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Video Details
Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities

Description:
Autogenous connective tissue grafts from the palate have been the gold standard for surgically correcting gingival recession for decades. With the advent of newer soft (and hard) tissue allografts, grafting procedures are increasingly predictable, quick, effective, and less painful for patients. In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today. Discover how these newer materials are making it easier for patients to say "yes" and how their results can impact the level of esthetics, periodontal health and predictable restorative dentistry our profession can deliver.

Date Added:
9/2/2011

Author(s):

David Wong, DDS David Wong, DDS
Dr. David Wong is a board-certified Periodontist in private practice in Tulsa, Oklahoma.

Dr. Wong received his undergraduate education and dental training at the Un...
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Online Videos / Surgery / Soft Tissue / Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities




Questions & Comments
Edison Louie - (5/19/2013 7:46 PM)

Thank you for your presentation...very well done.

omid moghaddas - (7/27/2012 10:17 AM)

really like your performance Dr Wang,great.thanks Dr Omid Moghaddas

Shawn Tokunaga - (7/27/2012 9:38 AM)

Loved the presentation. Clear, concise and delivered well. I am eager to delve deeper in managing tissues better after seeing this. It really opened my eyes to what is possible. Thanks David

sami latif - (5/1/2012 9:48 PM)

I have registered as a premium member,yet I can't seem to be able to watch any video, can you verify that I have upgraded my account, Thanks

Sivan Dr Kars - (3/24/2012 4:32 PM)

Doe's the root coverage procedure work as well on non vital teeth as on vital?

david wong - (3/22/2012 2:50 AM)

Hi Nina, thank you for the question... for treating multiple teeth, our fee is $1100 for the first tooth and $580 for each add'l tooth. For full arches, the fee is normally between $5000-6000 depending on the difficulty of the case... for instance, if a tooth only has 1 mm of recession I won't even charge for it if it's part of a full arch case.

Nina Foley - (1/31/2012 5:20 PM)

Loved it...when you are doing these full mouth or >1 graft how are you charging?

gary toogood - (12/4/2011 10:11 AM)

very good presentation as well as informative......gary toogood

david wong - (9/6/2011 9:39 AM)

@binh: There are several factors to consider for ortho cases... the direction of movement, severity of recession, quality of the surrounding tissue, etc... Generally speaking, my preference is to perform the grafting before ortho treatment in order to establish a strong foundation and to minimize or prevent further recession. However, for class I (Miller) recession defects in which there is no interproximal bone loss and the recession defects do not extend to the mucogingival junction, you can graft either before or after ortho as it really will not make a difference in the patient's final outcome as long as the roots are not moved through the labial plate. If there is absolutely no keratinized/attached gingiva surrounding a tooth or teeth, I will generally graft before orthodontic treatment. I will wait 8-12 weeks before commencing ortho. Hope this answer's not too confusing, and thank you for the question! @pierre-- I love Emdogain in some cases... there have been several studies (McGuire's work comes to mind) discussing it's use in treating recession. Results are usually best when used to treat Class I recession defects. Thin existing tissue is still going to be treated the best with either palatal tissue or an acellular dermal graft like Perioderm. The interesting thing about Emdogain, though, is that some studies report an increase in keratinized/attached gingiva and histology exists that suggest that regeneration is even possible. Thanks again for the question and for watching the presentation.

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