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
Vestibuloplasty: Indications and Techniques

Description:
 Following the complete loss of teeth, the alveolar bone undergoes various degrees of resorption, particularly in response to tissue-supported conventional dentures. This results in loss of vestibule and decreased surface area for denture support. In this presentation, Dr. H. Ryan Kazemi reviews various vestibuloplasty procedures that have been described for restoring the vestibular depth and increasing denture surface area. Additionally, he discusses the application of vestibuloplasty in the management of patients with bone augmentation and implants who commonly present with decreased vestibular depth, the inadequate zone of keratinized gingiva, and thin soft tissue biotype. A step-by-step surgical technique is presented that will increase vestibular depth, the zone of attached gingiva, and soft tissue thickness for enhanced aesthetics and function of dental implants.  

Date Added:
5/18/2016

Author(s):

H. Ryan Kazemi, DMD H. Ryan Kazemi, DMD
Dr. H. Ryan Kazemi is a board certified oral and maxillofacial surgeon. He is the founder and CEO of Kazemi Oral Surgery & Dental Implants and maintains a full time ora...
[read more]




Online Videos / Surgery / Soft Tissue / Vestibuloplasty: Indications and Techniques




Questions & Comments
Tarek Assi - (7/7/2018 7:05 PM)

Beautiful and outstanding! Thank you!

Maurice Salama - (9/14/2016 11:10 AM)

Simply outstanding...really a teacher..Thanks Maurice

Rahul Kothari - (6/14/2016 12:07 AM)

if we leave the periosteum raw, will it heal by secondary intension? if this is possible then we dont need to take graft from palate. anywhichways we are leave the donor site raw

Hamid Kazemi - (5/15/2016 4:02 PM)

Thank you all for your feedback. The graft around implants #19 and 20 was indeed Alloderm and having it exposed is not an issue particularly when there is small gaps. Even in large areas over coverage where Alloderm is entirely exposed when placed on top of perisoteum, it incorporates and heals predictably with regeneration of new keratinized gingiva.

richard martin - (5/15/2016 3:06 PM)

Ryan, Just beautiful display of the foundation of pre prosthetic surgery -Bravo

Carl Choi - (5/14/2016 10:35 PM)

Dr. Kazemi, in the case shown at the 15:00 mark where you are grafting around implants 19 and 20--are you using alloderm? Any issues with leaving it exposed? Thank you for your excellent presentation.

Maurice Salama - (5/14/2016 2:56 PM)

Dr. Kazemi this is absolutelt what our membership wanted and needed. Simply outstanding!!! Thanks so much. Dr. Salama

Arthur Lyford - (5/14/2016 2:25 PM)

Great background and great video, classy music, very well done!

Related Videos
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: Video
Community Rating:
 
Watch Now>>
Growth Factor Mediated Regenerative Therapies Premium Member Content

Growth Factor Mediated Regenerative Therapies
In this very technical and scientific presentation, Dr. Joseph Choukroun, a physician and researcher from France, describes the benefits of Platelet Rich Fibrin (PRF) in wound healing. He emphasizes the effect of PRF on the two essential factors of wound healing which are new vessels and cells in surgical sites like extraction sockets, sinus augmentation and more.

Presented By:: Joseph Choukroun, MD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Minimally Invasive Approaches for Managing Deficient Sites in Esthetic Implant Dentistry Premium Member Content

Minimally Invasive Approaches for Managing Deficient Sites in Esthetic Implant Dentistry
When considering esthetic dental implant therapy, preservation or further enhancement of the available tissue support may provide an improved esthetic outcome with less associated morbidity and treatment duration. Nevertheless, reconstruction of compromised sites due to lost hard and soft tissue volume is often inevitable in the anterior zone. Substantial ridge deficiencies demand more complex grafting procedures with an increased level of invasiveness and subsequent tissue alterations.

Presented By:: Sherif Yousri Said, BDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Modern Crown Lengthening: Classification and Clinical Application Premium Member Content

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

Presented By:: André P. Saadoun, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Esthetic Tissue Reconstruction Around Implants - Part 2 of 2 Premium Member Content

Esthetic Tissue Reconstruction Around Implants - Part 2 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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
Bone Regeneration and Tissue Acceptance of Human Fascia Lata Grafts Adjacent to Dental Implants

Bone Regeneration and Tissue Acceptance of Human Fascia Lata Grafts Adjacent to Dental Implants
The biologic principle of guided tissue regeneration (GTR) has been studied extensively in hopes of regenerating alveolar bone. Various materials have been utilized as regenerative membranes; however, all materials have disadvantages, and the ideal membrane material is yet to be identified. In this case report, human freeze-dried fascia lata strips were used as a regenerative barrier membrane in conjunction with the placement of endosseous root implants and demineralized, freeze-dried bone allograft.…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;James D. Kraft, BS, CPTC , Ronald Wand, DDS
View Article>>
Predictable Gingival Correction of Passive Eruption

Predictable Gingival Correction of Passive Eruption
While the need to maintain a dry operative field has traditionally caused complications during various soft tissue surgical procedures, the use of bipolar electrosurgical techniques can eliminate the need to maintain a dry field, thus increasing the clinician’s ability to deliver predictable, long-term results. This case presentation describes how to determine the presence of passive eruption, treatment plan its correction, and surgically alter the gingiva to provide a more aesthetic smile. This…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori Kurtzman, DDS
View Article>>
Using an Acellular Dermal Matrix for Increasing Keratinized Tissue Around Dental Implants

Using an Acellular Dermal Matrix for Increasing Keratinized Tissue Around Dental Implants
In previously published articles, investigators concluded that gingival recession may affect up to 90% of the population. Gingival recession ranges from one to three millimeters and is predominantly noted on the buccal surfaces of molar, premolar, and lower incisor teeth. Although surgical grafting techniques have traditionally been used to restore these recession sites, an acellular allograft material has recently been developed for increasing the zone of keratinized tissue surrounding teeth and…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login · Register