Surgical and Orthodontic Management of Impacted Maxillary Canines
Vincent G. Kokich, Sr., DDS, MSD
Suturing Principles - Material Selection
The primary objective of dental suturing is to position and secure surgical flaps to promote optimal healing The evolution of su turing materials has enabled decreased potential of postoperative infection and increased successful closure with minimal difficulty. Accurate flap opposition contributes to patient comfort and hemostas is, reduces the wound to be repaired, and prevents unnecessary bone destruction.
Applied Techniques for Predictable Suture Placement Part 2
Precise suture positioning is critical for adequate tissue healing and can be facilitated using a variety of techniques for closure. Part 1 of this article presented a discussion on the various interrupted, continuous, and periosteal suturing techniques for tissue maintenance. This article will present additional modalities available to ensure predictable healing and flap security fallowing a variety of surgical invasions.
Chu's Aesthetic Guages: Crown Lengthening
The Crown Lengthening Gauge has the Biologic Periogauge (BLPG) tip on one end and the Papilla tip on the opposite end. The BLPG tip is used to achieve the propermid-facial clinical crown and biologic crown (osseous crest to incisal edge position) length during surgical crown lengthening procedures. The Papilla tip follows the use of the BLPG tip to establish the correct aesthetic position of the interdental papilla fromthe incisal edge before the flap is closed and sutured.
Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
The need for an adequate alveolar ridge width has been a long-standing principle in pre-prosthetic surgery. Since the introduction of root-form endosseous dental implants, the necessity of proper alveolar ridge width has become essential. Many surgical pre-implant bone augmentation techniques with the goal of reconstructing deficient alveolar width, height, or both have been proposed. A variety of alveolar ridge augmentation techniques for treatment of 2-D and 3-D bone deficiencies have been described and include guided bone regeneration (GBR) with a cancellous graft, onlay/veneer block graft, inlay grafting, ridge-split, vertical and horizontal distraction osteogenesis, and others.
Laser Uncovery of Dental Implants
Although many clinicians prefer to place all their implants in a one stage approach there are times when a healing abutment must be sacrificed for a cover screw and the implant buried for a two stage approach. In situations where primary stability is low, where bone grafting has occurred or where less than 2 mm of soft tissue is available then a safer approach may be to uncover the fixtures after a 3 month healing. Lasers have become a go to “soft tissue hand piece” for many clinicians when manipulating soft tissue around implants due to their minimal zone of necrosis, ability to provide ideal hemostasis and their safety of use around fixtures compared to traditional soft tissue methodologies like electrosurgical units, some of which can lead to catastrophic failures with implants. See how both diode lasers and erbium lasers can be used safely and efficiently to uncover and move tissue around implants during stage two surgeries
3-Day LIVE PATIENT Hands-On Course-Promotional Video
This video, clinicians traveled down to Santos, Brazil for 3 days of intense LIVE SURGERY with Dr. Maurice Salama in 2014. This is little video footage of the time these clinicians had on a once in a lifetime opportunity trip with one of the best clinicians in the world! Next Trip is December 10-13, 2015!
The Holy Grail of True Regeneration - Fibronectin
This webinar will involve a histologic study review about the key role of fibronectin, "Nature's Nectar" & why it is the Holy Grail of true regeneration. Come follow a real Professor's histologic journey in search of the Raiders of the Lost Attachment and how to get it back.
Mastering Surgical Principles: Key to Constant Success
Clinical success depends on material and technique selection, but no material or technique will succeed if surgical principles are not respected. Attention to detail is imperative and mastering surgical principles is key to constant success. This course aims to review principles of flap design and elevation, as well as degranulation, debridement, suturing and wound stabilization of the most commonly performed periodontal, implant and advanced bone grafting procedures. Pharmacologic protocols and anesthesia will also be discussed.
Osseodensification: A Paradigm Shift in Implant Dentistry
This course aims to present Osseodensification techniques designed to maximize implant primary stability, implant insertion torque, and early loading of dental implants. Atraumatic Osseodensification techniques may also be used for alveolar ridge expansion, hydraulic maxillary sinus floor elevation with autografting.
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