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
The Use of Triple Graft for Compromised Alveolar Sockets Associated with Gingival Recession

Description:
The Immediate Dentoalveolar Restoration technique has been used for over 7 years, allowing the reconstruction of tissue losses in the same surgical session of dental extraction, implant placement and provisional crown installation, minimizing the treatment time and morbidity of the procedures.  This presentation shows the triple graft protocol and the result of hard and soft tissues stability when the IDR technique is applied. The triple graft contains cortico-cancellous bone and connective tissue in the same piece and it is indicated for cases of total or partial loss of buccal bone wall associated with gingival recession. To make the triple graft viable, some changes must be made to the IDR cortico-cancellous graft protocol, particularly in the way that the graft is harvested from the donor area and is stabilized in the receptor site. 

Date Added:
5/22/2014

Author(s):

José Carlos Martins da Rosa, DDS, MS José Carlos Martins da Rosa, DDS, MS
Dr. José Carlos Martins da Rosa received his DDS degree in 1988 from the Federal University of Santa Maria/RS - Brazil. In 1992 he got a post graduate certificate in Pe...
[read more]






Online Videos / Surgery / Soft Tissue / The Use of Triple Graft for Compromised Alveolar Sockets Associated with Gingival Recession




Questions & Comments
Maurice Salama - (3/21/2016 9:46 AM)

Julien; I believe that DoWell Dental Products sells these in the USA. You can access DoWell on the Product page here on dentalxp. good luck Dr. Salama

Julien Morneault - (3/21/2016 9:37 AM)

Very nice presentation! Could you tell me where in the US we can buy the IDR chisel kit? Thank you!

Rene Rebeil - (3/16/2015 8:28 PM)

Magnífico, José Carlos, te vi en el APS en Chicago en febrero 2015 y he leído tu libro cuidadosamente, sorprendente trabajo y excelente presentacion en ambos. Felicidades! Desde México.

Mohammad Khandaqji - (10/23/2014 10:22 PM)

Thank you.

filipe lopes - (6/11/2014 8:49 AM)

Excellent approach. Thank you so much for sharing.

Vicente Rodriguez - (6/11/2014 7:40 AM)

Excellent and beautiful I enjoy every second of it , congrat

Jose Carlos Rosa - (5/20/2014 1:47 PM)

kevin potocsky - First of all we must compact the bone particles over the surface of the implant covering partially the bone defect. After that the triple graft will be modeled according to the shape of the defect and sutured in the flap thus obtaining an excellent primary stability.

Jose Carlos Rosa - (5/20/2014 1:41 PM)

yaarob sara - The greatest advantage of using the triple graft from tuberosity is that we remove a graft in one piece taking advantage the nutritional characteristics of this graft and enhancing the repair process of soft and hard tissue.

kevin potocsky - (5/19/2014 1:55 PM)

how did you get primary stability of the bone part of the graft. were nt you worried about micromovement?

Related Videos
The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 2 of 3 Premium Member Content

The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 2 of 3
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Perioderm), platelet rich in growth factors (PRGF, PRF), and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, and dentulous ridges, will be reviewed as to its critical role in "Complete Esthetics".

Presented By:: Maurice Salama, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Team Work: The Role of the Restorative Dentist in the Multidisciplinary Practice Premium Member Content

Team Work: The Role of the Restorative Dentist in the Multidisciplinary Practice
In this presentation, Drs. Conti and Rossi share their experiences in treating challenging cases from a comprehensive multidisciplinary perspective. Emphasis will be placed as to when and how the restorative dentist enhances overall periodontal and esthetic therapy.

Presented By:: Roberto Rossi, DDS;Alessandro Conti, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Soft Tissue Management - The Pink Contribution to Achieving Esthetic and Long Lasting Smiles Premium Member Content

Soft Tissue Management - The Pink Contribution to Achieving Esthetic and Long Lasting Smiles
Today's patients expectations and demands, seek for high aesthetic an long-lasting treatments. For this reason, soft tissue management is often required to provide thick soft tissues around implants and natural teeth, therefore it must be carefully planned and integrated at the treatment plan. Being the palate our primary choice as soft tissue's donor area, in this lecture is also presented a simple and effective way to reduce patients morbidity after harvesting the palatal mucosa, the PRGF-ENDORET Graft.

Presented By:: Bernardo de Mira Corrêa, DDS, DMD;Filipe Lopes, DDS, DMD
Presentation Style: Video
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>>
The Basics of Root Coverage Surgery with Acellular Dermal Grafts: A STEP-BY-STEP Live Patient Demonstration Premium Member Content

The Basics of Root Coverage Surgery with Acellular Dermal Grafts: A STEP-BY-STEP Live Patient Demonstration
Soft tissue grafting is rapidly playing a larger role in restorative, esthetic, and reconstructive dentistry. While conventional grafting techniques have several limitations, newer grafting materials and techniques make it easier for patients to say "yes" to the treatment they truly need and desire. In this webinar, Dr. Wong will perform a step-by-step demonstration using Perioderm to correct multiple gingival recession defects. Soft tissue allografts are quickly becoming a "game changer" in dentistry, making optimum dentistry more than an ideal... it's a reality.

Presented By:: David Wong, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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>>
Related Articles
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>>
Laser Assisted Crown Lengthening

Laser Assisted Crown Lengthening
Clinical scenarios where crown lengthening procedures are indicated within the esthetic zone require special consideration to achieve predictable restorative results. Whether they are performed for the purposes of exposing sound tooth structure, or to enhance the appearance of the definitive restorations, these procedures must be planned to satisfy biologic requirements, while simultaneously avoiding deleterious esthetic effects. The implementation of diagnostic criteria, along with evidence-based…

Author(s): Ernesto A. Lee, DMD
View Article>>
Labial Bone Thickness in Area of Anterior Maxillary Implants Associated with Crestal Labial Soft Tissue Thickness

Labial Bone Thickness in Area of Anterior Maxillary Implants Associated with Crestal Labial Soft Tissue Thickness
Soft tissue problems (ie, gingival recessions) are common in implantology and are often associated with thin soft tissue biotypes or buccally placed implants. Goaslind described 2 types of biotypes commonly found in the natural dentition: thick and thin. It has been suggested that thicker soft tissue biotypes are associated with less tissue recession, higher crestal bone levels, and better aesthetics. A thin tissue biotype has been shown to be more prone to tissue recession. Gingival recession is always associated with alveolar bone dehiscences. Furthermore, there is evidence that thick soft tissue may be protective against crestal bone loss (ie, tissue thickness of ,2.5 mm resulted in crestal bone loss of 1.45 mm vs. thicker tissues had 0.26 mm). This protective effect occurred, despite the supracrestal position of the implant-abutment interface.

Author(s): Bach Le, DDS, MD, FICD;Ali Borzabadi-Farahani, DDS, MScD, MOrth RCS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2022

Preferred Language: English Flag
Contact Us · Login · Register