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Video Details
The Basics of Root Coverage Surgery with Acellular Dermal Grafts: A STEP-BY-STEP Live Patient Demonstration

Description:
Soft tissue grafting is rapidly playing a larger role in restorative, esthetic, and reconstructive dentistry. While conventional grafting techniques have several limiations, newer grafting materials and techniques make it easier for patients to say "yes" to the treatment they truly need and desire. In this webinar, Dr. Wong will perform a step-by-step demonstration using Perioderm to correct multiple gingival recession defects. Soft tissue allografts are quickly becoming a "game changer" in dentistry, making optimum dentistry more than an ideal... it's a reality.

Date Added:
12/6/2012

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 / The Basics of Root Coverage Surgery with Acellular Dermal Grafts: A STEP-BY-STEP Live Patient Demonstration




Questions & Comments
Steven Oliver - (7/6/2018 10:41 AM)

David, Great job as always. Thank you for sharing.

yonel greemberg - (9/23/2014 4:01 AM)

hi dr.wong, which one,the thick or the thin perioderm are U validate in this case and/or what criteria do U foreseen in picking up one of them fonds regards nel

Haim Aseriel - (11/12/2013 8:38 PM)

Hi David, First of all great video, superb explanation!! From what it seems the patient has considerable bony recession associated with gingival recession. So i was wondering if by bringing down some soft tissue to the level of cej you are not putting the patient at risk for gingival pockets? So from an esthetic point of view i understand the gingival root coverage procedure, but from a periodontal point of view, shouldn't that patient get an apical repositioning flap to reduce chances of perio pockets? Thank you

Maurice Salama - (7/8/2013 8:48 AM)

Outstanding review of soft tissue procedures for root coverage. All the info is well described. Thanks Dr. S

Jeffrey Krahling - (1/18/2013 7:21 AM)

Great video! Thank you very much. Which Perioderm product is shown here? thick vs thin etc...? and could you talk a little bit about the indications for each.

david wong - (12/18/2012 10:26 PM)

Hi Pascal! Yes, for a connective tissue graft, the same flap design and suturing technique could be used. However, please don't feel limited to the technique I've demonstrated... I routinely use envelope flaps, tunnel flaps, alternating papilla tunnels, etc... I would say that any flap design that works for acellular dermal tissue would work for autogenous tissue as well. Thanks!

Pascal Naegeli - (12/18/2012 1:45 AM)

Dr. Wong, very good presentation. Would you do the same approach using a connectiv tissue graft instead of a dermal graft?(same flap, same suture. Thank you very much.

omid moghaddas - (12/17/2012 3:04 PM)

nice presentaion as always.tnx

david wong - (12/17/2012 10:07 AM)

Kevin, I've actually never tried Alloderm or Perioderm in this manner, so I can't speak from experience. However, in observing the way these materials have behaved (at least for me) over the past 12 years, I don't think you could leave the material exposed while repairing a buccal plate defect. My feeling (no literature support on this) is that the flap would pull away from the site and the underlying acellular dermal graft would necrose. My preference/suggestion would be to try to obtain primary closure when using this material over buccal defects.

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