Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

A Decision Tree for Soft Tissue Grafting A Decision Tree for Soft Tissue Grafting

Author(s):

Hom-Lay Wang, DDS, MSD, PhD;Daylene Jack-Min Leong, BDS

Date Added:

7/14/2011


Summary:

Periodontal plastic surgery is commonly performed for esthetic and physiologic reasons, such as alleviating root sensitivity, root caries, and cervical abrasion and facilitating plaque control at the affected site. Currently, there is a lack of information regarding the most appropriate treatment method for the various clinical situations encountered. The aims of this paper are to review and discuss the various clinical situations that require soft tissue grafting and to attempt to provide recommendations for the most predictable technique. Using MEDLINE and The Cochrane Library, a review of all available literature was performed. Papers published in peer-reviewed journals written in English were chosen and reviewed to validate the decision-making process when planning for soft tissue grafting. A decision tree was subsequently developed to guide clinicians to choose the most appropriate soft tissue grafting procedure by taking into consideration the following clinical parameters: etiology, purpose of the procedure, adjacent interproximal bone level, and overlying tissue thickness. The decision tree proposed serves as a guide for clinicians to select the most appropriate and predictable soft tissue grafting procedure to minimize unnecessary mistakes while providing the ultimate desired treatment outcome.

Related Articles
Current Trends in Gingival Recession Coverage

Current Trends in Gingival Recession Coverage
The recession of the gingiva is increasingly becoming a more prominent condition in the oral health of many patients and should be treated at its earliest detection. The multifactorial etiology, decision modality, and current trends followed in the treatment of gingival recession are discussed in this presentation. The correction of Class I and II gingival recessions are presented as a means of minimizing surgical trauma and achieving predictable aesthetic results. Part II of this discussion will present alternative techniques in treating gingival recession.

Author(s): André P. Saadoun, DDS, MS
View Article>>
Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation

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.

Author(s): David Garber, DMD;Maurice Salama, DMD;Henry Salama, DMD;Pinhas Adar, MDT, CDT
View Article>>
Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog

Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog
Dental implant surface technology has evolved from a relatively smooth machined implant surface for osseointegration to more roughened osteoconductive surfaces. Recent studies suggest that peri-implant soft tissue inflammation with progressive bone loss (ie peri-implantitis) is becoming a prevalent condition. One possibility that could explain sucha a finding is that more bacterial plaque forms on the roughened implant and abutment surfaces, which may result in the peri-implant inflammation if the soft tissues. This study compared 36 tissue-level implants with a machined transmucosal collar to 36 implants with a relatively roughened transmucosal surface in the dog. The results demonstrated that the connective tissue contact was similar between the two implant types but that the junctional epithelium and biologic width dimensions were greater around the implants with the machined collars...

Author(s): David L. Cochran, DDS, PhD; Marcel Obrecht, SDIS; Klaus Weber, PhD, MDV, MS; Michel Dard, DDS, PhD; Dieter Bosshardt, PhD; Frank L. Higginbottom, DDS; Thomas G. Wilson Jr., DDS; Archie A. Jones, DDS
View Article>>
Related Videos
Vestibuloplasty: Indications and Techniques Premium Member Content

Vestibuloplasty: Indications and Techniques
Vestibuloplasty: Indications and Techniques

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Restoring the Pink and White Esthetics. Clinical Case Presentation Premium Member Content

Restoring the Pink and White Esthetics. Clinical Case Presentation
Every esthetic case is a challenge. As clinicians we need to understand and combine different treatment modalities and materials to achieve outstanding esthetic and functional results. This clinical case will demonstrate the importance of the little details, and how they influence the final result. We’ll go step by step thought the analyze, planning surgical and prosthetic procedures with focus on the key points that I find to be crucial.

Presented By:: Ventseslav Stankov, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Roll Technique in Soft Tissue Augmentation with Implants Premium Member Content

The Roll Technique in Soft Tissue Augmentation with Implants
In this surgical video, a modified roll technique is utilized for labial augmentation of an anterior implant at the time of uncovering. Incision design, de-epithelialization, tunnel flap on labial and suturing is described. Post-op results are included.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist Premium Member Content

Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist
Contemporary patient expectations have made esthetics a major requisite of all treatment plans, especially in situations where there is a high smile line. Although new restorative materials have highly improved predictability and esthetic outcomes, soft and hard tissue management play a fundamental role when working in esthetic areas. To achieve ideal esthetics, preservation of the natural soft and hard tissue architecture is a primary clinical objective. These new proposed techniques illustrate the importance of pre-prosthetic soft and hard tissue management when working in highly esthetic compromised areas.

Presented By:: Giuseppe Cicero, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Surgical Veneer Grafting: Utilization in Immediate Implant Placement Premium Member Content

Surgical Veneer Grafting: Utilization in Immediate Implant Placement
The management of the digital implant prosthetic dentistry, especially in the anterior esthetic area, is one of the hottest topics in Dentistry. The diagnostic phase is critical. In the course, are discussed all the parameters to achieve the correct diagnosis of the socket and the various treatment plan correlated to each anatomical type of socket. The Dual Zone approach (bone zone and tissue zone) will be evaluated and discussed in detail, regarding each of their variables.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Fibrin Assisted Soft Tissue Promotion (FASTP) Premium Member Content

Fibrin Assisted Soft Tissue Promotion (FASTP)
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

Presented By:: Alina Krivitsky, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free





Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register