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

Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Russell A. Gornstein, DDS, MS, Donald P. Callan, DDS, Baldev Singh, BDS, PhD

Date Added:

3/1/1999


Summary:

Predictable tissue regeneration presents a considerable challenge in the surgical treatment of gingival tissue defects. Soft-tissue augmentation procedures to increase the existing or create a new zone of attached keratinized gingival tissue have classically been performed using the patient's own masticatory mucosa and, more recently, using an acellular dermal allograft as the donor material. This article presents a clinical case whereby an acellular dermal allograft was placed on the buccal surface of one mandibular cuspid while a masticatory mucosal graft taken from this patient was placed in a similar fashion on the contralateral mandibular cuspid. Soft-tissue biopsies were obtained from each grafted area 12 weeks after placement, at the time of light and scanning electron microscopy (SEM) evaluation. This initial investigation demonstrated that the acellular dermal alloplastic graft material displayed clinical and histologic features that were similar to the patient's own palatal donor material when used to increase the zone of attached keratinized tissue.

Related Articles
Aesthetic Crown Lengthening

Aesthetic Crown Lengthening
The rationale for crown lengthening procedures has progressively become more aesthetic-driven due to the increasing popularity of smile enhancement therapy. Although the biologic requirements are similar to the functionally oriented exposure of sound tooth structure, aesthetic expectations require an increased emphasis on the appropriate diagnosis of the hard and soft tissue relationships, as well as the definitive restorative parameters to be achieved. The development of a clinically relevant aesthetic blueprint and attendant surgical guide is of paramount importance for the achievement of successful outcomes.

Author(s): Ernesto A. Lee, DMD
View Article>>
Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog

Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog
Dental implant surface technology has evolved from a relatively smooth machined implant surface for osseointegration to more roughened osteoconductive surfaces. Recent studies suggest that peri-implant soft tissue inflammation with progressive bone loss (ie peri-implantitis) is becoming a prevalent condition. One possibility that could explain sucha a finding is that more bacterial plaque forms on the roughened implant and abutment surfaces, which may result in the peri-implant inflammation if the soft tissues. This study compared 36 tissue-level implants with a machined transmucosal collar to 36 implants with a relatively roughened transmucosal surface in the dog. The results demonstrated that the connective tissue contact was similar between the two implant types but that the junctional epithelium and biologic width dimensions were greater around the implants with the machined collars...

Author(s): David L. Cochran, DDS, PhD; Marcel Obrecht, SDIS; Klaus Weber, PhD, MDV, MS; Michel Dard, DDS, PhD; Dieter Bosshardt, PhD; Frank L. Higginbottom, DDS; Thomas G. Wilson Jr., DDS; Archie A. Jones, DDS
View Article>>
Connective Tissue Graft Using Alloderm

Connective Tissue Graft Using Alloderm
Gingival recession is a clinical condition encountered in many dental practices during routine patient care. Fortunately, there are a variety of surgical procedures that the clinician can use to address gingival recession and return the patient to optimal health and aesthetics. As dental professionals gain a higher awareness of the available surgical materials and restorative techniques, the success and predictability of treatment for gingival recession on single and multiple adjacent teeth has…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
Related Videos
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
Presentation Style: Video
Community Rating:
 
Watch Now>>
Revisiting the Papilla in 2015 - Part 1 of 2 Premium Member Content

Revisiting the Papilla in 2015 - Part 1 of 2
In dental esthetics the regeneration of a compromised papilla , remains the most complex aspect of any reconstructive endeavor. The original 5mm Rule was found to exist only for a papilla bordered by 2 teeth and was expanded into a classification of 6 Types dependent on alternative adjacent support.e. implants or pontics.

Presented By:: David Garber, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Functional Gingival Grafts in Anterior Implant Therapy - Part 2 of 2 Premium Member Content

Functional Gingival Grafts in Anterior Implant Therapy - Part 2 of 2
Dr. Richard Martin outlines his approach to simultaneous gingival grafting following extraction to preserve or enhance the critical labial gingival margins around implant restorations in the esthetic zone.

Presented By:: Richard Martin, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Fibrin Assisted Soft Tissue Promotion (FASTP) Premium Member Content

Fibrin Assisted Soft Tissue Promotion (FASTP)
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

Presented By:: Alina Krivitsky, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
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:: Andrea Mastrorosa Agnini, DDS;Alessandro Agnini, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery Premium Member Content

Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

Presented By:: Alina Krivitsky, DDS
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
©2022

Preferred Language: English Flag
Contact Us · Login · Register