Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique
Edward P. Allen, DDS, PhD.
Soft Tissue Management and Functional Mock-Ups
Patients desiring a cosmetic smile improvement can present treatment planning challenges. An excessive display of gingiva resulting from a high lip line often complicates treatment planning and can compromise the final esthetic result. As we evaluate the patient, we often have to ask ourselves, do we “lower the river” (increase tooth length incisally), “raise the bridge” (increase tooth length gingivally) or use a combination of both approaches? This article addresses this issue using a methodological…
Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique
An optimal esthetic implant restoration is a combination of a visually pleasing prosthesis and surrounding peri-implant soft tissue architecture. This article introduces a clinical method, the dynamic compression technique, of conditioning soft tissues around bone-level implants with provisional restorations in the esthetic zone. The technique has several goals: to establish an adequate emergence profile; to recreate a balanced mucosa course and level in harmony with the gingiva of the adjacent teeth, including papilla height/width, localization of the mucosal zenith and the tissue profile's triangular shape; as well as to establish an accurate proximal contact area with the adjacent tooth/implant crown.
Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation
Osseointegrated dental implants have enjoyed longterm success in the rehabilitation of totally edentulous patients. Every aspect of traditional treatment planning protocols continues to be re-evaluated and updated to better incorporate the benefits of osseointegration into clinical practice. This is particularly evident as dentistry has committed to fully integrating this approach into the more varied and demanding environment of the partially edentulous patient.
Tunneling Technique for Treating Multiple Recession Defects - A Surgical Technique Video
Dr. Maurice Salama describes the utilization of the tunneling technique in treating multiple recession defects in a thin tissue environment.
Dental Sleep Medicine in Everyday Practice - Endothelial Dysfunction - Part 1 of 2
Dr. Michael Gelb elaborates on the nuances of treating sleep disorders in the dental practice. Utilizing the EndoPat-2000 to measure the health or dysfunction of the endothelium, Dr. Gelb ascertains an important risk factor in cardiovascular disease.
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.
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.
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.
Esthetic Periodontal Surgery: Making Recession Defects Disappear by Grafting
Expert discussion of soft tissue grafting; first an overview of current trends, the second showing a specific allograft technique for treating multiple adjacent recession defects.
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