Laser Assisted Crown Lengthening
Ernesto A. Lee, DMD
Acellular Dermal Matrix Grafts for Root Coverage Procedures: Review of Products and Introduction of a New Technique
Gingival recession remains a significant problem in dental esthetics as well as periodontal health. Adequate zones of keratinized, attached tissue are vital for long-term periodontal health and maintenance. The correction of gingival recession is an important principle in cosmetic dental procedures that requires a harmonious gingival complex. Correction of deficient gingival tissues by either autogenous or allogenic tissue grafts has been well documented in the literature. This article will delineate differences among the various acellular dermal grafts as well as introduce a new technique that can enhance success.
Bipolar Soft Tissue Management & Functional Mock-Ups
Patients desiring a cosmetic smile improvement can present challenges to the dentist when treatment planning. An excessive display of gingiva due to a high lip line often complicates treatment planning and can compromise the final esthetic result when proper planning is not considered prior to finalizing the case. We often have to ask ourselves as we evaluate the patient, do we “lower the river” (increase tooth length incisally), “raise the bridge” (increase tooth length gingivally) or a combination…
Similarities Between an Acellular Alloderm and a Palatal Graft for Tissue Augmentation
Predictable tissue regeneration presents a considerable challenge in the surgical treatment of gingival tissue defects. Soft-tissue augmentation procedures to increase the existing or create a new zone of attached keratinized gingival tissue have classically been performed using the patient's own masticatory mucosa and, more recently, using an acellular dermal allograft as the donor material. This article presents a clinical case whereby an acellular dermal allograft was placed on the buccal surface…
Growth Factor Mediated Regenerative Therapies
In this very technical and scientific presentation, Dr. Joseph Choukroun, a physician and researcher from France, describes the benefits of Platelet Rich Fibrin (PRF) in wound healing. He emphasizes the effect of PRF on the two essential factors of wound healing which are new vessels and cells in surgical sites like extraction sockets, sinus augmentation and more.
Dental Sleep Medicine in Everyday Practice - Endothelial Dysfunction - Part 1 of 2
Dr. Michael Gelb elaborates on the nuances of treating sleep disorders in the dental practice. Utilizing the EndoPat-2000 to measure the health or dysfunction of the endothelium, Dr. Gelb ascertains an important risk factor in cardiovascular disease.
Revisiting the Papilla in 2016 - Part 2 of 2
In dental esthetics the regeneration of a compromised papilla , remains the most complex aspect of any reconstructive endeavor. The original 5mm Rule was found to exist only for a papilla bordered by 2 teeth and was expanded into a classification of 6 Types dependent on alternative adjacent support.e. implants or pontics.
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.
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...
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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