A Technique for Surgical Mandibular Exostosis Removal
Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kutzman, DDS
Applied Techniques for Predictable Suture Placement Part 1
Surgical suture positioning is crucial to ensure adequate healing and can be accomplished using a variety of suturing methods. Sutures should generally be placed distal to the last tooth and within each interproximal space and should always be inserted through the more mobile flap first The flaps should not be blanched during the tying procedure, and closure should not be positioned closer than 2 mm to 3 mm from the edge of the flap, in order to prevent tearing during the inevitable swelling that…
Elements and Utilization of Suturing Needles
The primary components of every suturing needle include the attachment end, body, and point. Traditional complications caused by threading have been eliminated by the advent of needles that are permanently attached to the suturing material. The suturing procedure is further simplified by the attached and press-fitted end of the needle (swaged) that enables the clinician to draw it through the tissue with less trauma.
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.
The 3D CBCT Dual Scan Protocols: Surgical Restorative Management in Modern Dentistry
The integration of new technology protocols for implant diagnosis, treatment planning and guided surgery techniques in the everyday workflow is one of the challenges in dentistry today. This lecture will focus on the decision making and digital workﬂow regarding computer guided implantology systems from image acquisition, virtual 3D planning, surgical guide fabrication and guided surgery techniques. It will outline tips and tricks in each step and how to increase the beneﬁts of computer guided surgery through the recent technological advancements leading to optimizing clinical implant success in everyday practice. Utilizing the latest advancements in CBCT Dual Scan technology, this lecture will include comprehensive case presentations and detailed treatment planning sequences for predictable restorative driven implant dentistry.
CBCT Planning and Guided Implant Surgery - Surgical and Restorative State-of-the-Art
Implant treatment is one of the most exciting areas of dental therapy. Within the last 30 years, we have been able to develop and discover new techniques, instruments, software and equipment that have made this therapy more secure and predictable, such as the CBCT and the guided surgery, today with the guided systems we are able to have our implants “in the right” place considering the bone, the prosthesis, the biomechanics and the esthetic…this lecture will show you step by step how to reach awesome results in complex full arch cases in a secure and simple way even with immediate extraction and immediate implant placement.
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.
Controlled Ridge Splitting (CRS)
To demonstrate a new technique of controlled ridge splitting (CRS) in severely atrophied maxillary cases as an alternative to autogenous block graft. Twenty cases were completed using a controlled ridge splitting (CRS) technique with a total of 65 implants were placed in severely atrophied Maxillae and followed after the implants were loaded.
Results: The CRS technique was used in very complex cases, where the alternative method will be autogenous block graft. A total of 65 tapered implants were placed. The implants diameter ranged between 3.25-5mm with a length ranged between 10-13mm. The implants were restored and were followed for 1-3 years. All implants achieved osseointegration and continue to have successful prostheses. Conclusion: The CRS is a predictable treatment option and could be a good alternative to autogenous block grafts is severely atrophic maxillae.
The Innovative New Lip Stabilization Technique (LipStaT): Treating a Gummy Smile
There are various etiologies for a “gummy smile.” A new classification with appropriate management based on the etiology will be discussed. The innovative and minimally invasive LipStaT Procedure to correct a high and gummy smile in patients with vertical maxillary excess, short and hypermobile upper lip will be presented and discussed in detail.
Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
In this presentation, the author concentrated on the ridge-split procedure (RSP) as a form of a ridge modification (widening or augmentation), the technique that offers many possibilities and has many advantages in oral pre-prosthetic implant reconstruction. There are many modifications of the RSP. This presentation is a description of classical ridge-split procedure in maxilla and mandible that has been successfully employed for many years in author’s surgical practice.
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