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

Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Russell A. Gornstein, DDS, MS, Donald P. Callan, DDS, Baldev Singh, BDS, PhD

Date Added:

3/1/1999


Summary:

Predictable tissue regeneration presents a considerable challenge in the surgical treatment of gingival tissue defects. Soft-tissue augmentation procedures to increase the existing or create a new zone of attached keratinized gingival tissue have classically been performed using the patient's own masticatory mucosa and, more recently, using an acellular dermal allograft as the donor material. This article presents a clinical case whereby an acellular dermal allograft was placed on the buccal surface of one mandibular cuspid while a masticatory mucosal graft taken from this patient was placed in a similar fashion on the contralateral mandibular cuspid. Soft-tissue biopsies were obtained from each grafted area 12 weeks after placement, at the time of light and scanning electron microscopy (SEM) evaluation. This initial investigation demonstrated that the acellular dermal alloplastic graft material displayed clinical and histologic features that were similar to the patient's own palatal donor material when used to increase the zone of attached keratinized tissue.

Related Articles
Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report

Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report
This case report demonstrates the successful management of excessive gingival display with a lip-repositioning procedure.

Author(s): Ari Rosenblatt, DMD, DDS; Ziv Simon, DMD, MSc
View Article>>
Bipolar Soft Tissue Management & Functional Mock-Ups

Bipolar Soft Tissue Management & Functional Mock-Ups
Patients desiring a cosmetic smile improvement can present challenges to the dentist when treatment planning. An excessive display of gingiva due to a high lip line often complicates treatment planning and can compromise the final esthetic result when proper planning is not considered prior to finalizing the case. We often have to ask ourselves as we evaluate the patient, do we “lower the river” (increase tooth length incisally), “raise the bridge” (increase tooth length gingivally) or a combination…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
View Article>>
Use of the Natural Tooth for Soft Tissue Development - A Case Series

Use of the Natural Tooth for Soft Tissue Development - A Case Series
esults from this study showed that all patients achieved a normal or Class 1 papilla appearance similar to the original appearance of the natural tooth.

Author(s): Marius Steigmann, DDS;Hom-Lay Wang, DDS, MSD, PhD;Jason Cooke, DDS
View Article>>
Related Videos
Esthetic Crown Lengthening Premium Member Content

Esthetic Crown Lengthening
Dr. Silverstein discusses the steps to successful esthetic crown lengthening.

Presented By:: Lee H. Silverstein, DDS, MS, FACD, FICD;Lee H. Silverstein, DDS, MS, FACD, FICD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Clinical Procedures to Control Tissue Esthetics in Implant Dentistry Premium Member Content

Clinical Procedures to Control Tissue Esthetics in Implant Dentistry
The demand for creating esthetic restorations has become a consistent theme in dental literature and in daily clinical practice. Surgical concepts that are emphasized as important to the esthetic outcome include resective procedures to change bone volume and levels, as well as additive procedures such as tissue grafting to alter the biotype and volume around teeth and implants. Predominately with implant treatment, today's surgical and restorative strategies play an important role in post-extractive tissue guidance, mandating precise surgical techniques, and emphasizing cooperation and coordination between the surgical and restorative team members. This webinar will explore some of the complications of treatment, underscoring the responsibility of the surgical and restorative teams to critically assess emerging treatment concepts, materials and techniques.

Presented By:: Sonia S. Leziy, DDS, Dipl Perio
Presentation Style: Video
Community Rating:
 
Watch Now>>
Growth Factor Mediated Regenerative Therapies Premium Member Content

Growth Factor Mediated Regenerative Therapies
In this very technical and scientific presentation, Dr. Joseph Choukroun, a physician and researcher from France, describes the benefits of Platelet Rich Fibrin (PRF) in wound healing. He emphasizes the effect of PRF on the two essential factors of wound healing which are new vessels and cells in surgical sites like extraction sockets, sinus augmentation and more.

Presented By:: Joseph Choukroun, MD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management Premium Member Content

Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management
This presentation by the Troeltzsch Brothers features the fundamentals of surgical procedures in the oral cavity. Highlighted are the basic concepts we all must integrate into our daily clinical practice. A discussion of the essential anatomic guidelines as they relate to flap design options and indications are emphasized. Furthermore, material selection, sutures and techniques of wound closures are clearly addressed. Critical solutions to common surgical complications are also described. This lecture is intended for surgical beginners as well as experienced clinicians who want to update their surgical knowledge. These fundamentals are also very popular in the hands-on courses given by the Troeltzsch brothers.

Presented By:: Markus Tröltzsch, MD, DMD;Matthias Tröltzsch, MD, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting Premium Member Content

Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting
The loss of alveolar ridge contour in the esthetic zone compromises both esthetics and function. This clinical presentation will focus on the application of both hard and soft tissue grafting in the esthetic zone implementing state of the art interactive CT diagnosis and treatment planning for optimal esthetic implant reconstruction. Emphasis will be on indications, graft and harvest site assessment, timing, and use of bioactive modifiers including BMP, PRGF and PDGF. The surgical protocol utilizing allogeneic and autogenous grafts in conjunction with connective tissue grafts, acellular dermis matrix, and related soft tissue procedures to avoid functional and esthetic pitfalls will be featured. Pre and post-grafting prosthetic workup, interactive CT graft assessment and perio prosthetic driven implant planning, stent driven implant placement, and computer milled abutment fabrication including guided surgery will be included.

Presented By:: Michael A Pikos, 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
©2017

Preferred Language: English Flag
Contact Us · Login · Register