Periodontal-Prosthesis in Modern Dentistry – Part 1 of 2
Clinicians must be aware of patient expectations when planning dental treatment. When full mouth reconstruction is planned, it is very important to satisfy such expectations in order to provide successful treatment. Patients are often concerned about the cost and duration of treatment, and the pain, esthetics, comfort, and function after treatment. However, we cannot assure longevity unless the treatment has a scientific basis.
During reconstruction or restoration, we generally remove and replace the existing crowns. Secondary caries are mostly detected on removal of these. Due to the caries, the ferrule and tooth thickness are not adequate; and frequently, the condition may not be suitable for prosthetic treatment. In such cases, we choose to extract the tooth or perform crown lengthening to retain the tooth.Thse days many teeth that we could retain by crown lengthening procedure are replaced by implants. In this presentation, we describe some cases in which a crown lengthening proce
Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z
In this complete surgical video, Dr. David Wong performs an esthetic crown lengthening procedure to address a "gummy smile" as part of comprehensive therapy and smile enhancement. Dr. Wong will outline the indications for crown lengthening surgery as opposed to orthognathic correction. The surgical video will demonstrate the complete crown lengthening surgery, including incision design, flap management and instrumentation. In addition, suturing and post-operative care will also be outlined in detail.
Coronally Advanced Envelope Flap - A Step-by-Step Video
In this step-by-step surgical video, Dr. Moura illustrates every aspect of the technique described by Zucchelli and De Sanctis known as the coronally advanced envelope flap. This procedure is utilized for treatment of multiple recession type defects in esthetically demanding patients. After a short technical overview, we will see a clinical case and discuss every detail of the treatment.
Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team.
This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.
The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry
Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone-periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.
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.
Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series
After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth.
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.
Connective Tissue Graft Harvesting Techniques - Part 1
In this presentation, Prof. Giovanni Zucchelli develops a critical comparison between the different CTG harvesting techniques, and shows the correct management of this kind of graft as well as its use in coronally advanced flap surgical technique for the treatment of gingival recessions.
"The Root Membrane Technique” / Socket Shield: Long-Term Results
Loss of blood supply derived from the periodontal ligament (PDL) has been identified as a major etiologic factor for ridge resorption. Animal studies and case reports provide proof-of-principle data on the feasibility of immediate implant placement in proximity to a retained root fragment for the strategic preservation of the natural tooth apparatus. This novel concept relies on the preservation of PDL, buccal bone and soft tissue esthetics via selective preservation of the buccal portion of the root and PDL which can lead to predictable and sustainable clinical stability of immediately placed and loaded implants.
Crowns and Bridges