Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

A Review of Dental Suturing for Optimal Soft-Tissue Management A Review of Dental Suturing for Optimal Soft-Tissue Management

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS

Date Added:

1/3/2005


Summary:

Establishing nontension primary wound closure of various softtissue flaps is paramount for optimal postsurgical wound healing. Surgical procedures that require clinical flap manipulation such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard- and soft-tissue regeneration, and the excision of pathologic tissue also require excellence in execution and thorough understanding of the various techniques of surgery, suturing, and the materials currently available to ensure the desired clinical results. This article will discuss the rationale of specific suturing techniques and suture materials to aid the clinician in obtaining optimal wound closure.

Related Articles
Soft Tissue Cone-Beam Computed Tomography: A Novel Method for the Measurement of Gingival Tissue and the Dimensions of the Dentogingival Unit

Soft Tissue Cone-Beam Computed Tomography: A Novel Method for the Measurement of Gingival Tissue and the Dimensions of the Dentogingival Unit
The purpose of the present study was to develop a soft tissue cone-beam computed tomography (ST-CBCT) to improve soft tissue image quality and allow the determination of the dimensions and relationships of the structures of the dentogingival unit. Two separate CBCT scans were obtained from three patients with different periodontal biotypes. The first was a scan following standard methods; however, for the ST-CBCT the patients wore a plastic lip retractor and retracted their tongues toward the floor of their mouths.

Author(s): ALESSANDRO LOURENÇO JANUÁRIO, DDS, MS, PhD; MAURÍCIO BARRIVIERA, DDS, MS; WAGNER RODRIGUES DUARTE, DDS, PhD
View Article>>
Current Trends in Gingival Recession Coverage 2

Current Trends in Gingival Recession Coverage 2
The recession of the gingiva is increasingly becoming a prominent condition in the oral health of many patients and should be treated at its earliest detection. Part I of this discussion reviewed the multifactorial etiology and decision modality; a treatment option was demonstrated for gingival recession using the tunneling technique. This concluding part of the discussion highlights two clinical cases using alternative approaches. The correction of Class I and II gingival recessions are presented as a means of minimizing surgical trauma and achieving predictable aesthetic results.

Author(s): André P. Saadoun, DDS, MS
View Article>>
The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla

The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla
Following tooth extraction the implant surgeon may select between various implant placement timing and loading protocols. Ideally these are to be determined prior to extraction, be it immediate, early, or late placement. Immediate implant placement even in the aesthetic zone is a literature supported treatment modality with success comparable to alternative placement protocols. Meticulous restorative treatment planning of a tooth destined for extraction is essential. Selecting the appropriate implant and techniques may preserve and ensure natural aesthetics. Utilizing the patient’s own tooth crown can better provisionalize the implant with a ‘walk out as you walk in’ result.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit
View Article>>
Related Videos
Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6 Premium Member Content

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.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Modified Tunneling Technique Premium Member Content

Modified Tunneling Technique
Surgery utilizing modified tunneling technique.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z Premium Member Content

Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z
In this complete surgical video, Dr. David Wong performs an esthetic crown lengthening procedure to address a "gummy smile" as part of comprehensive therapy and smile enhancement. Dr. Wong will outline the indications for crown lengthening surgery as opposed to orthognathic correction. The surgical video will demonstrate the complete crown lengthening surgery, including incision design, flap management and instrumentation. In addition, suturing and post-operative care will also be outlined in detail.

Presented By:: David Wong, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities Premium Member Content

Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities
In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today.

Presented By:: David Wong, DDS
Presentation Style: Online Course
CE Hours: 1 CEUs (Continuing Education Units)
Watch Now>>
Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction Premium Member Content

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.

Presented By:: Marius Steigmann, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction Premium Member Content

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.

Presented By:: Marius Steigmann, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

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.

Join For Free


Contact Us | Privacy Policy | Terms of Use
©2015

Preferred Language: English Flag
Contact Us · Login · Register