Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites
Eduardo Anitua, MD, DDS, PhD;Gorka Orive, MD, DDS; Isabel Andia, PhD
The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management
of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a
ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the
periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates
the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues
buccofacial to an immediately placed implant.
The socket-shield technique
is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the
procedure in clinical practice with a 1-year follow up.
Esthetic Correction of Gingival Recession Using a Modified Tunnel Technique and an Acellular Dermal Connective Tissue Allograft
Esthetic correction of gingival recession is an important goal of periodontal therapy. This article describes a surgical technique that combines a modified tunnel technique and an acellular dermal connective tissue allograft. With the aid of vertical incisions, a tunnel is created under the buccal mucosa of the affected tooth. These incisions enable easy access for graft placement and create mobility for gingival coronal positioning. The use of an accelular dermal connective tissue allograft eliminates the need for a surgical palatal donor site. This minimizes post-surgical complications.
Connective Tissue Graft Using Alloderm
Gingival recession is a clinical condition encountered in many dental practices during routine patient care. Fortunately, there are a variety of surgical procedures that the clinician can use to address gingival recession and return the patient to optimal health and aesthetics. As dental professionals gain a higher awareness of the available surgical materials and restorative techniques, the success and predictability of treatment for gingival recession on single and multiple adjacent teeth has…
Maximizing Esthetics with Minimally Invasive Surgery Around Implants
Soft tissue deficiencies around implants impact esthetics and often lead to escalating problems. Early recognition and intervention with minimally invasive soft tissue surgery reduces the risk of undesirable sequellae associated with conventional surgical approaches around implants. The application of a minimally invasive soft tissue grafting method will be shown for treatment of soft tissue problems around implants and the indications for use of this technique will be outlined.
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.
The "Modified Tunnel" Technique and the development of the Lateral Tunnel Approach
The "Modified Tunnel" technique is a method of esthetic connective tissue grafting that protects the interdental papillae. First published in 1999, this lateral tunnel approach uses vertical incisions on both sides of the treatment area. These vertical incisions facilitate placement and positioning of the graft over the root surfaces without the need to disturb the interdental papillae. This technique is very useful in esthetic areas and those that involve several teeth. An acellular dermal connective tissue allograft is an excellent choice of graft material to use with this technique.
Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile.
The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.
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.
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