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
Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist Premium Member Content

Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist
Contemporary patient expectations have made esthetics a major requisite of all treatment plans, especially in situations where there is a high smile line. Although new restorative materials have highly improved predictability and esthetic outcomes, soft and hard tissue management play a fundamental role when working in esthetic areas. To achieve ideal esthetics, preservation of the natural soft and hard tissue architecture is a primary clinical objective. These new proposed techniques illustrate the importance of pre-prosthetic soft and hard tissue management when working in highly esthetic compromised areas.

Presented By:: Giuseppe Cicero, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
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>>
S.M.A.R.T.  Minimally Invasive Bone Grafting Premium Member Content

S.M.A.R.T. Minimally Invasive Bone Grafting
Introduction to the S.M.A.R.T. TM Minimally Invasive Bone Grafting Technique is a novel minimally invasive bone grafting technique developed by Dr. Ernesto Lee. It provides superior outcomes with less pain, less swelling and fewer complications than traditional bone grafting procedures. Only a small incision is required, with no flap elevation, no tenting screws and no membranes. Complex, high risk scenarios can now be treated with minimal risk of complications. The S.M.A.R.T. TM method represents a disruptive technology that will dramatically impact the future of bone grafting

Presented By:: Ernesto A. Lee, DMD
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 CEU (Continuing Education Unit)
Watch Now>>
Revisiting the Papilla in 2016 - Part 2 of 2 Premium Member Content

Revisiting the Papilla in 2016 - Part 2 of 2
While different surgical techniques can restore most aspects of a ridge deficiency,as part of the soft tissue restorative frame, the regeneration of lost proximal papilla form is surgically limited to those papillae bordered on each side by a pontic The Classification of 6 types of papilla defects is based on the specifics of the restorative support on either side of the individual site,and can therefore be a tooth, implant or pontic, or combinations of the 3.

Presented By:: David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Related Articles
Soft Tissue Procedures Related to Dental Implant Surgery

Soft Tissue Procedures Related to Dental Implant Surgery
Clinicians often encounter an insufficient amount of keratinized soft tissue in the proposed implant site. When this occurs, the question arises: Should the necessary softtissue manipulation be performed before, during, or after placement of the implant? There are three answers or scenarios for this question, according to Lee Silverstein, DDS, associate professor at the Medical College of Georgia in Augusta.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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>>
Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique

Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique
An optimal esthetic implant restoration is a combination of a visually pleasing prosthesis and surrounding peri-implant soft tissue architecture. This article introduces a clinical method, the dynamic compression technique, of conditioning soft tissues around bone-level implants with provisional restorations in the esthetic zone. The technique has several goals: to establish an adequate emergence profile; to recreate a balanced mucosa course and level in harmony with the gingiva of the adjacent teeth, including papilla height/width, localization of the mucosal zenith and the tissue profile's triangular shape; as well as to establish an accurate proximal contact area with the adjacent tooth/implant crown.

Author(s): Julia-Gabriela Wittneben, DMD, MMSc; Daniel Buser, DMD; Urs C. Belser, DMD; Urs Bragger, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·