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
The AGE Approach: A Combination Protocol for Hard and Soft Tissue Augmentation in Complex Cases

Description:
Although new restorative materials have improved predictability and outcomes, hard and soft tissue management plays a fundamental role when working in aesthetic areas. To achieve ideal results, preservation of the natural hard and soft tissue architecture is the primary clinical objective. This new proposed AGE protocol illustrates the importance of hard and soft tissue management when working in esthetic and highly compromised areas. This protocol and schematic approach was developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow. Every step is dictated by biology. All incision designs, flap management techniques, and biomaterials used have been selected to maximize the blood supply in the area and minimize trauma to the vascular network that nourishes our surgical site. This protocol was developed for the treatment of any case presenting a combination of vertical and horizontal, hard and soft tissue deficiency. The protocol will be explained in detail with a clinical case complete with pictures and commentary. The protocol will be divided into a four part series describing all possible scenarios.

Date Added:
4/14/2016

Author(s):

Giuseppe Cicero, DDS Giuseppe Cicero, DDS
Dr. Giuseppe Cicero was born and grew up in Rome, Italy. He graduated cum laude from the University of Tor Vergata in Rome, completing his dental education an...
[read more]






Online Videos / Surgery / Soft Tissue / The AGE Approach: A Combination Protocol for Hard and Soft Tissue Augmentation in Complex Cases




Questions & Comments
Marco Benigni - (6/23/2016 12:08 PM)

It looks like there was a considerable bone resorption after the bone grafting procedure (2nd CBCT image). What is the possible reason for that? Graft material or mesh design? Thank you

FİGEN ÖZÇELEBİ - (5/10/2016 9:32 AM)

Thank you Dr Cicero

amr al-khairi - (5/5/2016 7:33 PM)

fantastic, what sutures are you using in your surgery? thank you very much, that was a quality presentation.

yaarob sara - (5/4/2016 7:55 PM)

Very nice Thank you!

Maurice Salama - (4/25/2016 6:49 PM)

Well done, the final result is challenging to attain even after multiple surgical entries. Thanks Dr. Salama

Related Videos
Current Concepts in Bioactivity and Regeneration Premium Member Content

Current Concepts in Bioactivity and Regeneration
An injury to the tissue instantly stimulates the healing process. To heal properly, we need three elements: scaffolds, cells and growth factors. If one of these three elements are missing there will be no tissue regeneration. Plasma rich in growth factors (Endoret® (PRGF®) technology, enables clinicians to apply autologous growth factors and a fibrin scaffold in a simple, safe and effective method. The Endoret® (PRGF®) stimulates the tissue-building cells to achieve regeneration. An optimal alveolar regeneration is characterized by fast haemostasis, adequate inflammation, stem cell mobilization and differentiation, rapid soft tissue closure of the socket and correct tissue regeneration. The adequate management of the extraction socket will determine the final outcome of implant-supported restorations.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Tissue Thickness, Cement & Platform Switching; The Science  Premium Member Content

Tissue Thickness, Cement & Platform Switching; The Science
Mucosal tissue thickness was shown to be the factor having impact on crestal bone stability. Even platform switching of the implant-abutment connection does not reduce crestal bone loss, if soft tissues at the implant placement are thin.

Presented By:: Tomas Linkevicius, DDS, Dip Pros, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Growth Factors; The Next Step in Achieving Ideal Regeneration Premium Member Content

Growth Factors; The Next Step in Achieving Ideal Regeneration
The aim of dentistry is to provide esthetics and function for our patients. Using hard and soft tissue regeneration techniques we have the ability to rebuild what has been lost to disease or trauma. Whether we are regenerating lost tissue around teeth or developing an ideal implant site, growth factors are a powerful asset that help make regenerative procedures more predictable while reducing patient morbidity. This webinar review regeneration techniques and will discuss the popular growth factors available today and demonstrate their clinical use.

Presented By:: Avi Schetritt, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Innovative Sequencing for Interdisciplinary Aesthetic Treatment Premium Member Content

Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team. This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.

Presented By:: Michael A. Apa, DDS, PC;Brian Chadroff, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Esthetic Tissue Reconstruction Around Implants - Part 2 of 2 Premium Member Content

Esthetic Tissue Reconstruction Around Implants - Part 2 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequential lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Presented By:: Robert Carvalho da Silva, DDS, PhD
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
Connective Tissue & Bone Graft for Anterior Immediate Implant Placement

Connective Tissue & Bone Graft for Anterior Immediate Implant Placement
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…

Author(s): Thomas J. Han, DDS
View Article>>
Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation

Similarities Between an Acellular Dermal Allograft 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, MS, Donald P. Callan, DDS, Baldev Singh, BDS, PhD
View Article>>
Laser Assisted Crown Lengthening

Laser Assisted Crown Lengthening
Clinical scenarios where crown lengthening procedures are indicated within the esthetic zone require special consideration to achieve predictable restorative results. Whether they are performed for the purposes of exposing sound tooth structure, or to enhance the appearance of the definitive restorations, these procedures must be planned to satisfy biologic requirements, while simultaneously avoiding deleterious esthetic effects. The implementation of diagnostic criteria, along with evidence-based…

Author(s): Ernesto A. Lee, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login ·