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
Cosmetic Crown Lengthening

Description:
The diagnosis and treatment planning of cosmetic crown lengthening. The restorative lab phase followed by the actual surgical procedure utilizing a surgical template, simple gingivectomy and osseous reduction followed by suturing.

Date Added:
6/29/2007

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
[read more]

Recognized Institutes





Online Videos / Surgery / Soft Tissue / Cosmetic Crown Lengthening




Questions & Comments
Maurice Salama - (9/22/2013 8:14 AM)

Parviz; When the bone is present interproximally (5mm or less to contact Tarnow 1992 JP) there is NO need to worry about the papilla. I prefer to raise the entire papilla in the flap to avid scarring and fibrous tissue healing. Thanks for your post. Dr. Salama

parviz roshanzamir - (9/22/2013 2:35 AM)

Dr. Salama,
won't you prefer to split the papilla rather than raising them to minimize the potential loss of papilla height ?
Regards,
Parviz

Maurice Salama - (3/25/2013 8:37 AM)

Shailesh; In this area do not do a gingivectomy only ostectomy and apically position flap. Thanks Dr. Salama

Shailesh Swami - (3/25/2013 8:12 AM)

Dr Salama thank you for the excellent presentation. I have question about crown lengthening in the non esthetic zone. I have a patient with Sjogren`s syndrome who has multiple cavities at or below the gum levels. How can you do a crown lengthening at the lingual aspect of the mandibular molars for e.g. where there is no keratinised tissue left?

Maurice Salama - (3/3/2013 6:32 PM)

John; Thanks. I utilize only the PLUG of PRGF not the liquid for extraction sockets. It does set up. Yes, Vegas was a huge success. Hope to see you soon. Regards Dr. Salama

john bishop - (3/3/2013 12:41 PM)

I use prgp for my implant/socket preservation. Does it not set up. Do you aspirate it in some sort of syringe to deliver it to the mouth. When during the procedure do you draw the blood and how much working time do you have? Nice video and cudos for a great Las Vegas meeting. John Bishop

Maurice Salama - (2/29/2012 12:32 PM)

Jan; Thanks. I prefer PRGF or PRF blood borne bioactive modifiers over recombinant forms of bioactive growth factors such as emdogain and Gem-21 but I do utilze them when I must.
No Preidex just warm salt water starting at day 3.
good luck Dr. Salama

Jan Bublik653 - (2/29/2012 6:34 AM)

Thanks for the short video. I understand the Enamel matrix protein use in periodontal surgery. What is your rationale for using Emdogain in these cases rather than let's say PRP? Have you noticed a difference in healing (how the tissue looks to you) using Emdogain vs nothing? Do you put the patient on 0.12% CHX afterwards while using Emdogain? Jan

Christopher Tavares939 - (2/27/2012 6:38 PM)

Excellent Video. Very informative and educational. Many thanks, Dr. Salama.

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

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

Presented By:: Giuseppe Cicero, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Dual Zone Approach to Tooth Replacement in the Esthetic Zone Premium Member Content

The Dual Zone Approach to Tooth Replacement in the Esthetic Zone
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this presentation will enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. Long term follow up and evidence from scientific literature to support this concept will be described.

Presented By:: Dennis P. Tarnow, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Current Concepts in Bioactivity and Regeneration Premium Member Content

Current Concepts in Bioactivity and Regeneration
In this lecture, tips on how to deal with the different types of extraction socket, mostly infected, will be presented. The use of plasma rich in growth factors and the Endoret® (PRGF®) fibrin membrane is a key factor to enhance socket regeneration, post-operative recovery and minimize/treat complications.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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>>
Vertical or Shoulderless Preparations in Contemporary Prosthodontics Premium Member Content

Vertical or Shoulderless Preparations in Contemporary Prosthodontics
Tooth preparations without a defined finish line have been termed in several different ways, such as knife edge, feather edge, or shoulderless. From a biological standpoint, preserving a maximum amount of sound tooth structure, as it is done in vertical preparations, might also offer a more conservative alternative to a horizontal margin design in other clinical conditions such as endodontically treated teeth, vital teeth in young individual, teeth affected by caries at the cervical third. Vertical margins on zirconia crowns have been tested in vitro and clinical reports have been published. A re-evaluation of possible advantages and shortcomings of vertical preparation design in contemporary prosthodontics will be presented in light of recently published literature.

Presented By:: Carlo Poggio, DDS, MSD, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
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>>
Changes in Soft Tissue Dimensions Following Three Different Techniques of Stage-Two Surgery: A Case Series Report

Changes in Soft Tissue Dimensions Following Three Different Techniques of Stage-Two Surgery: A Case Series Report
The aim of this case report is to compare the resilts of the increase in keratinized mucosa using three different techniques of stage-two surgery. Thirty-two patients with one to eight dental implants who received prosthetic rehabilitation of the maxilla were included. Patients were divided into three groups based on preoperative anatomical considerations. Stage-two surgery was performed using wither the apically repositioned flap, the roll flap, or an apically repositioned flap combined with a connective tissue graft.

Author(s): Jochen Tunkel, DMD; Luca de Stavola, DMD; Fouad Khoury, Prof Dr med dent
View Article>>
Fundamentally Changing Soft Tissue Grafting

Fundamentally Changing Soft Tissue Grafting
Soft tissue augmentation procedures to increase the existing zone or create a new zone of keratinized tissue have been classically, and are routinely, performed using the patient's palate as the donor material. This article describes the simplistic use of a periodontal material that can be used for soft tissue augmentation procedures without using the patient's own palate to procure the donor tissue. This periodontal material is an acellular dermal allograft that has been used extensively in medicine.…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·