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

Suture Selection for Optimal Flap Closure and Tissue Healing Suture Selection for Optimal Flap Closure and Tissue Healing

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD

Date Added:

7/23/2008


Summary:

Suture selection is based on a knowledge of the physi cal and biologic characteristics of the suture thread in relationship to the healing process. In addition, accurate apposition of the flap is significant to patient comfort, hemostasis, reduction of the wound to be repaired, and prevention of unnecessary bone destruction. If flaps are not approximated and inadequate hemostasis is present, blood and serum may accumulate under the flap, delaying the healing process by separating the flap from the underlying bone.

Related Articles
Bone Grafting of Previously Used Symphysial Donor Sites for Onlay of Newly Formed Bone and Reharvesting Potential Symphysis Revisited:Clinical and Histologic Evaluation

Bone Grafting of Previously Used Symphysial Donor Sites for Onlay of Newly Formed Bone and Reharvesting Potential Symphysis Revisited:Clinical and Histologic Evaluation
Placement of an endosseous implant requires sufficient bone volume for complete bone coverage. The use of intraoral block bone grafts from intraoral sources has increased over the years. Possible sources for autogenic bone are the calvarium ,tibia,and the iliac crest(frequently used for major jaw reconstruction).However,these sources are not always recommended because of their morbidity,altered ambulation,and the need for hospitalization,as well as significant resorption associated with corticocancellous block grafts from endochondral donor sites.

Author(s): Devorah Schwartz-Arad, DMD, PhD;Liran Levin
View Article>>
Immediate Rehabilitation of the Extremely Atrophic Mandible with Fixed Full-Prosthesis Supported by Four Implants

Immediate Rehabilitation of the Extremely Atrophic Mandible with Fixed Full-Prosthesis Supported by Four Implants
The purpose of this article is to prospectively assess the outcome of immediate rehabilitation of extremely atrophic mandibles by a full-arch fixed bridge anchored to four implants. All patients were followed for a minimum of 1 year (range 20–48 months, mean 30.1 months). No failures were recorded to date. The 1-year implant survival rate and prosthesis success rate were 100%.Marginal bone loss around axial and tilted implants was similar at 12-month evaluation, being, respectively, 0.6 1 0.3 (standard deviation) mm and 0.7 1 0.4 mm. High patient’s level of satisfaction was recorded for function, phonetics, and aesthetics.

Author(s): Enrico Agliardi, MD, DDS;Davide Romeo, DDS, PhD;Roberto Weinstein, MD, DDS; Massimo D. Fabbro, BSc, PhD; Luca Francetti, MD, DDS
View Article>>
Placing Dental Implants and/or Natural Tooth Restorations in the Esthetic Zone

Placing Dental Implants and/or Natural Tooth Restorations in the Esthetic Zone
A key goal of aesthetic/cosmetic dentistry is the fabrication of maintainable, aesthetic, and functional prostheses that preserve the health of the teeth and soft tissues. Advances in restorative dentistry have significantly improved the clinician’s ability to deliver predictable treatment. When implants are indicated, osseointegration is an added factor that is essential for success. It is universally accepted that implant dentistry is a restorative-driven treatment with a surgical component. Whether…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
View Article>>
Related Videos
The AGE Approach: A Combination Protocol for Hard and Soft Tissue Augmentation in Complex Cases Premium Member Content

The AGE Approach: A Combination Protocol for Hard and Soft Tissue Augmentation in Complex Cases
Although new restorative materials have improved predictability and outcomes, hard and soft tissue management plays a fundamental role when working in aesthetic areas. To achieve ideal results, preservation of the natural hard and soft tissue architecture is the primary clinical objective. This new proposed AGE protocol illustrates the importance of hard and soft tissue management when working in esthetic and highly compromised areas. This protocol and schematic approach was developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow.

Presented By:: Giuseppe Cicero, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Implant Therapy and Esthetic Considerations - Staged Implant Placement with Additional GBR  - Part 2 of 6 Premium Member Content

Implant Therapy and Esthetic Considerations - Staged Implant Placement with Additional GBR - Part 2 of 6
Dr. Maurice Salama follows-up on a case of staged implant placement and describes the step-by-step surgical techniques required to ensure successful implant placement.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Management of Narrow and Short Ridge Dimensions in Implant Dentistry: New Minimally Invasive Concepts Premium Member Content

Management of Narrow and Short Ridge Dimensions in Implant Dentistry: New Minimally Invasive Concepts
The management of narrow and short ridge dimensions has posed a great concern for most implantologists. Often large GBR or block augmentation procedures are suggested with high morbidity but this lecture presents more minimally invasive options to restore these ridge challenges. Ridge Expansion with motorized drills as well as the utilization of ultra-short and wider implants to avoid sinus and nerve proximity challenges will be discussed. The role of blood born bioactive modifiers, specifically PRGF (Plasma Rich in Growth Factors) to enhance wound healing will similarly be highlighted.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
The Use of Digital Technology for Patient Care Premium Member Content

The Use of Digital Technology for Patient Care
In this presentation, we will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new software's. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtaining with these are systematic and overlapping times better than traditional one.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Regenerative Procedures for Implant Site Optimization: Establishing the Perio-Implant Interface Premium Member Content

Regenerative Procedures for Implant Site Optimization: Establishing the Perio-Implant Interface
Emerging concepts in implant dentistry have allowed bone preservation to become a reality, thus reducing the need for extensive augmentation procedures. Nevertheless, clinicians are still confronted with atrophic defects that require complex regenerative strategies for dental implant rehabilitation. This presentation will focus on some of the essential elements for a predictable regenerative protocol in implant site development. A discussion will include the use of defect topography as a guide in choosing a suitable augmentation technique. Several considerations that allow for tension free wound closure will be reviewed. Furthermore, an evidence based approach in graft material selection will be presented. Clinical cases will then be reviewed, to demonstrate how to integrate the presented principles into daily clinical practice.

Presented By:: Ehab Moussa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Modern Day Challenges with Implants in the Esthetic Zone Premium Member Content

Modern Day Challenges with Implants in the Esthetic Zone
This presentation will address treatment planning strategies with multiple tooth sites incorporating teeth, immediate implants with tooth replacement, and pontics in the esthetic zone. Innovations in implant macro design, to achieve more consistent screw-retained definitive restorations, and devices / strategies in provisional restoration fabrication to save time will be presented.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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
©2019

Preferred Language: English Flag
Contact Us · Login · Register