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
Functional Gingival Grafts in Anterior Implant Therapy - Part 1 of 2

Description:
In this first of a two part series, Dr. Richard Martin, an oral & maxillofacial surgeon from Dallas Texas, 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.

Date Added:
9/26/2010

Author(s):

Richard  Martin, DDS Richard Martin, DDS
Dr. Richard Martin is an Oral and Maxillofacial Surgeon in Lewisville-North Dallas, Texas. He is a graduate of New York University College of Dentistry where he was elected O...
[read more]






Online Videos / Surgery / Soft Tissue / Functional Gingival Grafts in Anterior Implant Therapy - Part 1 of 2




Questions & Comments
Stephen Zeller - (7/4/2015 1:38 PM)

I am confused about what you call the crepe and lid graft. Is the crepe graft a conventional connective tissue graft? Is the lid graft a free gingival graft? Are there two separate harvest sites? Excellent results but the harvesting needs to be further elucidated.

chad schnabel - (10/4/2010 4:53 AM)

Is the lid graft just a separate CT graft? Elaborate a little on that procedure if you would. Are you still using a membrane, or using autogenous tissue for this?

richard martin - (10/1/2010 6:39 PM)

David, thanks for you comment. The photo that follows this slide is not the same patient, the purpose of the stone cast is just to demonstrate the technique. However, the patient that the cast belongs too, does have a "shorter" lateral. The case does appear later in the presentation and if you examine you will notice that the "flipper" is more coronal to encourage the tissue to migrate.

David Lee600 - (10/1/2010 1:32 PM)

Why is the the uuper right lateral incisor (tooth #7) two to three mm shorter than the upper right canine (tooth #6)on the model for the "flipper", than is the case in the mouth.

Related Videos
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>>
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>>
Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability Premium Member Content

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, especially 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: Video
Community Rating:
 
Watch Now>>
Managing Esthetic Implant Complications Premium Member Content

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Modern Crown Lengthening: Classification and Clinical Application Premium Member Content

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

Presented By:: André P. Saadoun, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction Premium Member Content

Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction
In addition to surgical intervention is the creation of the specific emergence profile that is essential in the aesthetic zone. The emergence profile composed of 2 parts, the abutment and the subgingival part of the crown. The shape of abutment can be individually shaped so that it gives natural appearance and varies individually (depending on the depth, angulation and diameter of the implant). Sometimes it even dictates the implant position. From a surgical perspective, soft tissue height, position and thickness need to be diagnosed and corrected when needed. From the prosthetic point of view, the emergence profile has to be created to mimic the natural appearance and maintained over time in respect to the biological changes. The course teaches step by step how to be successful with implant prosthetics from single tooth, partially edentulous to full arch reconstruction.

Presented By:: Marius Steigmann, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities Premium Member Content

Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities
Autogenous connective tissue grafts from the palate have been the gold standard for surgically correcting gingival recession for decades. With the advent of newer soft (and hard) tissue allografts, grafting procedures are increasingly predictable, quick, effective, and less painful for patients. In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today. Discover how these newer materials are making it easier for patients to say "yes" and how their results can impact the level of esthetics, periodontal health and predictable restorative dentistry our profession can deliver.

Presented By:: David Wong, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Achieving Predictable Connective Tissue Root Coverage

Achieving Predictable Connective Tissue Root Coverage
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…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
The Use of PerioDerm for Root Coverage and Correction of Insufficiently Attached Gingiva

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.

Author(s): Daniel J Melker, DDS
View Article>>
Laser Assisted Gingival Tissue Procedures

Laser Assisted Gingival Tissue Procedures
Soft tissue lasers are increasing in popularity among clinicians in part due to their potential value in preprosthetic gingival procedures. The ability of soft tissue lasers to control moisture and facilitate hemostasis appears particularly promising for clinicians excising gingival tissues, performing esthetic crown lengthening, and using resective techniques for gingival troughing—and these applications will grow as practitioners become more familiar with such technologies. This presentation highlights…

Author(s): Ernesto A. Lee, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register