Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report

Author(s):

Monish Bhola, DDS, MSD;Nomahn Humayun; Shilpa Kolhatkar; Jason Souiyas

Date Added:

11/22/2013


Summary:

Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. This report describes the use of a mucosal coronally positioned flap for the management of a gummy smile associated with vertical maxillary excess and hypermobility of the upper lip. For patients desiring a less invasive alternative to orthognathic surgery, the mucosal coronally positioned flap is a viable alternative. We demonstrate short-term successful use of this technique for the management of excessive gingival display in the presence of slight vertical maxillary excess and hypermobility of the upper lip. Long-term follow-up studies are needed to determine stability of the results.

Related Articles
Suturing Principles - Material Selection

Suturing Principles - Material Selection
The primary objective of dental suturing is to position and secure surgical flaps to promote optimal healing The evolution of su turing materials has enabled decreased potential of postoperative infection and increased successful closure with minimal difficulty. Accurate flap opposition contributes to patient comfort and hemostas is, reduces the wound to be repaired, and prevents unnecessary bone destruction.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
Applied Techniques for Predictable Suture Placement Part 3

Applied Techniques for Predictable Suture Placement Part 3
Standard protocols for suturing have been developed for the positioning and securing of surgical flaps to promote optimal healing. Parts 1 and 2 of this article discussed the indications for a variely of suturing techniques, including the periosteal suture technique, the simple look modification of interrupted suture technique, and several continuous suture techniques. Vertical mattress sutures, coronally repositioned mattress sutures, horizontal mattress sutures, and vertical sling mattress sutures…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol

The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol
Inadequate restorative space can result in mechanical, biologic, and esthetic complications with full-arch fixed implant-supported prosthetics. As such, clinicians often reduce bone to create clearance. The aim of this paper was to present a protocol using stacking computer-aided design/computerassisted manufacturing (CAD/CAM) guides to minimize and accurately obtain the desired bone reduction, immediately place prosthetically guided implants, and load a provisional that replicates predetermined tissue contour. This protocol can help clinicians minimize bone reduction and place the implants in an ideal position that allows them to emerge from the soft tissue interface with a natural, pink-free zirconia fixed dental prostheses.

Author(s): Maurice Salama, DMD;Prof. Dr. Alessandro Pozzi;Wendy AuClair-Clark, DDS, MS;Marko Tadros, DMD;Lars Hansson, CDT, FICOI;Pinhas Adar, MDT, CDT
View Article>>
Related Videos
A Surgeon's Perspective of the Digital Divide Premium Member Content

A Surgeon's Perspective of the Digital Divide
The impact of digital technology in implant dentistry continues to expand at a rapid rate. As a result, the management of more complex cases is becoming a common place in everyday decision making and practice. However,the optimal patient outcomes can only be maximized by cohesiveness between the surgeon and the restorative dentist AS A TEAM. This lecture will focus on the surgeon's role in being a team player and collaborating digital applications to communicate with the restorative doctor. Applications of intra-oral scanning to facilitate this collaboration will be shown through multiple applications in case scenarios. Welcome to the digital revolution.

Presented By:: Richard Martin, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Mastering Surgical Principles: Key to Constant Success Premium Member Content

Mastering Surgical Principles: Key to Constant Success
Clinical success depends on material and technique selection, but no material or technique will succeed if surgical principles are not respected. Attention to detail is imperative and mastering surgical principles is key to constant success. This course aims to review principles of flap design and elevation, as well as degranulation, debridement, suturing and wound stabilization of the most commonly performed periodontal, implant and advanced bone grafting procedures. Pharmacologic protocols and anesthesia will also be discussed.

Presented By:: Rodrigo Neiva, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Orchestration of Static Guided Surgery, Navigation & Guided Prosthesis for Complete Rehabilitation Premium Member Content

Orchestration of Static Guided Surgery, Navigation & Guided Prosthesis for Complete Rehabilitation
The computer guided implant surgery and the x-guide navigation systems introduced a novel minimally invasive concept in the treatment of total edentulous and terminal dentition patients, with new perspectives based on bone graft-less rehabilitation and low morbidity implant surgery. Moreover with diagnostic data obtained from CBCT and extra and intra-oral optical surface scanning, a novel digital pathway based on facially driven virtual diagnostic waxing, prosthetically driven surgical plan, digitally printed surgical template, and prefabricated implant-supported screw-retained interim restorations can be realized in a predictable manner. The challenging interplay with the surrounding gingival framework, often overlooked in the extensive rehabilitation supported by tilted implants, will be highlighted through a step by step clinical protocol to deliver a natural gingival architecture and a direct pink free prosthetic emergence.

Presented By:: Prof. Dr. Alessandro Pozzi
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
The Interdisciplinary Software Platform. The Key For Modern Digital Dentistry Premium Member Content

The Interdisciplinary Software Platform. The Key For Modern Digital Dentistry
The starting point of a facially driven interdisciplinary dental treatment plan is "The Smile Frame". A few crucial photos and steps will come together to create the ultimate template you need to communicate to your dental team, colleagues, and the patient to ultimately increase case acceptance and create the most aesthetic and functional method of rehabilitation to your patient. We will discuss how this paradigm shift of regular analog dentistry has shifted to this modern digital world and the benefits it provides. The protocol proposed will improve the diagnosis, communication and predictability of esthetic rehabilitation, from simple implant or restorative cases to complex cases, combining perio, ortho, and othognathic surgery. Emphasis will be given to the utilization of digital tools to enhance and facilitate the Dentist/Technician interaction and communication with the patient.

Presented By:: Christian Coachman, DDS, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Ortho/Perio Treatment on Impacted Upper Central Incisors Premium Member Content

Ortho/Perio Treatment on Impacted Upper Central Incisors
Upper central incisor impaction has functional, esthetic and psychologic implications. Causes of the impaction can be divided in obstructive and traumatic. Among the first ones are: supernumerary teeth, odontomas and mesiodens. Among the second group are facial trauma received in the primary or early mixed dentition. In close relation as well with root dilaceration. Other less common reasons for impaction include: crowding, endocrine alterations, bone diseases, genetic conditions, extraction or ankylosis of primary incisors. The impacted upper central incisor can be classified depending on: mesio-distal position, occluso-gingival position, midline angulation, degree of root formation. If early intervention is not enough. There is the need for surgical exposure and orthodontic traction. Among possible treatment complications are: esthetic gingival sequelae, ankylosis and root resorption

Presented By:: Miguel Hirschhaut, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Applied Anatomy of the Neck as it Relates to Head and Neck Infections - Part 1 of 2 Premium Member Content

Applied Anatomy of the Neck as it Relates to Head and Neck Infections - Part 1 of 2
In this lecture Dr Bagheri will describe in detail basic and surgically relevant head and neck anatomy as it pertains to routine oral surgical procedures. The anatomy will be outlined as it is implicated in several procedures and pathological conditions.

Presented By:: Shahrokh C. Bagheri, DMD, MD, FACS, FICD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free







Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register