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
Revisiting the Papilla in 2015 - Part 1 of 2

Description:
In dental esthetics the regeneration of a compromised papilla , remains the most complex aspect of any reconstructive endeavor. The original 5mm Rule was found to exist only for a papilla bordered by 2 teeth and was expanded into a classification of 6 Types dependent on alternative adjacent support.e. implants or pontics. 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. The resultant possible 6 combinations or classes of papilla have different mean "predictable achievable papilla height dimensions" which, range from 3 mm between 2 implants to more than double that between adjacent pontics, where it may exceed 6 mm.

Date Added:
11/5/2015

Author(s):

David Garber, DMD David Garber, DMD
Dr. David Garber has a dual appointment at the Medical College of Georgia School of Dentistry, in Augusta Georgia, as Clinic...
[read more]

Recognized Institutes





Online Videos / Surgery / Soft Tissue / Revisiting the Papilla in 2015 - Part 1 of 2




Questions & Comments
Albine Miciano-Wiersema - (11/11/2015 8:26 PM)

Thank you very much. I have learned a lot!

Edison Louie - (11/7/2015 1:11 PM)

Dr. Garber, thank you for such a comprehensive overview of the ever-important papilla. Your presentation was well prepared and succinct.

Ehab Abou El Roos - (11/7/2015 12:39 PM)

very nice presentation, thanks a lot. just i want to ask about two things: 1- usingvital submerged root. what about liability of pulp death ,infection, affection of adjacent implant... also are there any liability of any pathologic cyst formation from surrounding periodontal ligament. 2- last faces of composite built up... are there any problem of plaque accumulation on this shelf?

- (11/2/2015 9:49 AM)

I am interested in guided subgingival augmentation (GSA), my question is: can we build papilla more than 3mm between 2 implants if we do GSA right after implant placement then after 3 months we do gum windowing for taking impression and make temporary crown (screw retained) to build papilla. Thank you

Charles Schwimer - (10/30/2015 8:44 AM)

David. Outstanding presentation as usual. I especially like your classification system emphasis on biologic principles for site management. I look forward to part 2. Best regards. Chuck

Marcos Sando - (10/29/2015 3:20 PM)

Hello Dr. Garber it was a amazing presentation thank you so much. My question is; How did you take out the restoration in your very last case? Because now a days we cement with resin cements and that becomes impossible to take it out. Thanks

joseph shedlarski - (10/28/2015 1:03 PM)

Excellent webinar. So much can be accomplished with forethought and precision planning.

Miguel Hirschhaut - (10/28/2015 4:02 AM)

Excellent webinar on the papilla by Dr. Garber. Very good information for all the specialists ! Miguel

Related Videos
Revisiting the Papilla in 2016 - Part 2 of 2 Premium Member Content

Revisiting the Papilla in 2016 - Part 2 of 2
In dental esthetics the regeneration of a compromised papilla , remains the most complex aspect of any reconstructive endeavor. The original 5mm Rule was found to exist only for a papilla bordered by 2 teeth and was expanded into a classification of 6 Types dependent on alternative adjacent support.e. implants or pontics.

Presented By:: David Garber, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Clinical Procedures to Control Tissue Esthetics in Implant Dentistry Premium Member Content

Clinical Procedures to Control Tissue Esthetics in Implant Dentistry
The demand for creating esthetic restorations has become a consistent theme in dental literature and in daily clinical practice. Surgical concepts that are emphasized as important to the esthetic outcome include resective procedures to change bone volume and levels, as well as additive procedures such as tissue grafting to alter the biotype and volume around teeth and implants. Predominately with implant treatment, today's surgical and restorative strategies play an important role in post-extractive tissue guidance, mandating precise surgical techniques, and emphasizing cooperation and coordination between the surgical and restorative team members. This webinar will explore some of the complications of treatment, underscoring the responsibility of the surgical and restorative teams to critically assess emerging treatment concepts, materials and techniques.

Presented By:: Sonia S. Leziy, DDS, Dipl Perio
Presentation Style: Video
Community Rating:
 
Watch Now>>
Modified Tunneling Technique Premium Member Content

Modified Tunneling Technique
Surgery utilizing modified tunneling technique.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Revisiting the Papilla in 2015 - Part 1 of 2 Premium Member Content

Revisiting the Papilla in 2015 - Part 1 of 2
This program will clarify the 6 categories of papilla, and just how to predictably re-develop each type utilizing surgery, pink composite, orthodontics and/or porcelain. It will also demonstrate how to use The Classification Dimension chart to predictably optimize esthetic incomes with innovative treatment planning.Including pontics on at least 1 side of a papilla greatly enhance potential outcomes, simplify treatment choices and decrease treatment time. Preemptive planning is the key to rapid, successful esthetics.

Presented By:: David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
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>>
Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2 Premium Member Content

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration. Tissue support, emergence profile and The provisional restoration phase of implant therapy has become one of the most critical steps in immediate or delayed placement for several reasons including the following...

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone Premium Member Content

From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone
This webinar will highlight surgical and restorative techniques to accomplish predictable outcomes in the esthetic zone with implant therapy. Treatment modalities will be demonstrated with high quality photography and case series discussion. Surgical modalities presented will include ridge preservation, the current evidence on the use of growth factors such as PRP and hr-PDGF bb. Also timing of implant placement as well as soft and hard tissue augmentation will be discussed. Special emphasis will be placed on immediate provisionalization of implants to accomplish optimal peri-implant mucosa architecture. Techniques to transfer provisional emergence profile to the final restoration will be presented.

Presented By:: Thanos Ntounis, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Related Articles
The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement

The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues buccofacial to an immediately placed implant. The socket-shield technique is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the procedure in clinical practice with a 1-year follow up.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD
View Article>>
Achieving Predictable Connective Tissue Root Coverage

Achieving Predictable Connective Tissue Root Coverage
Gingival recession creates esthetic issues. These issues may be corrected from a restorative perspective by the placement of composite resin or ceramic over the exposed root. But this approach often results in a gingival-incisal length that does not blend esthetically with the adjacent teeth. Often accompanying the gingival recession is a decrease in the band of attached gingiva. The wider the band of attached gingiva, the more stable the long-term result. Therefore, surgical correction of the recession…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS, David Kurtzman, DDS, Peter C. Shatz, DDS
View Article>>
Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique

Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique
This paper describes a new suturing method, the subpapillary continuous sling suture, for use with soft tissue grafts in tunnel procedures to treat gingival recession.

Author(s): Edward P. Allen, DDS, PhD.
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login ·