Dental Publication / Article Details |
Predictable Gingival Correction of Passive Eruption
Author(s):
Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori Kurtzman, DDS
Date Added:
1/1/2008
|
Summary:
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 article presents a step-by-step guide for smile correction in the presence of passive eruption. Upon reading this article, the reader should: 1. Recognize passive eruption, 2. Determine proper position of the gingival margin as it relates to the incisal edge, 3. Be aware of how to surgically correct using bipolar electrosurgery.
|
|
Related Articles |
|
|
Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation
One standard approach for wound closure after ridge augmentation is coronal flap advancement. Coronal flap advancement results in displacement of the mucogingival junction and reduction of the vestibulum. In the maxilla, a buccal sliding palatal flap can be applied for primary wound closure after ridge augmentation. The dissected part of the palatal connective tissue is left exposed, thus eliminating or reducing the amount of the coronal flap advancement respectively and increasing the amount of keratinized gingiva. In combination with guided soft tissue augmentation, this flap design enables a three-dimensional peri-implant soft tissue augmentation.
Author(s): |
Snježana Pohl, MD, DMD;Maurice Salama, DMD;Pantelis Petrakakis, DDS, DPH |
|
View Article>>
|
|
|
|
|
Bipolar Electrosurgery: Gingival Modification in Passive Eruption
Excessive gingival display can affect the total aesthetics of a smile, becoming its focus instead of its frame. This can be the result of passive eruption of the gingival complex as the teeth erupt. The condition of delayed or altered passive eruption exists when the gingival complex remains coronal to the cementoenamel junction (CEJ), with the attachment on the enamel instead of the cementum of the root, giving the appearance of short clinical crowns. Crown lengthening is critical to the success…
Author(s): |
Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS |
|
View Article>>
|
|
|
|
|
The Use of PerioDerm for Root Coverage and Correction of Insufficiently Attached Gingiva
The objective of this article is to demonstrate the benefits
of an acellular dermal matrix called PerioDerm™
Acellular Dermis in correcting recession and adding connective
tissue during periodontal-restorative comprehensive treatment.
1,2 It has long been established that connective tissue
is an integral factor in the protection of the underlying periodontal foundation. Connective tissue tends to be tenacious in makeup and have far less vascularization than mucosa. It prevents bacterial infiltration to the underlying supportive periodontal tissues, and in restorative applications, it adds stability to gingival areas during impression taking and cementation of restorations. Though the quality of tissue is critical, it is also important that the tissue is bound down to either tooth surface or bone to serve as a supportive mechanism for protection of the periodontium.
|
|
|
Related Videos |
|
|
|
|
Maximizing Esthetics with Minimally Invasive Surgery Around Implants
Soft tissue deficiencies around implants impact esthetics and often lead to escalating problems. Early recognition and intervention with minimally invasive soft tissue surgery reduces the risk of undesirable sequellae associated with conventional surgical approaches around implants. The application of a minimally invasive soft tissue grafting method will be shown for treatment of soft tissue problems around implants and the indications for use of this technique will be outlined.
Presented By:: |
Edward P. Allen, DDS, PhD. |
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>>
|
|
|
|
|
Bone Augmentation & Vascular Enhancement Concepts: It’s Time to Make it Simple!
The purpose of this presentation is to make the participant think biology first and not mechanic first. A biological thinking will dramatically simplify vertical and/or horizontal bone augmentation procedures. We will also be introducing a new approach for the simplification of soft tissue handling: the Soft Brushing Technique, that will allow the coronal advancement of both buccal and lingual flaps, but also the palatal flap without the need for periosteal releasing incisions.
Presented By:: |
Jérôme Surmenian, DDS |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 Continuing Education Unit (CEU) |
|
Watch Now>>
|
|
|
|
|