate. In addition to treating gingival recession, ADGs also have uses in bone grafting surgeries such as socket grafting and ridge augmentations (GBR) when they are utilized as a barrier membrane. Finally, ADGs can be combined with bone grafting materials to aid in the augmentation of edentulous ridges to aid denture support. While this last application is less common, it's use is worthy of discussion.
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