Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Cosmetic Crown Lengthening

Description:
The diagnosis and treatment planning of cosmetic crown lengthening. The restorative lab phase followed by the actual surgical procedure utilizing a surgical template, simple gingivectomy and osseous reduction followed by suturing.

Date Added:
6/29/2007

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
[read more]

Recognized Institutes





Online Videos / Surgery / Soft Tissue / Cosmetic Crown Lengthening




Questions & Comments
Maurice Salama - (9/22/2013 8:14 AM)

Parviz; When the bone is present interproximally (5mm or less to contact Tarnow 1992 JP) there is NO need to worry about the papilla. I prefer to raise the entire papilla in the flap to avid scarring and fibrous tissue healing. Thanks for your post. Dr. Salama

parviz roshanzamir - (9/22/2013 2:35 AM)

Dr. Salama,
won't you prefer to split the papilla rather than raising them to minimize the potential loss of papilla height ?
Regards,
Parviz

Maurice Salama - (3/25/2013 8:37 AM)

Shailesh; In this area do not do a gingivectomy only ostectomy and apically position flap. Thanks Dr. Salama

Shailesh Swami - (3/25/2013 8:12 AM)

Dr Salama thank you for the excellent presentation. I have question about crown lengthening in the non esthetic zone. I have a patient with Sjogren`s syndrome who has multiple cavities at or below the gum levels. How can you do a crown lengthening at the lingual aspect of the mandibular molars for e.g. where there is no keratinised tissue left?

Maurice Salama - (3/3/2013 6:32 PM)

John; Thanks. I utilize only the PLUG of PRGF not the liquid for extraction sockets. It does set up. Yes, Vegas was a huge success. Hope to see you soon. Regards Dr. Salama

john bishop - (3/3/2013 12:41 PM)

I use prgp for my implant/socket preservation. Does it not set up. Do you aspirate it in some sort of syringe to deliver it to the mouth. When during the procedure do you draw the blood and how much working time do you have? Nice video and cudos for a great Las Vegas meeting. John Bishop

Maurice Salama - (2/29/2012 12:32 PM)

Jan; Thanks. I prefer PRGF or PRF blood borne bioactive modifiers over recombinant forms of bioactive growth factors such as emdogain and Gem-21 but I do utilze them when I must.
No Preidex just warm salt water starting at day 3.
good luck Dr. Salama

Jan Bublik653 - (2/29/2012 6:34 AM)

Thanks for the short video. I understand the Enamel matrix protein use in periodontal surgery. What is your rationale for using Emdogain in these cases rather than let's say PRP? Have you noticed a difference in healing (how the tissue looks to you) using Emdogain vs nothing? Do you put the patient on 0.12% CHX afterwards while using Emdogain? Jan

Christopher Tavares939 - (2/27/2012 6:38 PM)

Excellent Video. Very informative and educational. Many thanks, Dr. Salama.

Related Videos
PORTUGUESE - Free Gingival Graft Premium Member Content

PORTUGUESE - Free Gingival Graft
Surgical Techniques in Grafting

Presented By:: Maurice Salama, DMD;Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Esthetics Around Implants; Introducing the "Snake" Technique ! Premium Member Content

Esthetics Around Implants; Introducing the "Snake" Technique !
The “Snake technique” is a new concept in minimally invasive surgery.  It is based on old fundamental principles that offer reliable and predictable results. The “Snake technique” is a pediculated gingival graft, which unlike free grafts (CTG, FGG) offers several advantages and a lower surgical stress for our patients by having no need for an additional surgical site. As the small details make the biggest differences, the “Snake technique” may add value to both the surgical course of therapies selected as well as the relationship with our patients who demand minimally invasive treatments.

Presented By:: Cosmin Dima, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Coronally Advanced Envelope Flap - A Step-by-Step Video Premium Member Content

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.

Presented By:: Pedro Moura, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Surgical Veneer Grafting: Utilization in Immediate Implant Placement Premium Member Content

Surgical Veneer Grafting: Utilization in Immediate Implant Placement
The management of the digital implant prosthetic dentistry, especially in the anterior esthetic area, is one of the hottest topics in Dentistry. The diagnostic phase is critical. In the course, are discussed all the parameters to achieve the correct diagnosis of the socket and the various treatment plan correlated to each anatomical type of socket. The Dual Zone approach (bone zone and tissue zone) will be evaluated and discussed in detail, regarding each of their variables.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management Premium Member Content

Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management
This presentation by the Troeltzsch Brothers features the fundamentals of surgical procedures in the oral cavity. Highlighted are the basic concepts we all must integrate into our daily clinical practice. A discussion of the essential anatomic guidelines as they relate to flap design options and indications are emphasized. Furthermore, material selection, sutures and techniques of wound closures are clearly addressed. Critical solutions to common surgical complications are also described. This lecture is intended for surgical beginners as well as experienced clinicians who want to update their surgical knowledge. These fundamentals are also very popular in the hands-on courses given by the Troeltzsch brothers.

Presented By:: Markus Tröltzsch, MD, DMD;Matthias Tröltzsch, MD, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota

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.

Author(s): Cecilia Larsson Wexell, DDS, PhD; Henrik Ryberg, PhD; Wivi-Anne Sjöberg Andersson, DDS; Susanne Blomqvist, BSc; Pieter Colin, PhD; Jan Van Bocxlaer, PhD; Gunnar Dahlén, DDS PhD
View Article>>
Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation

Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation
One standard approach for wound closure after ridge augmentation is coronal flap advancement. Coronal flap advancement results in displacement of the mucogingival junction and reduction of the vestibulum. In the maxilla, a buccal sliding palatal flap can be applied for primary wound closure after ridge augmentation. The dissected part of the palatal connective tissue is left exposed, thus eliminating or reducing the amount of the coronal flap advancement respectively and increasing the amount of keratinized gingiva. In combination with guided soft tissue augmentation, this flap design enables a three-dimensional peri-implant soft tissue augmentation.

Author(s): Snježana Pohl, MD, DMD;Maurice Salama, DMD;Pantelis Petrakakis, DDS, DPH
View Article>>
Connective Tissue & Bone Graft for Anterior Immediate Implant Placement

Connective Tissue & Bone Graft for Anterior Immediate Implant Placement
Immediate implant placement in a one-stage approach, with or without provisionalization, has proven to be advantageous in preserving gingival anatomy around dental implants. But placing implants immediately in the changing alveolar bone of an extraction socket can result in progressive recession of the gingival labial margin over the implant restoration. Thicker biotypes and bone of the labial periimplant tissue have been shown to promote long-term stable gingival margins. A surgically simple technique…

Author(s): Thomas J. Han, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login · Register