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

Connective Tissue & Bone Graft for Anterior Immediate Implant Placement Connective Tissue & Bone Graft for Anterior Immediate Implant Placement

Author(s):

Thomas J. Han, DDS

Date Added:

7/21/2008


Summary:

Immediate implant placement in a one-stage approach, with or without provisionalization, has proven to be advantageous in preserving gingival anatomy around dental implants. But placing implants immediately in the changing alveolar bone of an extraction socket can result in progressive recession of the gingival labial margin over the implant restoration. Thicker biotypes and bone of the labial periimplant tissue have been shown to promote long-term stable gingival margins. A surgically simple technique is presented here, utilizing crescent-shaped connective tissue and grafting to promote thicker labial bone and biotype. Surgical procedures as well as their biologic and clinical rationale are described. One-year postrestoration results showed stable labial gingival margins over the implant placed in one-stage approach.

Related Articles
Soft Tissue Cone-Beam Computed Tomography: A Novel Method for the Measurement of Gingival Tissue and the Dimensions of the Dentogingival Unit

Soft Tissue Cone-Beam Computed Tomography: A Novel Method for the Measurement of Gingival Tissue and the Dimensions of the Dentogingival Unit
The purpose of the present study was to develop a soft tissue cone-beam computed tomography (ST-CBCT) to improve soft tissue image quality and allow the determination of the dimensions and relationships of the structures of the dentogingival unit. Two separate CBCT scans were obtained from three patients with different periodontal biotypes. The first was a scan following standard methods; however, for the ST-CBCT the patients wore a plastic lip retractor and retracted their tongues toward the floor of their mouths.

Author(s): ALESSANDRO LOURENÇO JANUÁRIO, DDS, MS, PhD; MAURÍCIO BARRIVIERA, DDS, MS; WAGNER RODRIGUES DUARTE, DDS, PhD
View Article>>
Similarities Between an Acellular Alloderm and a Palatal Graft for Tissue Augmentation

Similarities Between an Acellular Alloderm and a Palatal Graft for Tissue Augmentation
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…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Russell A. Gornstein, DDS, MD, Donald P. Callan, DDS, Baldev Singh, BDS, PhD
View Article>>
Current Trends in Gingival Recession Coverage 2

Current Trends in Gingival Recession Coverage 2
The recession of the gingiva is increasingly becoming a prominent condition in the oral health of many patients and should be treated at its earliest detection. Part I of this discussion reviewed the multifactorial etiology and decision modality; a treatment option was demonstrated for gingival recession using the tunneling technique. This concluding part of the discussion highlights two clinical cases using alternative approaches. The correction of Class I and II gingival recessions are presented as a means of minimizing surgical trauma and achieving predictable aesthetic results.

Author(s): André P. Saadoun, DDS, MS
View Article>>
Related Videos
PORTUGUESE - Free Gingival Graft Premium Member Content

PORTUGUESE - Free Gingival Graft
Surgical Techniques in Grafting

Presented By:: Maurice Salama, DMD;Maurice Salama, 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>>
Utilizing Bioactive Modifiers Premium Member Content

Utilizing Bioactive Modifiers
How to prep and use Alloderm and Emdogain.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
The Basics of Root Coverage Surgery with Acellular Dermal Grafts: A STEP-BY-STEP Live Patient Demonstration Premium Member Content

The Basics of Root Coverage Surgery with Acellular Dermal Grafts: A STEP-BY-STEP Live Patient Demonstration
Soft tissue grafting is rapidly playing a larger role in restorative, esthetic, and reconstructive dentistry. While conventional grafting techniques have several limitations, newer grafting materials and techniques make it easier for patients to say "yes" to the treatment they truly need and desire. In this webinar, Dr. Wong will perform a step-by-step demonstration using Perioderm to correct multiple gingival recession defects. Soft tissue allografts are quickly becoming a "game changer" in dentistry, making optimum dentistry more than an ideal... it's a reality.

Presented By:: David Wong, 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
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: Online Self-Study Course
CE Hours: 1 CEUs (Continuing Education Units)
Watch Now>>
Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy Premium Member Content

Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy
When considering implant therapy in the esthetic zone, replicating the natural soft tissue frame may present challenges for the treating clinician. A harmonious gingival form and architecture are not only fundamental for achieving adequate peri-implant pink esthetics, but also for simulating a natural emergence for the future restoration. This presentation will highlight different clinical scenarios in which the lack of hard and soft tissue volume may pose difficulties in achieving ideal peri-implant esthetics, in addition to available clinical strategies on how to manage and minimize hard and soft tissue deficiencies when dealing with implant therapy in the esthetic zone.

Presented By:: Sherif Yousri Said, BDS
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
©2019

Preferred Language: English Flag
Contact Us · Login ·