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Video Details
Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials

Description:
Soft tissue root coverage microsurgery and pontic site enhancement are frequently utilized periodontal plastic surgery techniques to create an ideal restorative frame for teeth, pontics and implants. Tunnel, Semilunar, VISTA etc. are among the new age techniques highlighted in this growing area of periodontal microsurgery. New autologous tissue harvest techniques, Allograft ACDM and Bioactive Modifiers have all changed the way we are capable of managing soft tissue deficiencies and have assisted the clinician in improving the healing qualities of these minimally invasive techniques. This lecture will cover site preparation techniques for conventional dentistry as well as prior to and after implant placement. Including: 1. Diagnosis and classification of soft tissue recession defects. 2. Minimally Invasive soft tissue Enhancement techniques.

Date Added:
5/10/2017

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...
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Questions & Comments
Maurice Salama - (11/19/2018 4:10 PM)

Barry and Emilio; Thank you.

barry manson - (5/9/2017 10:07 AM)

amazing thank you Dr Salama!!

Emilio Mateo - (5/4/2017 8:53 PM)

Excellent as always Maurice

George Duello - (5/3/2017 8:56 PM)

Maurice, To answer your question-what is acceptable post surgical changes in the soft tissue. My answer is the same that Frank Spear gave when talking about what is esthetically acceptable. Frank's answer was what ever the patient said it is. So what is acceptable recession to the patient relative to post mucogingival post-surgical recession is what ever the patient says it is. For some patient's it is no recession from the CEJ is the recessions are 2-3mm and Class I Millers. For other patient with 6-8mm of recession like the cuspid you showed that I would classify as a Miller Class III-the patent might be happy with 75-80% coverage. The message I want to convey is make sure that the patient's expectations are understood before you perform mucogingival surgery relative to the technique you are using. I think under-promising and over delivering is a good patient management technique for these patients. Our goals in our head and heart is to achieve life-time root coverage with attached keratinized tissue. This is our goal but given the variability in patient healing and uniqueness of periodontal anatomies it is not always possible. A key principle of patient management is to do no harm. I think your lecture was a good exercise in that principle-all of your patient's were better off after the procedures with some outstanding results and others had improvement but not perfection. Thanks for sharing.

Omid Moghaddas - (5/3/2017 1:39 AM)

Great,comprehensive and very well organized. Tnx my dear mentor. Regards Omid

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