A Review of Dental Suturing for Optimal Soft-Tissue Management
Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management
of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a
ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the
periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates
the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues
buccofacial to an immediately placed implant.
The socket-shield technique
is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the
procedure in clinical practice with a 1-year follow up.
Predictable Gingival Correction of Passive Eruption
While the need to maintain a dry operative field has traditionally caused complications during various soft tissue surgical procedures, the use of bipolar electrosurgical techniques can eliminate the need to maintain a dry field, thus increasing the clinician’s ability to deliver predictable, long-term results. This case presentation describes how to determine the presence of passive eruption, treatment plan its correction, and surgically alter the gingiva to provide a more aesthetic smile. This…
The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication,
especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts
supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete
failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication.
Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well
restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be
successful, as is presented hereafter.
The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects
In this clinical video, the “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique is displayed in the treatment of multiple anterior recession defects on previously restored teeth. Debridement, root conditioning, incisions, ACDM placement, instrumentation and suturing are highlighted as well as two week postop results.
Socket Shield Technique with Immediate Implant Placement & Provisional
The collapse of the buccal bone and the subsequent recession following teeth extraction is effectively prevented with the socket shield technique. This short presentation goes through the techniques for socket shield preparation of a central incisor as well as the fabrication of an immediate chorused provisional utilizing the patients own crown. Creating a walk out as you walk in scenario. This presentation will show a number of tips and tricks to make this technique as simple as possible. It will also show long term stability of the soft tissue and ridge after 18 months. This technique is one that needs to be in everyones armamentarium. The benefits are unbelievable.
SPANISH - Free Gingival Graft - Current Strategies
Techniques in grafting free gingival tissue.
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.
A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.
Gingival Reconstruction & Soft Tissue Grafting
New perspectives in gingival reconstruction and soft tissue grafting.
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