Cirugía plástica periodontal para aumento de tejido blando alrededor de implantes
En la actualidad, los objetivos de la odontología han ido evolucionado a partir de las necesidades y las demandas de los procesos quirúrgicos, así como por los defectos o lesiones del periodonto, sobretodo cuando intervienen factores estéticos, donde se requieren restauraciones prostodónticas con aspectos naturales, que busquen un equilibrio armónico entre la arquitectura gingival y el rostro en sí del paciente, aún más en los casos donde se presenta sonrisa gingival.
Es por esto que se han estudiado varias técnicas mucogingivales para recubrimientos de recesiones, cambios de color por biótopo muy fino, aumento de volumen por pérdida del contorno gingival y colapso de los tejidos duros y blandos; siendo la más estudiada el injerto de tejido conectivo, como mecanismo de compensación y estabilidad para contribuir a una sonrisa más armónica y bella a la hora de la rehabilitación con implantes en el área anterior.
Treatment For The Severely Resorbed Maxilla: Zygomatic Implants
This presentation will bring to doctors a simplified approach to Zygomatic Implants technique, helping clinicians to identify the correct indications of the technique and the possibilities of oral rehabilitation through this treatment approach. It will be also discussed the technical aspects, advantages and benefits of this treatment modality.
Periodontal-Prosthesis in Modern Dentistry – Part 2 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.
Socket Shield; What Do We Know, What´s New?
The Socket Shield technique is a “new” procedure with 10 years of documented successful cases worldwide. Lately we have done some new proposals like the way we extract the lingual slice, the relation of the shield level to the bone, the use of miniflaps, the distance between implant and shield just to mention some.
On the other hand, the only minor “problem” with this technique is the “external shield exposure” and here I propose the method of successful treatment.
We will see the convenience of applying SS to molars also on the light of the paper of Dr. Mataraso from 2009. The molar SS is a viable alternative rather than ridge preservation techniques.
Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly
esthetic and predictable treatment outcomes while decreasing
treatment duration and complexity. The clinician
must therefore be cognizant of circumstances with a predisposition
toward esthetic outcomes and treatment plan
accordingly. Preservation of the surrounding hard and
soft tissues associated with an immediate postextraction
socket implant to replace a nonrestorable tooth in the
esthetic zone is one of the greatest challenges facing the
dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological,
and esthetic parameters were recorded to evaluate primary
Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota
Amoxicillin is commonly used in oral surgery for antimicrobial prophylaxis against surgical-site infection and
bacteremia because of its effect on oral streptococci. The aim of this study was to determine whether amoxicillin reaches
the break-point concentrations in saliva and has any effect on the salivary microbiota, colonizing bacteria on mucosal
membranes and on the gingival crevice after a single dose of amoxicillin. A single dose given as prophylaxis to prevent a surgical-site infection results in a significant reducing effect on
the oral streptococcal microflora in the gingival crevice and may have an impact on bacteria spreading into tissues and the
bacteria of streptococci.
Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft
Trauma to teeth and the dentoalveolar process may result in a ridge defect that precludes straightforward implant
therapy of the patient. Typically bone and soft tissue augmentation of the area would first be needed to adequately
prepare the tissues for the implant and its restoration..Grafting of the site is substantially more difficult in cases where
the ridge also lacks adequate height, and techniques to recreate a bony envelope to apply guided bone regeneration
may be required. Moreover, defects in the anterior aesthetic zone that require both bone and soft tissue grafting and
a restoration that harmonizes the adjacent pink and white aesthetics may be an even more significant challenge to
the restorative team. Hereafter a case of trauma to an anterior maxillary tooth that saw destruction of the ridge is
presented, with the defect reconstructed to accommodate a functional and aesthetically pleasing implant supported
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.
Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
The need for an adequate alveolar ridge width has been a long-standing principle in pre-prosthetic surgery. Since the introduction of root-form endosseous dental implants, the necessity of proper alveolar ridge width has become essential. 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.
Dental Photography: From Theory to Practice
Dental photography should be your daily tool. If not, don’t wait and take your steps to learn it and master it. In this lecture, you will see how to take step by step full dental portfolio and which instruments are helpful in surgical photo documentation. In the end, you will get an update in settings, equipment, and accessories used to take excellent dental photo documentation.
Digital Smile Design and 3D Printing of Treatment Provisionals in Modern Dental Practice
The DSD Concept 2D is the portal to Digital Dentistry and Digital Workflow. Utilizing Facial Aesthetics as a starting point and ending with a functional, aesthetic and emotionally fulfilling Smile designed with Natural Algorithms via Keynote and translated via a DSD Planning Center into a 3D printed Wax-Up, or Full Arch Implant Guides and Conversion Smile. DSD protocol is special in that it fosters True “Team Synergy” between the Restorative Dentist to Laboratory and Specialist. This results in more predictable treatment outcomes from simple Smile Cases to Full Mouth Rehabilitations involving natural teeth to dental implants. Finally, by learning DSD’s unique connection to the Emotional component of Dentistry, you will gain skills on how to Consult, Present, and Gain High Levels of Case Acceptance.
The Evolution of Site Management for Implant Placement
During the last 20 years we have experience in Periodontics and Implantology a large amount of research and clinical cases that have aloud us to better understand how the Extraction and Implant Site behave. The Evolution of Site Management for Implant Placement goes to what we consider the most critical factors that influence our results in todays practice. The presentation goes through the evidence based alternatives and how this have changed with time. We also go through the Socket Shield alternative and present some of what we consider the future on this area will be.
Crowns and Bridges