Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2
Esthetics plays a key role in a modern society and the average dental health of the population is improving every day. In such environment, the demands of dental treatments are different and dentists should approach their patients in a different way: they should be prepared to implement different and modern techniques around teeth and implants. Soft tissue grafting techniques provide the dentist with an armamentarium that makes possible to prevent and solve many problems and complications around teeth and implants, making more predictable the treatments results. This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Cirugía plástica periodontal para aumento de tejido blando alrededor de implantes
En la actualidad, los objetivos de la odontología han ido evolucionado a partir de las necesidades y las demandas de los procesos quirúrgicos, así como por los defectos o lesiones del periodonto, sobretodo cuando intervienen factores estéticos, donde se requieren restauraciones prostodónticas con aspectos naturales, que busquen un equilibrio armónico entre la arquitectura gingival y el rostro en sí del paciente, aún más en los casos donde se presenta sonrisa gingival. Es por esto que se han estudiado varias técnicas mucogingivales para recubrimientos de recesiones, cambios de color por biótopo muy fino, aumento de volumen por pérdida del contorno gingival y colapso de los tejidos duros y blandos; siendo la más estudiada el injerto de tejido conectivo, como mecanismo de compensación y estabilidad para contribuir a una sonrisa más armónica y bella a la hora de la rehabilitación con implantes en el área anterior.

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.

Esthetic Crown Lengthening
Dr. Ernesto Lee outlines the biologic, surgical and esthetic parameters that must be adhered to successfully achieve esthetic crown lengthening.

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 1 of 2
This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Esthetic Periodontal Surgery: Making Recession Defects Disappear by Grafting
Expert discussion of soft tissue grafting; first an overview of current trends, the second showing a specific allograft technique for treating multiple adjacent recession defects.

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.

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Soft Tissue Waxup and Mock-Up as Key Factors in a Treatment Plan: Case Presentation
Rehabilitation of edentulous spaces in esthetic areas is a challenge to the clinician due to the loss of soft tissues. In these clinical situations, it would be desirable to evaluate and predict the gingival architecture to recover in the oral rehabilitation. To fulfill this need, the diagnostic was should anticipate the final rehabilitation with the integration of hard and soft tissue.

A Novel Approach to Root Coverage: The Pinhole Surgical Technique
Free connective tissue graft techniques are currently considered the most predictable surgical method for root coverage. However, morbidity associated with secondary graft sites has generated interest in other methods. The purpose of this study was to investigate the feasability of a novel surgical approach to root coverage: the pinhole surgical technique (PST). The retrospective study examined the results of PST used for 43 consecutive patients on 121 recession sites, of which 85 were Class I or II and 36 were Class III. The documented results indicate that PST holds promise as a minimally invasive, predictable, effective, and time and cost-effective method for obtaining optimal patient-based outcomes.

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.