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The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study

The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study
The “socket-shield technique” has shown its potential in preserving buccal tissues. However, front teeth often have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines. The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the remaining buccal root segment in two pieces before immediate implant placement.

Author(s): Markus B. Hürzeler, DMD, PhD;Daniel Bäumer, DDS; Otto Zuhr, DDS; Stephan Rebele, DDS; David Schneider, DDS, PhD; Peter Schupbach, PhD
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Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report

Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report
Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. This report describes the use of a mucosal coronally positioned flap for the management of a gummy smile associated with vertical maxillary excess and hypermobility of the upper lip. For patients desiring a less invasive alternative to orthognathic surgery, the mucosal coronally positioned flap is a viable alternative. We demonstrate short-term successful use of this technique for the management of excessive gingival display in the presence of slight vertical maxillary excess and hypermobility of the upper lip. Long-term follow-up studies are needed to determine stability of the results.

Author(s): Monish Bhola, DDS, MSD;Nomahn Humayun; Shilpa Kolhatkar; Jason Souiyas
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Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares.

Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares.
Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares. Além de curar diversos sintomas dos problemas funcionais que incomodam os pacientes no seu dia-a-dia, proporciona ainda a elevação da autoestima e da autoconfiança, pois os resultados estéticos são surpreendentes

Author(s): Rogério Zambonato Freitas, DDS, MS
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Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique

Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique
The purpose of this article is to describe the clinical surgical procedures that comprise the PAOO procedure.

Author(s): Kevin George Murphy, DDS, MS;M. Thomas Wilcko, DMD; William M. Wilcko, DMD, MS; Donald J. Ferguson, DMD, MSD
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Human Histologic Evaluation of Anorganic Bovine Bone Mineral Combined with Recombinant Human Platelet-Derived Growth Factor BB in Maxillary Sinus Augmentation: Case Series Study

Human Histologic Evaluation of Anorganic Bovine Bone Mineral Combined with Recombinant Human Platelet-Derived Growth Factor BB in Maxillary Sinus Augmentation: Case Series Study
The objective of this study was to examine the potential for improved bone regenerative outcomes in maxillary sinus augmentation procedures using platelet-derived growth factor BB and anorganic bovine bone mineral.

Author(s): David Garber, DMD;Maurice Salama, DMD;Steven S. Wallace, DDS;Myron Nevins, DDS;James J. Hanratty, DDS; Bradley S. McAllister, DDS; Marc L. Nevins, DMD, MMSc; Peter Schupbach, PhD; Simon M. Bernstein, DDS, MS; David M. Kim, DDS, DMSc
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Applied Techniques for Predictable Suture Placement Part 1

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…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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Applied Techniques for Predictable Suture Placement Part 3

Applied Techniques for Predictable Suture Placement Part 3
Standard protocols for suturing have been developed for the positioning and securing of surgical flaps to promote optimal healing. Parts 1 and 2 of this article discussed the indications for a variely of suturing techniques, including the periosteal suture technique, the simple look modification of interrupted suture technique, and several continuous suture techniques. Vertical mattress sutures, coronally repositioned mattress sutures, horizontal mattress sutures, and vertical sling mattress sutures…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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Barriers in the Surgical Suite: Standards Required

Barriers in the Surgical Suite: Standards Required
Dental implant, periodontal , and oral surgical procedures or any potentially hemorrhagic procedures put the practitioner and staff at risk for exposure to blood-borne viruses (eg, AIDS, Hepatitis B, Hepatitis C), as well as saliva and blood-transmitted pathogens (eg, Mycobacterium tuberculosis, Staphyloccus, Streptococcus, cytomegalovirus). There are also a number of viruses that may infect the upper respiratory tract. In these cases, infections may be transmitted through direct contact with blood…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
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Chu's Aesthetic Guages: Crown Lengthening

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.

Author(s): Stephen J. Chu, DMD, MSD, CDT
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A Technique for Surgical Mandibular Exostosis Removal

A Technique for Surgical Mandibular Exostosis Removal
Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually an issue with patients. However, when removable prosthetics must sit either adjacent to or over these areas, pressure, food abrasion, ulceration, or limited tongue space can occur. This article describes a surgical technique for exdsion of exostosis through the presentation of a case. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. The…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kutzman, DDS
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Surgical and Orthodontic Management of Impacted Maxillary Canines

Surgical and Orthodontic Management of Impacted Maxillary Canines
Although the mechanical management of impacted teeth is a routine task for most orthodontists, certain impactions can be frustrating, and the esthetic outcome can be unpredictable if the surgeon uncovers the impacted tooth improperly. When referring a patient to have an impacted toothuncovered,theorthodontist might assume incorrectly that the surgeon knows which surgical procedure to use. However, if not instructed properly, the surgeon could select an inappropriate technique, leaving the orthodontist with…

Author(s): Vincent G. Kokich, Sr., DDS, MSD
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Elements and Utilization of Suturing Needles

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.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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Applied Techniques for Predictable Suture Placement Part 2

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.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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Preserving Needle Edges During Dental Suturing

Preserving Needle Edges During Dental Suturing
The evolution of suture materials has presented today's clinician with numerous alternatives when performing dental suturing. Contemporary sutures not only eliminate some of the difficulties that the surgeon may have encountered previously during closure, but also decrease the potential of postoperative infection and help provide optimal healing. Despite the sophistication of the suture materials (ie, Perma Sharp, Hu-Friedy, Chicago, IL) and surgical techniques now available, closing a wound still involves…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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Suturing Principles - Material Selection

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.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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