Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique
Edward P. Allen, DDS, PhD.
Achieving Predictable Connective Tissue Root Coverage
Gingival recession creates esthetic issues. These issues may be corrected from a restorative perspective by the placement of composite resin or ceramic over the exposed root. But this approach often results in a gingival-incisal length that does not blend esthetically with the adjacent teeth. Often accompanying the gingival recession is a decrease in the band of attached gingiva. The wider the band of attached gingiva, the more stable the long-term result. Therefore, surgical correction of the recession…
Clinical Realities - Maximizing Aesthetics and Health Using a Closed-Flap ER: YSGG Laser Technique
Dental lasers have evolved considerably as an adjunct and alternative treatment to safely, conservatively, and reliably decrease bacterial levels and improve the hard and soft tissue contours. In selected cases, long-term aesthetic and functional parameters are satisfied with precise restorative planning and technique and by utilizing minimally invasive procedures. Furthermore, patients are provided with optimal results more comfortably and efficiently.
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 Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 3 of 3
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Perioderm), platelet rich in growth factors (PRGF, PRF), and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, and dentulous ridges, will be reviewed as to its critical role in "Complete Esthetics".
Reconstruction of Large Post-Extraction Defects within the Esthetic Zone
Dr. Miguel Stanley discusses the reconstruction of large post-extraction defects within the esthetic zone involving both bone and soft tissue deficiencies.
Natural Healing Enhancement
The use of a natural plant extract to enhance healing.
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.
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.
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.
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