Mike Sonick - (5/11/2011 2:38 PM)

Simon
I agree with Dr Salama. The papilla sparing incision is one that I do not use very frequently for it leads to papilla compromise via a loss of blood supply as well as scaring as Maurice pointed out. The key for papilla is the bone. If you have the bone and the contact point is in the correct place you will have the papilla. Mike Sonick

Maurice Salama - (5/7/2011 1:47 PM)

Simon; Unsure about Dr. Sonick's response but I personally do not like the "papilla saving" incision. I feel it is over utilized and often restricts blood supply to the flap and forces the surgeon to graft and place the membrane over the incision line. It often causes scar formation which could be a negative in the esthetic zone. Dr. Salama

Simon Milbauer - (5/5/2011 10:19 AM)

Dr Sonick,why you do not recommend papilla saving incision?I have attended a course focusing on soft tissue management recently and the lecturer who was a periodontist was actually recommending this type of flap design.

Mike Sonick - (11/21/2010 8:30 PM)

Jeffrey,

This presentation focussed on the needed biologic concepts in order to idealize the placement of implants. I specifically utilized long term follow up in order to demonstrate long term follow up and to demonstrate the longevity of the results when biologic principles are followed.

Today - many of us are focused on the "new and improved". Fact is biology has not changed in the last 30 years. I learned from many of my teachers, Tarnow, Garber,Abrams, Kramer, and many others that as long as biologic prinicples are followed, success will usually occur.

Mike Sonick - (11/21/2010 8:26 PM)

Sam

I graft with Connective Tissue when i want to augment the soft tissue. In this presentation, my attempt was to try and use Guided Gingival Growth to enhance soft tissue without having to do a connective tissue graft.

Today, I frequently graft with bone e.g. BioOss and a membrane at the time of initial implant surgery in order to increase the volume buccally. This is called a contour graft and has been described by Danny Buser.

I hope that helps. Connective Tissue Grafting can be done at any of the following times:

1. prior to implant placement
2. At the time of implant placement
3. At the time of second stage surgery
4. Post second stage surgery

Personally, I prefer 3. at the time of second stage surgery if CTG is to be done.

Hope that helps.

Mike Sonick - (11/21/2010 8:26 PM)

Sam

I graft with Connective Tissue when i want to augment the soft tissue. In this presentation, my attempt was to try and use Guided Gingival Growth to enhance soft tissue without having to do a connective tissue graft.

Today, I frequently graft with bone e.g. BioOss and a membrane at the time of initial implant surgery in order to increase the volume buccally. This is called a contour graft and has been described by Danny Buser.

I hope that helps. Connective Tissue Grafting can be done at any of the following times:

1. prior to implant placement
2. At the time of implant placement
3. At the time of second stage surgery
4. Post second stage surgery

Personally, I prefer 3. at the time of second stage surgery if CTG is to be done.

Hope that helps.

Sam Busich - (11/21/2010 7:31 PM)

Dr. Salama;
I disagree, the images and cases did not appear to support some of the concepts offered. I have seen Dr. Sonick lecture and enjoy his videos on XP but the comments made were fair in this case.
Sam

Maurice Salama - (11/19/2010 9:22 PM)

Jeffrey; It appears to be a lecture aimed at concepts and perhaps not as much a review of current surgical techniques.

jeffrey puglese - (11/19/2010 9:13 PM)

HOW ABOUT GETTING SOME UP TO DATE SURGICAL CASES FOR THIS PRESENTATION