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
Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials

Description:
Soft tissue root coverage microsurgery and pontic site enhancement are frequently utilized periodontal plastic surgery techniques to create an ideal restorative frame for teeth, pontics and implants. Tunnel, Semilunar, VISTA etc. are among the new age techniques highlighted in this growing area of periodontal microsurgery. New autologous tissue harvest techniques, Allograft ACDM and Bioactive Modifiers have all changed the way we are capable of managing soft tissue deficiencies and have assisted the clinician in improving the healing qualities of these minimally invasive techniques. This lecture will cover site preparation techniques for conventional dentistry as well as prior to and after implant placement. Including: 1. Diagnosis and classification of soft tissue recession defects. 2. Minimally Invasive soft tissue Enhancement techniques.

Date Added:
3/6/2019

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
[read more]

Recognized Institutes

Featured Products




Online Videos / Surgery / Periodontic Surgery / Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials




Questions & Comments
meo nguyen - (9/4/2020 7:59 PM)

very good

meo nguyen - (9/4/2020 7:59 PM)

very good

Emad Salloum - (3/11/2019 8:50 AM)

Very rich content presentation.Thank you Maurice

lb schwab - (3/6/2019 7:12 PM)

such a pleasure to finally get a decent wednesday webinar thank you

Maurice Salama - (11/19/2018 4:10 PM)

Barry and Emilio; Thank you.

barry manson - (5/9/2017 10:07 AM)

amazing thank you Dr Salama!!

Emilio Mateo - (5/4/2017 8:53 PM)

Excellent as always Maurice

George Duello - (5/3/2017 8:56 PM)

Maurice, To answer your question-what is acceptable post surgical changes in the soft tissue. My answer is the same that Frank Spear gave when talking about what is esthetically acceptable. Frank's answer was what ever the patient said it is. So what is acceptable recession to the patient relative to post mucogingival post-surgical recession is what ever the patient says it is. For some patient's it is no recession from the CEJ is the recessions are 2-3mm and Class I Millers. For other patient with 6-8mm of recession like the cuspid you showed that I would classify as a Miller Class III-the patent might be happy with 75-80% coverage. The message I want to convey is make sure that the patient's expectations are understood before you perform mucogingival surgery relative to the technique you are using. I think under-promising and over delivering is a good patient management technique for these patients. Our goals in our head and heart is to achieve life-time root coverage with attached keratinized tissue. This is our goal but given the variability in patient healing and uniqueness of periodontal anatomies it is not always possible. A key principle of patient management is to do no harm. I think your lecture was a good exercise in that principle-all of your patient's were better off after the procedures with some outstanding results and others had improvement but not perfection. Thanks for sharing.

Omid Moghaddas - (5/3/2017 1:39 AM)

Great,comprehensive and very well organized. Tnx my dear mentor. Regards Omid

Related Videos
Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2 Premium Member Content

Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa. The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.

Presented By:: Daniel Buser, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Excessive Gingival Display Managed by Surgical Lip Reposition, Aesthetic Crown Lengthening and Veneers Premium Member Content

Excessive Gingival Display Managed by Surgical Lip Reposition, Aesthetic Crown Lengthening and Veneers
Excessive gingival display can be managed by a variety of treatment modalities, depending on the etiology. Mild and moderate gummy smiles can be successfully treated by periodontal plastic surgery, however for excessive gingival display as in cases of VME II or III with 5 to 8 mm or more of gingival exposure this procedure is not enough. Many patients decline the more invasive Le Fort osteotomy and opt for a less invasive surgical lip repositioning procedure. Currently Botox is used as alternative, but this is only a temporary treatment with very short effectiveness. That is why we suggest surgical lip repositioning as an effective procedure to reduce gingival display by positioning the upper lip in a more coronal location. The long-term stability of the results remains to be seen, but it holds promise as an alternative treatment to more invasive procedures.

Presented By:: Kenneth P. Valladares, DDS, CDT
Presentation Style: Video
Community Rating:
 
Watch Now>>
Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic Zone Premium Member Content

Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic Zone
In the surgical part, it will be described the criteria necessary for successfully utilizing minimally invasive protocols within the esthetic zone and the possibility of placing or not placing a bone graft in the “gap” and the opportunity to use a connective tissue graft to overbuild the site bucco-lingually, performing the Surgical Veneer Grafting Protocol, idea'ed by the Agnini brothers.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials Premium Member Content

Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials
Soft tissue root coverage microsurgery and pontic site enhancement are frequently utilized periodontal plastic surgery techniques to create an ideal restorative frame for teeth, pontics and implants. Tunnel, Semilunar, VISTA etc. are among the new age techniques highlighted in this growing area of periodontal microsurgery. New autologous tissue harvest techniques, Allograft ACDM and Bioactive Modifiers have all changed the way we are capable of managing soft tissue deficiencies and have assisted the clinician in improving the healing qualities of these minimally invasive techniques. This lecture will cover site preparation techniques for conventional dentistry as well as prior to and after implant placement.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic Zone Premium Member Content

Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic Zone
In the lecture, 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. In the surgical part, it will be described the criteria necessary for successfully utilizing minimally invasive protocols within the esthetic zone and the possibility of placing or not placing a bone graft in the “gap” and the opportunity to use a connective tissue graft to overbuild the site bucco-lingually, performing the Surgical Veneer Grafting Protocol, idea'ed by the Agnini brothers.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Managing the Extraction Site - Optimal Preservation and Enhancement Techniques Premium Member Content

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Presented By:: Michael Sonick, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem Premium Member Content

The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem
This detailed presentation will discuss the etiology, microbiology, histopathology and clinical manifestations of peri-implant disease, and will present evidence based in-office and at-home treatment regimens to stop mucositis from progressing to peri-implantitis. Additionally, "COAP", a new minimally invasive surgical technique for the treatment of peri-implantitis will be introduced.

Presented By:: Paul Fletcher, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series

Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series
After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth.

Author(s): Markus Glocker, Dr. Med. dent ; Thomas Attin; Patrick R. Schmidlin
View Article>>
The Aesthetic Smile: Diagnosis and Treatment

The Aesthetic Smile: Diagnosis and Treatment
Until recently, dentists' and the public's concept of dental aesthetics was necessarily limited to alterations of the teeth themselves. Dentists concerned themselves with changing the position, the shape and the color of the teeth -basically restoring missing units or enhancing those already present. For the most part the dentist was forced to accept the pre-existing relationship between the three components of the smile; the teeth, the gingival scaffold and the lips.

Author(s): Maurice Salama, DMD;David Garber, DMD
View Article>>
Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis

Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis
This report investigates the outcome of CLS procedures performed at an urban dental school in a population of individuals with HIV. Specifically, this retrospective clinical analysis evaluates the healing response after crown lengthening surgery (CLS). Of the 21 patients with HIV examined after CLS, none had postoperative complications, such as delayed healing, infection, or prolonged bleeding. Variations in viral load, CD4 cell count, smoking, platelets, and neutrophils did not impact surgical healing. In addition, variations in medication regimens (highly active anti-retroviral therapy; on pro-tease inhibitors; no medications had an impact. The results of this retrospective analysis show the absence of postoperative complications after CLS in this population with HIV. Additional investigation into this area will help health care practitioners increase the range of surgical services provided to this group of patients.

Author(s): Monish Bhola, DDS, MSD;Shilpa Kolhatkar, Suzanne A. Mason, Ana Janic, Shaziya Haque and James R. Winkler
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register