Replacing the Natural Tooth System in the Esthetic Zone: Flapless Implant Placement and Simultaneos Restoration to Preserve Tissue Contours and Guarantee Esthetics
Paul S. Petrungaro, DDS
The Aesthetic Smile: Diagnosis and Treatment
Until recently, dentists' and the public's concept of dental aesthetics was necessarily limited to alterations of the teeth themselves. Dentists concerned themselves with changing the position, the shape and the color of the teeth -basically restoring missing units or enhancing those already present. For the most part the dentist was forced to accept the pre-existing relationship between the three components of the smile; the teeth, the gingival scaffold and the lips.
Peptide-Enhanced Bovine Xenograft to Treat Severe Defects
The following case studies highlight patients who presented with various severities of recession, and for whom periodontal plastic surgery was successfully completed without the use of the patient's palate as a donor site.
Unique Implant Technology for Immediate Provisional Restorations at Implant Placement
To achieve adequate bone regeneration and implant stability, external forces that cause micro- or macro movement to the bone graft and implants had to carefully eliminated.
Sequencing of Periodontal Procedures and Orthodontic Treatment
Severe cases of periodontal disease often require periodontal surgery and realignment of teeth. Surgical techniques have been developed that attempt to minimize postsurgical gingival recession and compromise the interdental papillae. A case report is presented in which reversal and correction of a deteriorating maxillary frontal dentition were effectively achieved through combined use of periodontal and orthodontic principles. The treatment plan included the control of periodontal inflammation, restoration of lost attachment apparatus, realignment of anterior dentition, stabilization of occlusion, and minor periodontal plastic surgery. The anticipated loss of a maxillary lateral incisor was avoided. Restoration of a pleasant smile with nicely aligned teeth and esthetic gingival contours was achieved. The correct sequencing of the procedures involved was considered a key factor for the long-term esthetic outcome.
Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6
Dr. Maurice Salama describes the step-by-step surgical techniques required to ensure successful Guided bone as well as soft tissue enhancement of a deficient extraction site.
TEETH 2013: When to Save and When to Extract and When to Regenerate
The treatment of periodontally compromised patients has been significantly altered by the availability of predictable implant dentistry.Where in the past, a compromised tooth with advanced bone loss and/or furcation invasion might have been retained, the high success rate of osseointegrated implants challenges the clinical decision. Should the tooth be saved with periodontal regeneration or be replaced with an implant?
Conversely, new biomimetic mediators have enhanced the predictability of regenerative outcomes and encourage endeavors to maintain the natural dentition. This lecture will address the clinical decision that occurs in every practice: save the tooth or place an implant.
Periodontal Clinical Issues
Examination of Different Aspects of Periodontics
The Future of Lasers in Periodontal Therapy: Science, Hype or Snake Oil
The results of recent research studies suggest that lasers provide a viable alternative to traditional periodontal surgery. Evidence is emerging that lasers provide an enhanced method for achieving this elusive goal, while eliminating many of the negative sequale associated with conventional pocket elimination surgery.
Esthetic Periodontal Surgery: Making Recession Defects Disappear by Grafting
Expert discussion of soft tissue grafting; first an overview of current trends, the second showing a specific allograft technique for treating multiple adjacent recession defects.
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