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
Negative Factors for Soft & Hard Tissue Maintenance

Description:
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.

Date Added:
5/25/2017

Author(s):

Joseph Choukroun, MD Joseph Choukroun, MD
Name: CHOUKROUN First Name: Joseph
Date of Birth: 5 Novembre 1952


Diploma: Medicine 1979.
University of Montpellier, Fran...
[read more]


Featured Products
Process For PRF
i-PRF
A-PRF




Online Videos / Surgery / Soft Tissue / Negative Factors for Soft & Hard Tissue Maintenance




Questions & Comments
Jesus Aguado - (4/29/2019 8:17 PM)

Congratulations, simple and important concepts, will undoubtedly influence in better results, Tanks you

Dr. Ingo Bütow - (12/10/2017 6:59 AM)

I have a question to the brushing Technik: Dr. Choukroun, do you get more ceratinisiced gingiva with this Technik?

Lova Razafindrakoto - (11/9/2017 11:20 PM)

Merci Joseph pour toutes ces infos Amitiés, Lova

Basil Fletcher - (7/29/2017 12:11 AM)

Hi Joseph, I recently purchased your brushing kit and it has been excellent. Could you please comment on bone loss post extraction with no flap raised and no implant and Bundle bone being the main cause . Thank you , Basil Fletcher

Joseph Choukroun - (7/9/2017 10:04 AM)

Thank you all!! Apologizes for my late reply. So busy.. 1. never forget the biology during your surgery 2. I think that 1-2mm sub crestal is the best. However, the connection has to follow.. 3.About the soft brushing.. we do not detach any muscle. We just achieve disorganization of the collagen fibers.. 4. Injection of i-PRF is made behind the papilla. never 'in' the papilla. go through it to the contact of the perioteum..and inject. 5. see you in Dentalxp NY Implant summit

Rafael Molina - (6/12/2017 7:11 PM)

Dr. Joseph, a question, how use the IPRF for the papila?? injection?? or need to do space?? how work?? And thanks for the excelent lecture!! Regards

Oleg Vasiliev - (6/5/2017 1:48 PM)

Best regards, Oleg.

Oleg Vasiliev - (6/5/2017 1:48 PM)

Very nice lecture! Thank you so much! 1)I`ve got 2 questions: what is maximum depth for subcrestal implant instalation on your opinion? 2)Where can I buy instruments for "brushing" technique and what is the price?

Carlos Aguilar León - (6/4/2017 12:05 PM)

I liked in Costa Rica and I like it more the second time , you can get more tips.Cheers Dr. Choukroun.

Related Videos
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: Video
Community Rating:
 
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
In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today.

Presented By:: David Wong, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Partial Extraction Therapy (PET) The Final Frontier Premium Member Content

Partial Extraction Therapy (PET) The Final Frontier
Buccopalatal collapse of the postextraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach, "PET" is to use the tooth itself by purposely maintaining all or a portion of the root in the remaining socket. Root submergence has been reported in the literature for more than 4 decades, and it has been demonstrated that the submerged tooth root retains the periodontal tissues and preserves the bone in pontic sites or below dentures to retain the ridge. The socket-shield technique entails preparing a tooth root section to remain behind on the labial aspect simultaneous to immediate implant placement and has demonstrated histologic and clinical results that are highly promising to esthetic implant treatment.

Presented By:: Maurice Salama, DMD;Howard Gluckman, BDS, MChD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

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.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations Premium Member Content

A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.

Presented By:: Prof. Dr. Alessandro Pozzi
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Connective Tissue Graft Harvesting Techniques Premium Member Content

Connective Tissue Graft Harvesting Techniques
In this presentation, Prof. Giovanni Zucchelli develops a critical comparison between the different CTG harvesting techniques, and shows the correct management of this kind of graft as well as its use in coronally advanced flap surgical technique for the treatment of gingival recessions.

Presented By:: Prof. Giovanni Zucchelli, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z Premium Member Content

Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z
In this complete surgical video, Dr. David Wong performs an esthetic crown lengthening procedure to address a "gummy smile" as part of comprehensive therapy and smile enhancement. Dr. Wong will outline the indications for crown lengthening surgery as opposed to orthognathic correction. The surgical video will demonstrate the complete crown lengthening surgery, including incision design, flap management and instrumentation. In addition, suturing and post-operative care will also be outlined in detail.

Presented By:: David Wong, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Related Articles
Decision Making for Soft and Hard Tissue Augmentation in Surgically Facilitated Orthodontics

Decision Making for Soft and Hard Tissue Augmentation in Surgically Facilitated Orthodontics
The purpose of this article is to present a decision-making algorithm for soft and hard tissue augmentation in surgically facilitated orthodontics (SFOT). In cases where there is adequate hard and soft tissue envelope, selective corticotomies may be adequate. In cases, where the existing hard and soft tissue anatomy is inadequate, hard and soft tissue augmentation is recommended. Also, hard and soft tissue augmentation is recommended to avoid teeth extractions during orthodontics.

Author(s): Thanos Ntounis, DDS, MS;Lillie M. Pitman
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>>
Bone Regeneration and Tissue Acceptance of Human Fascia Lata Grafts Adjacent to Dental Implants

Bone Regeneration and Tissue Acceptance of Human Fascia Lata Grafts Adjacent to Dental Implants
The biologic principle of guided tissue regeneration (GTR) has been studied extensively in hopes of regenerating alveolar bone. Various materials have been utilized as regenerative membranes; however, all materials have disadvantages, and the ideal membrane material is yet to be identified. In this case report, human freeze-dried fascia lata strips were used as a regenerative barrier membrane in conjunction with the placement of endosseous root implants and demineralized, freeze-dried bone allograft.…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;James D. Kraft, BS, CPTC , Ronald Wand, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2022

Preferred Language: English Flag
Contact Us · Login · Register