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
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...
Maximizing Esthetic Transformations Using a Closed Flap ErCr - YSGG Modality
The clinical study presented in this article demonstrates that, in selected cases, combining minimally invasive laser therapy with detailed restorative design and technique can satisfy the bioesthetic functional requirements.
Alveolar Ridge Preservation and Reconstruction
Periodontal plastic surgery procedures designed to reconstruct deformed, partially edentulous residual ridges were introduced to the dental profession between 1971 and 1986. They have been revised and refined to their current state of development, where they now occupy a major place in the reconstructive armamentarium. Before these concepts were developed, it was generally believed that it was impossible to surgically reconstruct deformities in the partially edentulous ridge. Deformities were filled…
The Potential of Lasers in Advanced Periodontal and Implant Therapy
Periodontal Disease continues to be the single most significant issue in dentistry.
It effects the teeth, Implants and overall systemic health of our patients. This presentation describes the utilization of a specific laser energy in the treatment of periodontal bone loss around teeth and implants. The comparison of conventional techniques to laser therapy will also be discussed.
Periodontal Regeneration – State of the Art
The latest research and clinical options in periodontal regeneration.
"The Soft Block": Treating Severe Recessions Around Dental Implants - Part 1 of 2
Severe recessions around implants is a common issue.
Filipe Lopes & Bernardo Mira Correa will try to present simple algorithms and biological ways for trying to solve this kind of clinical challenge, other than implant explantation that must be also, and so many times, considered as the first choice.
This is intended to be the first of a series of posts on the subject.
We will feature different soft tissue management strategies, including autologous grafts and alloderm.
We will underline the importance of: diagnosis,PRGF ENDORET® graft, type of implant, grafting technique to use and allografts that can possibly help us on some challenging situations. At the end we will try to provide for a simpler treatment algorithm, that has been of good service for us, for some years now.
The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy?
Implant therapy is in the age of being increasingly aesthetically driven, not merely restorative. With the increasing popularity of immediate implants, particularly with anterior tooth extraction, the relevance of socket changes following extraction has come to the fore. Contrary to what was originally believed, the installation of an immediate implant does not arrest bone loss, and immediate implants in the aesthetic zone are prone to recession of bone and soft tissue as a result of bundle bone resorption which is obligatory with tooth extraction.
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.
Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Achieving or maintaining optimal aesthetics requires detailed treatment planning and sequencing of therapy, and often requires a multidisciplinary approach. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team.
This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.
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