Dental Publication / Article Details |
Achieving Predictable Connective Tissue Root Coverage
Author(s):
Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS, David Kurtzman, DDS, Peter C. Shatz, DDS
Date Added:
10/1/2006
|
Summary:
Gingival recession creates esthetic issues. These issues may be corrected from a restorative perspective by the placement of composite resin or ceramic over the exposed root. But this approach often results in a gingival-incisal length that does not blend esthetically with the adjacent teeth. Often accompanying the gingival recession is a decrease in the band of attached gingiva. The wider the band of attached gingiva, the more stable the long-term result. Therefore, surgical correction of the recession also requires the addition of connective tissue to increase the width of the attached gingiva.
|
|
Related Articles |
|
|
Recombinant Human Platelet– Derived Growth Factor: A Systematic Review of Clinical Findings in Oral Regenerative Procedures
The use of
recombinant human plateletderived
growth factor–BB (rhPDGF)
has received Food and Drug
Administration approval for the
treatment of periodontal and
orthopedic bone defects and dermal
wound healing. Many studies
have investigated its regenerative
potential in a variety of other oral
clinical indications. The aim of this
systematic review was to assess the
efficacy, safety, and clinical benefit
of recombinant human plateletderived
growth factor (rhPDGF) use
for alveolar bone and/or soft tissue
regeneration. Based on the
clinical evidence, rhPDGF is safe and
provides clinical benefits when used
in combination with bone allografts,
xenograft, or β-TCP for the treatment
of intrabony and furcation periodontal
defects and gingival recession or
when used with allografts or xenograft
for GBR and ARP.
Author(s): |
L. Tavelli, A. Ravidà, S. Barootchi, L. Chambrone, W.V. Giannobile |
|
View Article>>
|
|
|
|
|
Modified IVAN Technique: Long-Term Follow-Up of 20 Cases Over 2 to 11 Years
When natural teeth fail, frequently there is a loss of hard and soft tissue. This may complicate subsequent dental implant placement by
creating insufficient bone to house the implant. This also occurs when the tooth has been missing for an extended period, especially in the
premaxilla, where the bone is less dense and often lacks sufficient volume of facial bone. Site reconstruction to accommodate implant
placement often requires both hard and soft tissue augmentation. The modified interpositional vascularized augmentation neogenesis
(mIVAN) technique achieves the desired treatment goals in both delayed and immediate placement scenarios. The technique will be
discussed as well as the long-term follow-up on 20 cases.
Author(s): |
Snježana Pohl, MD, DMD;Gregori M. Kurtzman, DDS |
|
View Article>>
|
|
|
|
|
The Endentulous Ridge in Fixed Prosthodontics
In those clinical situations in which missing teeth are replaced with fixed prosthodontics, the clinician is faced with the task of fabricating the pontics to fulfill the requirements of esthetics, form and function, and oral physiotherapy. The relationship of the "dummy tooth", or pontic to the underlying ridge is inordinately complex, since the esthetic requirements invariably conflict with those of function and hygiene. Although pontic designs have been discussed in some depth in the literature,…
|
|
|
Related Videos |
|
|
Dento-Facial Esthetics in Search of Equilibrium
Dr. Rogerio Zambonato outlines new perspectives on dento-facial esthetic paradigms that aim at bringing into equilibrium function, health and comfort along with the alignment of dento-facial parameters of beauty.
Presented By:: |
Rogério Zambonato Freitas, DDS, MS |
Presentation Style: |
Lecture |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
Single Incision Technique to Harvest Free and Vascularised Subepithelial Connective Tissue Graft From The Palate
In this short lecture a harvesting of free and pediculated connective tissue graft from the palate in one incision technique is presented. One incision technique as described by Huerzeler and Allen is a minimal invasive technique that results in wound healing by primary intention and therefore causes minimal postoperative discomfort. Through pictures and animations this technique is shown step by step. This presentation also deals with a wound healing and possible complications.
Presented By:: |
Snježana Pohl, MD, DMD |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
Developing White and Pink Esthetics through Reconstructive Surgery
This lecture/video presentation describes the comprehensive treatment of a case in which we needed to reconstruct the hard and the soft tissue after the extraction of a central incisor. The video demonstrates on of several possible surgical procedures for the reconstruction of tissue defects within the esthetic zone. Specifically, a non-resorbable membrane was utilized and combined with a modification of the pedicle connective tissue graft at the same time of the extraction.
Presented By:: |
Juan Arias Romero, DDS |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
Related Courses |
|
|
A Review of Clinical Applications for Soft Tissue Allografts & Autografts: Solutions for Teeth, Implants, and Dentures
The presentation focuses on the clinical applications for acellular dermal graft (ADG) materials. ADGs have been commonly presented and discussed to provide solutions for treating gingival recession. Compared to autogenous grafts, they have the advantage of minimizing pain, discomfort, and surgery time for patients by avoiding an intraoral donor site such as the palate. In addition to treating gingival recession, ADGs also have uses in bone grafting surgeries such as socket grafting and ridge augmentations (GBR) when they are utilized as a barrier membrane. Finally, ADGs can be combined with bone grafting materials to aid in the augmentation of edentulous ridges to aid denture support. While this last application is less common, it's use is worthy of discussion.
Presented By:: |
David Wong, DDS |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Unit) |
|
Watch Now>>
|
|
|
|
|
Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability
The main factor for soft and hard tissue healing is the speed and quality of new vascularization.
This lecture will present all the positive and negative factors who control the angiogenesis, blood supply and bone metabolism:
-Biological factors as vit. D and cholesterol have to be checked before the surgery
-The management of the flaps with sutures is one the main factor for the bone and soft tissue maintenance..
-The soft brushing technique is a new technique which increases the flap without periosteal incision nor bleeding.
-Careful Implant placement without too much torque, specially in cortical bone or grafted bone at the re-entry..
-The A-PRF liquid and i-PRF are solutions to reduce the mobility of the granules (sticky bone) with an improvement of angiogenesis
The use of growth factors is a stimulation of angiogenesis.
The prevention of the negative factors will allow us to achieve the long term stability.
Presented By:: |
Joseph Choukroun, MD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 Continuing Education Unit (CEU) |
|
Watch Now>>
|
|
|
|
|
Plastic-Esthetic Periodontal and Implant Surgery: A Microsurgical Approach - Part 1
This 2 part presentation is a comprehensive overview of the principles, indications, and clinical techniques of plastic-esthetic periodontal and implant microsurgery, focusing especially on minimal soft tissue trauma and maximally perfect wound closure. Microsurgery provides clinically relevant advantages over conventional macro-surgical concepts for regenerative and plastic-esthetic periodontal surgery, especially in the all-important esthetic zone. The microsurgical principles and procedures presented will described using high resolution multimedia.
Presented By:: |
Markus B. Hürzeler, DMD, PhD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Unit) |
|
Watch Now>>
|
|
|
|
|