A Review of Dental Suturing for Optimal Soft-Tissue Management
Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
Labial Bone Thickness in Area of Anterior Maxillary Implants Associated with Crestal Labial Soft Tissue Thickness
Soft tissue problems (ie, gingival recessions) are common in implantology and are often associated with thin soft tissue biotypes or buccally placed implants. Goaslind described 2 types of biotypes commonly found in the natural dentition: thick and thin. It has been suggested that thicker soft tissue biotypes are associated with less tissue recession, higher crestal bone levels, and better aesthetics. A thin tissue biotype has been shown to be more prone to tissue recession. Gingival recession is always associated with alveolar bone dehiscences. Furthermore, there is evidence that thick soft tissue may be protective against crestal bone loss (ie, tissue thickness of ,2.5 mm resulted in crestal bone loss of 1.45 mm vs. thicker tissues had 0.26 mm). This protective effect occurred, despite the supracrestal position of the implant-abutment interface.
Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report
Excessive gingival display is a frequent
finding that can occur because of various
intraoral or extraoral etiologies. This report describes
the use of a mucosal coronally positioned flap for the
management of a gummy smile associated with vertical
maxillary excess and hypermobility of the upper
lip. For patients desiring a less invasive
alternative to orthognathic surgery, the mucosal coronally
positioned flap is a viable alternative. We demonstrate
short-term successful use of this technique
for the management of excessive gingival display in
the presence of slight vertical maxillary excess and
hypermobility of the upper lip. Long-term follow-up
studies are needed to determine stability of the results.
Soft Tissue Stability with Immediate Implants and Concave Abutments
The aim on the present retrospective study was to observe the dimensional alterations of the peri-implant tissues after immediate implants and single tooth restorations with concave abutments performed on 28 patients, with a mean follow-up time on 20.4 months.
The Use of Triple Graft for Compromised Alveolar Sockets Associated with Gingival Recession
The Immediate Dentoalveolar Restoration technique has been used for over 7 years, allowing the reconstruction of tissue losses in the same surgical session of dental extraction, implant placement and provisional crown installation, minimizing the treatment time and morbidity of the procedures.
Functional Gingival Grafts in Anterior Implant Therapy - Part 1 of 2
Dr. Richard Martin outlines his approach to simultaneous gingival grafting following extraction to preserve or enhance the critical labial gingival margins around implant restorations in the esthetic zone.
Cosmetic Crown Lengthening
Cosmetic crown lengthening
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.
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.
Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction
In addition to surgical intervention is the creation of the specific emergence profile that is essential in the aesthetic zone. The emergence profile composed of 2 parts, the abutment and the subgingival part of the crown. The shape of abutment can be individually shaped so that it gives natural appearance and varies individually (depending on the depth, angulation and diameter of the implant). Sometimes it even dictates the implant position. From a surgical perspective, soft tissue height, position and thickness need to be diagnosed and corrected when needed. From the prosthetic point of view, the emergence profile has to be created to mimic the natural appearance and maintained over time in respect to the biological changes. The course teaches step by step how to be successful with implant prosthetics from single tooth, partially edentulous to full arch reconstruction.
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.