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periodontal plastic surgery

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https://www.readbyqxmd.com/read/28584541/the-use-of-the-digital-smile-design-concept-as-an-auxiliary-tool-in-periodontal-plastic-surgery
#1
Felipe Rychuv Santos, Stephanie Felice Kamarowski, Camilo Andres Villabona Lopez, Carmen Lucia Mueller Storrer, Alexandre Teixeira Neto, Tatiana Miranda Deliberador
Periodontal surgery associated with prior waxing, mock-up, and the use of digital tools to design the smile is the current trend of reverse planning in periodontal plastic surgery. The objective of this study is to report a surgical resolution of the gummy smile using a prior esthetic design with the use of digital tools. A digital smile design and mock-up were used for performing gingival recontouring surgery. The relationship between the facial and dental measures and the incisal plane with the horizontal facial plane of reference were evaluated...
March 2017: Dental Research Journal
https://www.readbyqxmd.com/read/28573552/autogenous-bone-grafts-in-oral-implantology-is-it-still-a-gold-standard-a-consecutive-review-of-279-patients-with-456-clinical-procedures
#2
Andreas Sakkas, Frank Wilde, Marcus Heufelder, Karsten Winter, Alexander Schramm
BACKGROUND: This study assessed the clinical outcomes of graft success rate and early implant survival rate after preprosthetic alveolar ridge reconstruction with autologous bone grafts. METHODS: A consecutive retrospective study was conducted on all patients who were treated at the military outpatient clinic of the Department of Oral and Plastic Maxillofacial Surgery at the military hospital in Ulm (Germany) in the years of 2009 until 2011 with autologous bone transplantation prior to secondary implant insertion...
December 2017: International Journal of Implant Dentistry
https://www.readbyqxmd.com/read/28560233/evolution-current-status-and-advances-in-application-of-platelet-concentrate-in-periodontics-and-implantology
#3
REVIEW
Amit Arvind Agrawal
Platelet concentrates (PC) [platelet-rich plasma (PRP) and platelet-rich fibrin (PRF)] are frequently used for surgical procedures in medical and dental fields, particularly in oral and maxillofacial surgery, plastic surgery and sports medicine. The objective of all these technologies is to extract all the elements from a blood sample that could be used to improve healing and promote tissue regeneration. Although leukocyte rich and leukocyte poor PRP's have their own place in literature, the importance of non-platelet components in a platelet concentrate remains a mystery...
May 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/28429482/the-periodontal-restorative-interface-esthetic-considerations
#4
REVIEW
Vincent Bennani, Hadeel Ibrahim, Latfiya Al-Harthi, Karl M Lyons
Esthetic considerations are a significant contributing factor in the management of prosthodontic cases and an interdisciplinary approach is often necessary to achieve an optimal result. The visible soft-tissue architecture plays a key role in developing an esthetic smile. Furthermore, an understanding of the relationship between the restorative margin and the gingiva is important for long-term stability of the result. The gingival architecture and gingival health are important for ensuring optimal esthetics following prosthodontic work and close attention to both soft and hard tissues around the teeth, before, during and after restorative procedures, will greatly improve the likelihood of a successful outcome...
June 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28368130/a-novel-technique-in-root-coverage-procedures-the-fibrin-assisted-soft-tissue-promotion-concept
#5
Alexandre-Amir Aalam, Alina Krivitky Aalam, Joseph Choukroun
The goal of periodontal plastic surgery is to correct the soft-tissue deformities associated with the loss of attached and keratinized tissue. A variety of flap manipulations related to the use of subepithelial connective tissue grafts are described with great success in the literature but are linked with morbidity and harvesting-quality issues, inclining clinicians and researchers to find alternatives to such techniques. Advanced platelet-rich fibrin, which is widely used in medicine and oral therapy, represents a newer generation of blood-derived growth factors...
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28355311/enhancing-root-eminence-and-papilla-contour-using-single-contoured-subepithelial-connective-tissue-autografts-for-recession-coverage
#6
Donald E Lareau, James E Hinrichs, Georgios A Kotsakis
Current techniques using autogenous soft tissue in periodontal plastic surgery have limitations in the number of teeth that can be treated and may result in suboptimal esthetic results. The innovative use of single, contoured grafts reported in this article overcomes the drawbacks associated with these techniques by more efficient use of available donor tissue. Autogenous tissue is used to graft each individual tooth, leaving the interdental areas uncovered. Multiple teeth-in some cases an entire arch-can be treated in one session, providing consistent and predictable reestablishment of the normal scalloped gingival architecture and convex root eminence...
March 29, 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/27987520/-dental-implantation-and-soft-tissue-augmentation-after-ridge-preservation-in-a-molar-site-a-case-report
#7
L P Zhao, Y L Zhan, W J Hu, H J Wang, Y P Wei, M Zhen, T Xu, Y S Liu
For ideal implant rehabilitation, an adequate bone volume, optical implant position, and stable and healthy soft tissue are required. The reduction of alveolar bone and changes in its morphology subsequent to tooth extraction will result in insufficient amount of bone and adversely affect the ability to optimally place dental implants in edentulous sites. Preservation of alveolar bone volume through ridge preservation has been demonstrated to reduce the vertical and horizontal contraction of the alveolar bone crest after tooth extraction and reduce the need for additional bone augmentation procedures during implant placement...
December 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27891263/coverage-root-after-removing-peripheral-ossifying-fibroma-5-year-follow-up-case-report
#8
Paulo S G Henriques, Luciana S Okajima, Marcelo P Nunes, Victor A M Montalli
When lesions in soft tissue reach the gingival margin, they can produce aesthetic defects during its permanence and after its removal. Periodontal plastic surgery allows the correction of the gingival contour using different techniques. This paper is a case report of a peripheral ossifying fibroma removal in the interproximal area of teeth 21 and 22 in addition to root coverage of the affected area through two surgical phases: keratinized gingival tissue augmentation surgery with free gingival graft concurrent with removal of the lesion and, in a second stage, root coverage by performing coronally advanced flap technique with a follow-up of five years...
2016: Case Reports in Dentistry
https://www.readbyqxmd.com/read/27834120/2-year-assessment-of-tissue-bioestimulation-with-low-level-laser-on-the-outcomes-of-connective-tissue-graft-in-the-treatment-of-single-gingival-recession-randomized-clinical-trial
#9
Mauro Pedrine Santamaria, Stephanie Botti Fernandes-Dias, Cassia Fernandes Araújo, Felipe Lucas da Silva Neves, Ingrid Fernandes Mathias, Naira Maria Rebelato Bechara Andere, Maria Aparecida Neves Jardini
BACKGROUND: Periodontal wound healing has been accelerated by different low-level laser therapy (LLLT) protocols. However, just few studies evaluated the use of this therapy as adjunctive for periodontal plastic surgery procedures. The present study shows a 2-year result of connective tissue graft associated with LLLT in the treatment of gingival recession defects. METHODS: Forty patients presenting Miller Class I and II gingival recessions were previously treated by: Connective tissue graft (Control group, n = 20) or Connective tissue graft + LLLT (Test group, n = 20)...
November 11, 2016: Journal of Periodontology
https://www.readbyqxmd.com/read/27814265/the-versatile-subepithelial-connective-tissue-graft-a-literature-update
#10
B V Karthikeyan, Divya Khanna, Kamedh Yashawant Chowdhary, M Lv Prabhuji
Harmony between hard and soft tissue morphologies is essential for form, function, and a good esthetic outlook. Replacement grafts for correction of soft tissue defects around the teeth have become important to periodontal plastic and implant surgical procedures. Among a multitude of surgical techniques and graft materials reported in literature, the subepithelial connective tissue graft (SCTG) has gained wide popularity and acceptance. The purpose of this article is to acquaint clinicians with the current understanding of the versatile SCTG...
November 2016: General Dentistry
https://www.readbyqxmd.com/read/27783851/regenerative-potential-of-leucocyte-and-platelet-rich-fibrin-part-a-intra-bony-defects-furcation-defects-and-periodontal-plastic-surgery-a-systematic-review-and-meta-analysis
#11
REVIEW
Ana B Castro, Nastaran Meschi, Andy Temmerman, Nelson Pinto, Paul Lambrechts, Wim Teughels, Marc Quirynen
AIM: To analyse the regenerative potential of leucocyte- and platelet-rich fibrin (L-PRF) during periodontal surgery. MATERIALS AND METHODS: An electronic and hand search were conducted in three databases. Only randomized clinical trials were selected and no follow-up limitation was applied. Pocket depth (PD), clinical attachment level (CAL), bone fill, keratinized tissue width (KTW), recession reduction and root coverage (%) were considered as outcome. When possible, meta-analysis was performed...
January 2017: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/27677810/gingival-margin-stability-after-mucogingival-plastic-surgery-the-effect-of-manual-versus-powered-toothbrushing-a-randomized-clinical-trial
#12
Raffaele Acunzo, Enrico Limiroli, Giorgio Pagni, Adele Dudaite, Dario Consonni, Giulio Rasperini
BACKGROUND: Oscillating-rotating power toothbrushes have been proven to be clinically efficacious. To the best of the authors' knowledge, a clinical evaluation of the safety of these toothbrushes after surgical root coverage procedures has not been published. The aim of this study is to evaluate the gingival margin (GM) stability with the use of an oscillating-rotating toothbrush compared with a manual toothbrush. METHODS: Sixty healthy individuals with at least one Miller Class I or II gingival recession underwent a surgical root coverage procedure...
October 2016: Journal of Periodontology
https://www.readbyqxmd.com/read/27602394/clinical-comparison-of-full-and-partial-double-pedicle-flaps-with-connective-tissue-grafts-for-treatment-of-gingival-recession
#13
Ardeshir Ranjbari, Gholam Ali Gholami, Reza Amid, Mahdi Kadkhodazadeh, Navid Youssefi, Amir Reza Mehdizadeh, Maryam Aghaloo
STATEMENT OF THE PROBLEM: Gingival recession has been considered as the most challenging issue in the field of periodontal plastic surgery. PURPOSE: The purpose of this study was to evaluate the clinical efficacy of root coverage procedures by using partial thickness double pedicle graft and compare it with full thickness double pedicle graft. MATERIALS AND METHOD: Eight patients, aged 15 to 58 years including 6 females and 2 males with 20 paired (mirror image) defects with class I and II gingival recession were randomly assigned into two groups...
September 2016: Journal of Dentistry
https://www.readbyqxmd.com/read/27599222/applications-of-platelet-rich-plasma-in-lymphedema
#14
Ahmet Akgül, Musa Cirak, Tansu Birinci
Platelet-rich plasma (PRP) is an autologous concentrated preparation of human platelets contained in a small volume of plasma that is characterized by hemostatic and tissue-repairing effects. Being enriched by various kinds of growth factors, and their tissue-repairing effects have made them the focus of attention for use in tissue regeneration. PRP has been safely used and documented in many different fields, including orthopedics, sports injuries, dental and periodontal surgery, and cosmetic, plastic, cardiovascular, general, and maxillofacial surgery...
December 2016: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/27554366/assessment-of-pain-perception-following-periodontal-and-implant-surgeries
#15
Chih-Chun Mei, Fu-Ying Lee, Hwey-Chin Yeh
OBJECTIVE: To evaluate patients' pain perception following periodontal or implant surgery and to explore risk factors associated with post-surgical pain. MATERIALS AND METHODS: Patients undergoing periodontal or implant surgery were recruited. Post-surgical pain perception was evaluated by a numeric rating scale (NRS, 1-10) after 1 week. Self-reported durations of pain (DOP) and of swelling (DOS), and consumption of prescriptions were also recorded. Demographic and surgical variables were compared between the groups of mild (MP) and moderate-to-severe post-surgical pain (SP)...
August 24, 2016: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/27525131/two-stage-mucogingival-surgery-with-free-gingival-autograft-and-biomend-membrane-and-coronally-advanced-flap-in-treatment-of-class-iii-millers-recession
#16
Avita Rath, Smrithi Varma, Renny Paul
Introduction. Gingival recession is an apical shift of the gingival margin with exposure of the root surface. This migration of the marginal tissue leads to esthetic concerns, dentin hypersensitivity, root caries, and cervical wear. It is, paradoxically, a common finding in patients with a high standard of oral hygiene, as well as in periodontally untreated populations with poor oral hygiene. Changing the topography of the marginal soft tissue in order to facilitate plaque control is a common indication for root coverage procedures and forms a major aspect of periodontal plastic surgeries...
2016: Case Reports in Dentistry
https://www.readbyqxmd.com/read/27525096/a-novel-suturing-approach-for-tissue-displacement-within-minimally-invasive-periodontal-plastic-surgery
#17
Vincent Ronco, Michel Dard
This paper describes a novel suturing approach that achieves harmonious and atraumatic soft tissue displacement in periodontal plastic surgery and soft tissue management around implants. The technique relies on a combination of horizontal and vertical mattress that are anchored at the splinted incisal contact points.
August 2016: Clinical Case Reports
https://www.readbyqxmd.com/read/27454460/root-coverage-procedures-improve-patient-aesthetics-a-systematic-review-and-bayesian-network-meta-analysis
#18
Francesco Cairo, Umberto Pagliaro, Jacopo Buti, Michela Baccini, Filippo Graziani, Paolo Tonelli, Gabriella Pagavino, Maurizio S Tonetti
BACKGROUND: The aim of this study was to perform a systematic review (SR) of randomized controlled trials (RCTs) to explore if periodontal plastic surgery procedures for the treatment of single and multiple gingival recessions (Rec) may improve aesthetics at patient and professional levels. MATERIAL AND METHODS: In order to combine evidence from direct and indirect comparisons by different trials a Bayesian network meta-analysis (BNM) was planned. A literature search on PubMed, Cochrane libraries, EMBASE, and hand-searched journals until January 2016 was conducted to identify RCTs presenting aesthetic outcomes after root coverage using standardized evaluations at patient and professional level...
November 2016: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/27045427/minimally-invasive-periodontal-therapy-for-general-practitioners
#19
REVIEW
Mark I Ryder, Gary C Armitage
There remains a high prevalence of mild-to-moderate forms of periodontal diseases in both developed and developing countries. Although many periodontal specialty practices currently place strong emphasis on implant surgery, periodontal plastic surgery and esthetics, general dentists and hygienists have often assumed more responsibility than periodontal specialty practices for the diagnosis, treatment, assessment and maintenance, and possible referral, of their patients. To address these current trends and challenges, this volume of Periodontology 2000 presents a series of topics on the basic biological principles of periodontal disease, as well as on approaches to diagnosis, treatment planning and treatment, in what is called 'conservative' or 'noninvasive' periodontal therapy...
June 2016: Periodontology 2000
https://www.readbyqxmd.com/read/27029092/an-interdisciplinary-approach-in-rehabilitation-of-an-adult-mutilated-dentition-with-multiple-missing-permanent-teeth-a-case-report
#20
Sarvesh Agrawal, Nidhin Philip Jose, Rohan S Bandi, Nimit Jain, Shobha J Rodrigues
Adult orthodontics has been an area of increasing focus in recent times. Comprehensive treatment of adults is more challenging due to a myriad of problems that coexist in an adult that makes treatment planning more challenging. A large number of individuals seek dental care because of aesthetic reasons, that is, the desire to look more attractive by improving their smiles. The role an attractive smile plays on a person's self-image and confidence cannot be overemphasized. Evaluating and treating patients for the purpose of smile design often involves a multi-discipline approach...
2015: International Journal of Orthodontics
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