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
Fibrin Assisted Soft Tissue Promotion (FASTP)

Description:
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.

Date Added:
3/14/2018

Author(s):

Alina Krivitsky, DDS Alina Krivitsky, DDS
Dr. Alina Krivitsky Aalam graduated with a BS in Dental Hygiene, DDS and a Certificate in Advanced Periodontics from the USC School of Dentistry. She is a Di...
[read more]






Online Videos / Surgery / Periodontic Surgery / Fibrin Assisted Soft Tissue Promotion (FASTP)




Questions & Comments
Stavros Eleftheriou - (3/5/2019 3:01 AM)

Very interesting lecture as always

anthony vuong - (11/26/2018 3:26 PM)

Thank you Alina for posting this lecture here. I saw your lecture in NYC and this second time seeing the concepts of FASTP really help me move forward with the doing. please so share with us future healing of these cases. atv

Mona Aboul Fotouh - (3/25/2018 2:33 PM)

Thanks for the wonderful presentation...when is the most appropriate time to remove the suture? And whenjoy to say it's enough volume of APRF during surgery?

sean rhee - (3/20/2018 6:52 PM)

Great presentation Alina

George Duello - (3/18/2018 8:31 PM)

Alina, Thank you for the presentation. This presentation is not in my strong suit as to the number of and type of materials that can be obtained from a phlebotomy of a human vein. However, my research in graduated school was under the scrutiny of Dr. Charles Cobb in cellular biology. I have some questions and observations. 1. When slides are shown and you state that the is more volume of new biotype and more keratinized tissue is observed. I'm not sure that I agree that the biotype has changed because biotype is a genetic determination. I agree that the tissue volume is greater but biotype remains the same. In the same slides I see root coverage that is a combination of the marginal keratinized tissue that was coronally repositioned but I don't see and an increase in attached keratinized tissue or the zone of attached keratinized tissue. What I see is thicker tissue and root coverage which is our desired outcome but I don't think we can say that the APRF or IPRF in combination stimulated an increase in keratocytes because in my opinion without histology we cannot make those claims. I have had the some discussion with Pat Allen on his technique with alloderm. According to him it is not necessary to have keratinized attached gingiva on the superficial layer of the gingiva. 2. My objective in mucogingival surgery has been to first increase the zone of keratinized gingiva and in some cases to cover the exposed root surface based on the initial Miller Classification. What I think is interesting is that Danny Melker from Florida has always contended that a visible mucogingival recession is always associated with a underlying defect in the bone that is usually more "hidden" recession. In most of the cases you showed, the root of the teeth was in significant buccal version relative to the alveolar housing. Many of the cases I see the teeth were naturally in buccal version or were positioned there as a result of an orthodontic outcome. 3. The reason I bring this up is that I have seen many many of Danny Melker's connective tissue grafts from the palate and the tuberosity. He seems to be able always obtain a volume of autogenous tissue to graft multiple sites intra-oral. He uses no biologic modifiers or growth factors in his procedures. My observation on most of his cases is that the volume of the gingiva is thick and he is very good at obtaining root coverages. To my knowledge, he also has not show biopsy specimens. The gold standard to determine the biology outcome and anatomical tissues is a biopsy or block section to observe the tissue at hand. Is there new attachment to the previously exposed root and what is or are the tissues that are attaching--bone, PDL, and new cementum or is there some form of epithelial attachment-short of long. Is there more keratination of the tissue and what percentage is attached to the bone or root or both. This may be a mute point when the root is covered but there is no way to scientifically claim what has occurred without the biopsy. I don't care is the tissue coverage was with autogenous, allograft, blood products, or just coronolly repositioned. I hope my comments stimulate some thought and maybe more literature is available to support your conclusions that I am unaware of at this time.

Bikramjit Sandhu - (3/18/2018 7:46 AM)

Awesome presentation Dr Alina Krivitsky

Gino Kopp - (3/17/2018 7:42 AM)

Dra. Alina Krivitsky Congratulations on the clinical cases. Gino Kopp - Brazil

Abdi Sameni6 - (3/12/2018 10:07 AM)

Beautiful presentation. Every time I watch you lecture I’m more grafteful thstvim lucky enough to be in the same city and have you care for my patients. Bravo and thank you.

Fred Wauchope - (3/11/2018 4:00 PM)

please identify the decontamination gel used on root surface .Thanx , Fred

Related Videos
Managing Esthetic Implant Complications Premium Member Content

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Esthetics Around Implants; Introducing the "Snake" Technique ! Premium Member Content

Esthetics Around Implants; Introducing the "Snake" Technique !
The “Snake technique” is a new concept in minimally invasive surgery.  It is based on old fundamental principles that offer reliable and predictable results. The “Snake technique” is a pediculated gingival graft, which unlike free grafts (CTG, FGG) offers several advantages and a lower surgical stress for our patients by having no need for an additional surgical site. As the small details make the biggest differences, the “Snake technique” may add value to both the surgical course of therapies selected as well as the relationship with our patients who demand minimally invasive treatments.

Presented By:: Cosmin Dima, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Treatment Planning - A Multidisciplinary Approach Premium Member Content

Treatment Planning - A Multidisciplinary Approach
A review of two different approaches for treatment planning

Presented By:: Morton Amsterdam, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Fibrin Assisted Soft Tissue Promotion (FASTP) Premium Member Content

Fibrin Assisted Soft Tissue Promotion (FASTP)
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: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success Premium Member Content

Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success
This presentation will focus on the application of PET techniques and immediate loading in daily practice. A brief introduction will be presented outlining the concepts, and the benefits in combining both techniques. This will be followed with a review of clinical cases ranging from single unit to full arch implant rehabilitations. Lastly, recommendations will be presented to the viewer in order to facilitate incorporation of these techniques into clinical practice.

Presented By:: Ehab Moussa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem Premium Member Content

The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem
This detailed presentation will discuss the etiology, microbiology, histopathology and clinical manifestations of peri-implant disease, and will present evidence based in-office and at-home treatment regimens to stop mucositis from progressing to peri-implantitis. Additionally, "COAP", a new minimally invasive surgical technique for the treatment of peri-implantitis will be introduced.

Presented By:: Paul Fletcher, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2 Premium Member Content

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2
Esthetics plays a key role in a modern society and the average dental health of the population is improving every day. In such environment, the demands of dental treatments are different and dentists should approach their patients in a different way: they should be prepared to implement different and modern techniques around teeth and implants. Soft tissue grafting techniques provide the dentist with an armamentarium that makes possible to prevent and solve many problems and complications around teeth and implants, making more predictable the treatments results. This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Presented By:: Ramon Gomez Meda, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Unique Implant Technology for Immediate Provisional Restorations at Implant Placement

Unique Implant Technology for Immediate Provisional Restorations at Implant Placement
To achieve adequate bone regeneration and implant stability, external forces that cause micro- or macro movement to the bone graft and implants had to carefully eliminated.

Author(s): Paul S. Petrungaro, DDS
View Article>>
Restoration of Optimal Esthetics in Complex Clinical Situations

Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Pre-existing malocculsion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases.

Author(s): Tomohiro Ishikawa, DDS;Xavier Vela-Nebot, MD, DDS; Kenji Kida, DDS; Hidetada Moroi, DMD; Hajime Kitajima, DDS; Takahiro Ogawa, DDS, PhD
View Article>>
Guidelines for the Diagnosis and Treatment of Peri-Implant Disease

Guidelines for the Diagnosis and Treatment of Peri-Implant Disease
Although some risk factors of peri-implant disease are well defined, the lack of efficient and predictable approaches to treat peri-implantitis has created difficulty in the management of those complications. The aim of this review was the evaluate the reliability of the diagnosis methods and to provide a set of guidelines to treat peri-implant disease. A search of PubMed and a hand search of articles related to peri-implant diseases were conducted up to August 2013. A summary of the current methods for the diagnosis of peri-implantitis, its potential risk factors, and a flow chart to guide the clinical management of these conditions are presented.

Author(s): Miguel Padial-Molina, DDS, PhD; Fernando Suarez, DDS; Hector F. Rios, DDS, PhD; Pablo Galindo-Moreno, DDS, PhD; Hom-Lay Wong, DDS, MSD, PhD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login ·