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

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

Author(s):

ALESSANDRO LOURENÇO JANUÁRIO, DDS, MS, PhD; MAURÍCIO BARRIVIERA, DDS, MS; WAGNER RODRIGUES DUARTE, DDS, PhD

Date Added:

1/7/2014


Summary:

The dimensions and relationships of the structures of the dentogingival unit have been greatly overlooked because of the inability to easily and precisely determine them. 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. With the first scan, only measurements of the distance of the cementoenamel junctional (CEJ) to the facial bone crest, and the width of the facial alveolar bone were possible. In contrast, ST-CBCT allowed measurements of the distance of the gingival margin to the facial bone crest, the gingival margin to the CEJ, and width of the facial gingiva. ST-CBCT scans allowed a clear visualization, measurement of the dimensions, and analysis of the relationship of the structures of the periodontium and dentogingival attachment apparatus.

Related Articles
Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery

Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery
During the past two decades, significant advancements with the integration of periodontal plastic surgery into esthetic restorative dental procedures have received increased attention. While ovate pontics have traditionally been used as a restorative design following augmentation procedures to enhance esthetics, an alternate E-pontic design aims to predictably support and maintain the gingival architecture between a single missing anterior tooth adjacent to a natural tooth or an implant that is in harmony with the lip line and face. In addition, the E-pontic design promotes the gingival facial tissue to coronally migrate over the pontic, creating a gingival sulcus. This article describes an innovative new technique and a pontic design that predictably will develop, support, and maintain the gingival architecture to provide a long-term esthetic and functional outcome.

Author(s): Robert P. Korman, DDS, MAGD
View Article>>
Soft Tissue Stability with Immediate Implants and Concave Abutments

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.

Author(s): Marco Redemagni, MD, DDS; Sergio Cremonesi, DDS; Guiliano Garlini, DDS; Carlo Maiorana, MD, DDS
View Article>>
Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites

Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites
Evealuation of regenerated bone density.

Author(s): Eduardo Anitua, MD, DDS, PhD;Gorka Orive, MD, DDS; Isabel Andia, PhD
View Article>>
Related Videos
Socket Shield Technique with Immediate Implant Placement & Provisional Premium Member Content

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.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Video
Community Rating:
 
Watch Now>>
AlloDerm Soft Tissue Augmentation Premium Member Content

AlloDerm Soft Tissue Augmentation
Dr. Michael Sonick demonstrates the utilization of AlloDerm Regenerative Tissue Matrix to thicken and enhance the zone of keratinized gingiva in the lower anterior region.

Presented By:: Michael Sonick, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
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: Lecture
Community Rating:
 
Watch Now>>
Related Courses
The Basics of Root Coverage Surgery with Acellular Dermal Grafts: A STEP-BY-STEP Live Patient Demonstration Premium Member Content

The Basics of Root Coverage Surgery with Acellular Dermal Grafts: A STEP-BY-STEP Live Patient Demonstration
Soft tissue grafting is rapidly playing a larger role in restorative, esthetic, and reconstructive dentistry. While conventional grafting techniques have several limitations, newer grafting materials and techniques make it easier for patients to say "yes" to the treatment they truly need and desire. In this webinar, Dr. Wong will perform a step-by-step demonstration using Perioderm to correct multiple gingival recession defects. Soft tissue allografts are quickly becoming a "game changer" in dentistry, making optimum dentistry more than an ideal... it's a reality.

Presented By:: David Wong, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Innovative Sequencing for Interdisciplinary Aesthetic Treatment Premium Member Content

Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. 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.

Presented By:: Michael A. Apa, DDS, PC;Brian Chadroff, DDS
Presentation Style: Online Self-Study 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
©2018

Preferred Language: English Flag
Contact Us · Login · Register