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Implant Articles
Defining New Paradigms for Assessment of Implant Receptor Sites

Defining New Paradigms for Assessment of Implant Receptor Sites
This article will demonstrate how computed tomography combined with interactive virtual treatment-planning software applications can empower clinicians with enhanced diagnostic capabilities for implant receptor-site assessment.

Author(s): Scott D. Ganz, DMD
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The Bio-Derm Ridge Plumping Technique for Pontic Site Development

The Bio-Derm Ridge Plumping Technique for Pontic Site Development
Seibert Class III apicocoronal and buccolingual alveolar ridge defects with associated gingival mucosal atrophy and absence of interdental papillae are common in edentulous areas within the anterior esthetic zone of the maxilla. Normal emergence profiles, critical to achieving esthetic restorations, require restoration of normal hard and soft tissue morphology, including re-establishment of adjacent interdental papillae.

Author(s): Dan Holtzclaw, DDS, MS; Nicholas Toscano, DDS, MS
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Introducing Choukroun’s Platelet Rich Fibrin (PRF) to the Reconstructive Surgery Milieu

Introducing Choukroun’s Platelet Rich Fibrin (PRF) to the Reconstructive Surgery Milieu
Platelet-rich fibrin (PRF), developed in France by Choukroun et al (2001), is a second generation platelet concentrate widely used to accelerate soft and hard tissue healing. Its advantages over the better known platelet-rich plasma (PRP) include ease of preparation/application, minimal expense, and lack of biochemical modification (no bovine thrombin or anticoagulant is required). PRF is a strictly autologous fibrin matrix containing a large quantity of platelet and leukocyte cytokines. This article serves as an introduction to the PRF “concept” and its potential clinical applications.

Author(s): Michael Toffler, DDS; Dan Holtzclaw, DDS, MS; Nicholas Toscano, DDS, MS; Marco Del Corso, DDS, DIU ; David Dohan Ehrenfest, DDS, MS, PhD
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Sinus Floor Augmentation With Simultaneous Implant Placement In Severely Atrophic Maxilla

Sinus Floor Augmentation With Simultaneous Implant Placement In Severely Atrophic Maxilla
DENTAL IMPLANT PLACEMENT ASSOCIATED augmentation of the sinus floor in the severely atrophic maxilla can be performed in 1- or 2 surgical stages depending on the height of the residual alveolar bone.

Author(s): Ziv Mazor, DMD; Michael Peleg, Gravriel Chaushu, Arun K. Garg
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Bone Grafting Articles
The Bio-Derm Ridge Plumping Technique for Pontic Site Development

The Bio-Derm Ridge Plumping Technique for Pontic Site Development
Seibert Class III apicocoronal and buccolingual alveolar ridge defects with associated gingival mucosal atrophy and absence of interdental papillae are common in edentulous areas within the anterior esthetic zone of the maxilla. Normal emergence profiles, critical to achieving esthetic restorations, require restoration of normal hard and soft tissue morphology, including re-establishment of adjacent interdental papillae.

Author(s): Dan Holtzclaw, DDS, MS; Nicholas Toscano, DDS, MS
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The safety of bone allografts used in dentistry

The safety of bone allografts used in dentistry
Recent media reports concerning “stolen body parts” have shaken the public’s trust in the safety of and the use of ethical practices involving human allografts. The authors provide a comprehensive review of the safety aspects of human bone allografts.

Author(s): Dan Holtzclaw, DDS, MS; Nicholas Toscano, DDS, MS; Lisa Eisenlohr, PhD; Don Callan, DDS
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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): Myron Nevins, DDS; Steven S. Wallace, DDS; Maurice Salama, DMD; David Garber, DMD; 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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Histologic Effect of Pure-Phase Beta-Tricalcium Phosphate on Bone Regeneration in Human Artificial Jawbone Defects

Histologic Effect of Pure-Phase Beta-Tricalcium Phosphate on Bone Regeneration in Human Artificial Jawbone Defects
The effect of the pure-phase beta-tricalcium phosphate (beta-TCP) Cerasorb on bone regeneration was evaluated in hollow titanium cylinders implanted in the posterior jaws of five volunteers.

Author(s): Paolo Trisi, DDS, PhD; Walter Rao, MD, DDS; Alberto Rebaudi, MD, DDS; Peter Fiore, MD, DDS
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Sinus Lift Articles
The Effect of Piezoelectric Use on Open Sinus Lift Perforation: A Retrospective Evaluation of 56 Consecutively Treated Cases From Private Practices

The Effect of Piezoelectric Use on Open Sinus Lift Perforation: A Retrospective Evaluation of 56 Consecutively Treated Cases From Private Practices
The lateral window approach to maxillary sinus augmentation is a well-accepted treatment option in implant dentistry. The most frequent complication reported with traditional techniques has been the perforation of the Schneiderian membrane, with erforation rates ranging from 11% to 56%. The purpose of this retrospective, consecutive case series from two private practices was to report on the rate of Schneiderian membrane perforations and arterial lacerations when a piezoelectric surgical unit was used in conjunction with hand instrumentation to perform lateral window sinus elevations.

Author(s): Dan Holtzclaw, DDS, MS; Nicholas Toscano, DDS, MS; Paul S. Rosen
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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): Myron Nevins, DDS; Steven S. Wallace, DDS; Maurice Salama, DMD; David Garber, DMD; 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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The Piezoelectric Bony Window Osteotomy and Sinus Membrane Elevation

The Piezoelectric Bony Window Osteotomy and Sinus Membrane Elevation
Introduction of a New Technique for Simplification of the Sinus Augmentation Procedure

Author(s): Myron Nevins, DDS; Tomaso Vercellotti, MD, DDS; Sergio De Paoli, MD, DDS
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Bone-to-Implant Apposition with Machined and MTX Microtextured Implant Surfaces in Human Sinus Grafts

Bone-to-Implant Apposition with Machined and MTX Microtextured Implant Surfaces in Human Sinus Grafts
The goal of this study was to histologically document the effect of two different implant surfaces on the percentage of bone-to-implant apposition achieved with implants placed in human sinus grafts.

Author(s): Paolo Trisi, DDS, PhD; Carlo Marcato, MD, DDS; Marzio Todisco, DDS
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Soft Tissue Articles
Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report

Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report
This case report demonstrates the successful management of excessive gingival display with a lip-repositioning procedure.

Author(s): Ari Rosenblatt, DMD, DDS; Ziv Simon, DMD, MSc
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Healing of Gingival Recessions Using a Collagen Membrane with a Demineralized Xenograft

Healing of Gingival Recessions Using a Collagen Membrane with a Demineralized Xenograft
A Randomized Controlled Clinical Trial

Author(s): Giuseppe Cardaropoli, DDS, PhD; Daniele Cardaropoli, DDS
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Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites

Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites
Evealuation of regenerated bone density.

Author(s): Eduardo Anitua, DDS, MD; Gorka Orive, MD, DDS; Isabel Andia, PhD
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Use of the Natural Tooth for Soft Tissue Development: A Case Series

Use of the Natural Tooth for Soft Tissue Development: A Case Series
The achievement of optimal esthetics around anterior dental implants has been a major challenge for many clinicians. The key to an esthetically pleasing appearance lies in the clinician’s ability to properly manage the soft tissue profile around dental implants. Hence, the purpose of this case report is to describe a new technique that uses the patient’s own natural tooth for the provisional implant restoration to develop soft tissue architecture that is almost identical to the patient’s original immediately…

Author(s): Hom-Lay Wang, DDS, MSD, PhD; Marius Steigmann, DDS; Jason Cooke, DDS
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Periodontic Surgery Articles
Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report

Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report
This case report demonstrates the successful management of excessive gingival display with a lip-repositioning procedure.

Author(s): Ari Rosenblatt, DMD, DDS; Ziv Simon, DMD, MSc
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Healing of Gingival Recessions Using a Collagen Membrane with a Demineralized Xenograft

Healing of Gingival Recessions Using a Collagen Membrane with a Demineralized Xenograft
A Randomized Controlled Clinical Trial

Author(s): Giuseppe Cardaropoli, DDS, PhD; Daniele Cardaropoli, DDS
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Alveolar Ridge Preservation and Reconstruction

Alveolar Ridge Preservation and Reconstruction
Periodontal plastic surgery procedures designed to reconstruct deformed, partially edentulous residual ridges were introduced to the dental profession between 1971 and 1986. They have been revised and refined to their current state of development, where they now occupy a major place in the reconstructive armamentarium. Before these concepts were developed, it was generally believed that it was impossible to surgically reconstruct deformities in the partially edentulous ridge. Deformities were filled…

Author(s): Henry Salama, DMD; Jay S. Seibert
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The Aesthetic Smile: Diagnosis and Treatment

The Aesthetic Smile: Diagnosis and Treatment
Until recently, dentists' and the public's concept of dental aesthetics was necessarily limited to alterations of the teeth themselves. Dentists concerned themselves with changing the position, the shape and the color of the teeth -basically restoring missing units or enhancing those already present. For the most part the dentist was forced to accept the pre-existing relationship between the three components of the smile; the teeth, the gingival scaffold and the lips.

Author(s): Maurice Salama, DMD; David Garber, DMD
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Other Surgical Articles
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): Myron Nevins, DDS; Steven S. Wallace, DDS; Maurice Salama, DMD; David Garber, DMD; 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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