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Video Details
The Lateral Pedicle Approach in Soft Tissue Augmentation

Description:
In the surgical video, a lateral pedicle graft is utilized as a solution for root exposure and recession of a maxillary first molar. Root conditioning is performed with tetracycline. Incision design, flap reflection, the utilization of L-PRF as an autologous growth factor membrane scaffold is highlighted. Suture methods and post-op results are included.

Date Added:
7/23/2014

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...
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Questions & Comments
mahsayeh lashkarizadeh - (5/25/2015 10:52 AM)

Thanks for your great videos,hope to watch more procedures of you

Ricardo Gapski - (8/5/2014 1:35 PM)

Great case!

Maurice Salama - (8/5/2014 8:13 AM)

Harvey; You are very welcome. Hope to see you in Las Vegas Feb. 5-7th 2015. Recession is multifactorial (tooth position, occlusion, abfraction, abrasion, erosion, perio inflammation). Here I believe we had combination of the above. Not sure if adding CTG here would have helped with root coverage? Perhaps only thickness which I believe was adequate here. L-PRF can be used in many indications, extraction sites, CTG, bone grafting, Sinus Augmentation etc. etc. Good luck Dr. Salama

S. Harvey Karpinos - (8/5/2014 12:29 AM)

Harvey Karpinos Thank you for all the great educational videos. You have helped me considerably over the many years that I have subscribed to Dental Xp. Did you determine why the mesial recession occurred. It appeared to me that the 3 month post op had 3mm of recession on the molar root. Over all there was significant improvement. However I have observed previous videos where you used acdm and ctg grafts & your results have been better. Please comment on the best use for the L-PRF system. I have recently obtained the system from interlock and have not used it. I am waiting for an appropriate case.

Maurice Salama - (7/31/2014 6:07 PM)

Dear Richard and Jeff; Thanks for the comments. Yes, I believe for added thickness, CTG would be useful. Would place the CTG directly in contact with Tooth surface. regards Dr. Salama

Jeffery Platt - (7/28/2014 4:45 PM)

Great!!

richard martin - (7/28/2014 11:11 AM)

Dr Salama , Well played!! What do you think about adding ctg at same time ( maybe omids question) and if you did would you put on top of prf or below ? And as it is healed now, any value to adding ctg to thicken? Cheere, Richard

Maurice Salama - (7/28/2014 9:31 AM)

Chuck;No occlusal adjustment performed in this case but important to evaluate. Thanks. Maurice

Charles Schwimer - (7/25/2014 5:33 PM)

Maurice. Especially nice result considering this is a non invaisive approach in very challenging region to obtain root coverage. Any occlusal management? Thank you for sharing. Chuck.

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