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Mucogingival surgery

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https://www.readbyqxmd.com/read/29493049/soft-tissue-augmentation-procedures-in-edentulous-esthetic-areas
#1
REVIEW
Matteo Marzadori, Martina Stefanini, Claudio Mazzotti, Sabrina Ganz, Praveen Sharma, Giovanni Zucchelli
Loss of dentition leads to functional and esthetic challenges that are determined by the anatomic features of the edentulous area. These features can complicate the prosthetic rehabilitation of such patients, especially in situations where optimal esthetic outcomes are desired. For these reasons, reconstructive plastic surgery procedures, aimed at restoring the alveolar ridge to its former dimensions, have become of great clinical interest. These reconstructive plastic surgery procedures frequently involve soft-tissue augmentation, performed to improve the quality and quantity of mucogingival tissue with the aim to achieve an ideal esthetic result...
March 1, 2018: Periodontology 2000
https://www.readbyqxmd.com/read/29468095/intraoral-dissection-of-the-mimetic-muscles-application-to-dentistry-and-oral-surgery
#2
REVIEW
Joe Iwanaga, Koichi Watanabe, Jingo Kusukawa, Rod J Oskouian, R Shane Tubbs
Mimetic muscles contract and pull the overlying skin toward the muscle's bony attachment. Numerous books and articles have shown the mimetic muscles via cadaveric dissection. However, for dentistry and oral surgery, the mimetic muscles have not been detailed from intraoral dissection. Recently, several papers have addressed various mimetic muscles in relation to intraoral dissection. However, to our knowledge, there has been no overview of these muscles beneath the oral mucosa. Here, we review the literature concerning the mimetic muscles as revealed during intraoral dissection, create novel illustrations, and discuss the relationship of these muscles with general dentistry and oral surgery...
December 13, 2017: Curēus
https://www.readbyqxmd.com/read/29456397/periodontal-flap-surgery-along-with-vestibular-deepening-with-diode-laser-to-increase-attached-gingiva-in-lower-anterior-teeth-a-prospective-clinical-study
#3
Ashu Bhardwaj, Zeba Jafri, Nishat Sultan, Madhuri Sawai, Anika Daing
Background: Chronic periodontitis in lower anterior teeth results in rapidly progressive gingival recession (GR), loss of alveolar bone, decreased vestibular depth (VD) with consequential tooth mobility, and tooth loss. Treatment option for such cases in this esthetically important area of the oral cavity includes extraction followed by implants for which sufficient bone height and mucogingival complex are a prerequisite. Henceforth, an attempt was made to prolong the life of lower anterior teeth and postpone the need for implants by the treatment of chronic periodontitis with periodontal flap surgery followed by vestibular deepening in single surgical procedure...
January 2018: Journal of Natural Science, Biology, and Medicine
https://www.readbyqxmd.com/read/29398864/laser-assisted-lip-repositioning-surgery-novel-approach-to-treat-gummy-smile
#4
Sana Farista, Ramreddy Yeltiwar, Butchibabu Kalakonda, Kaustubh Suresh Thakare
Excessive gingival display (EGD) resulting in a "gummy smile" is a major esthetic concern with ramifications in an individual's personal and social life. Numerous treatment modalities have been used for the correction of EGD. The present case report describes the successful treatment of a young woman with an excess gingival display caused by a hyperactive upper lip and a mild vertical maxillary excess that was treated with a laser-assisted lip repositioning surgical technique accompanied by gingival recontouring...
March 2017: Journal of Indian Society of Periodontology
https://www.readbyqxmd.com/read/28983530/ceramic-laminate-veneers-clinical-procedures-with-a-multidisciplinary-approach
#5
Marco Veneziani
Complex cases with high esthetic needs represent a challenge for clinicians. A multidisciplinary approach is vital to achieve the planned result. New technological devices are needed to facilitate the collaboration between the clinical team members and to develop a fluent and effective diagnostic and therapeutic pathway. This article describes a well-defined protocol for the treatment of complex esthetic cases with the use of ceramic laminate veneers. The protocol involves different branches of dentistry: periodontal therapy, mucogingival surgery, restorative dentistry, orthodontics, and prosthodontics...
2017: International Journal of Esthetic Dentistry
https://www.readbyqxmd.com/read/28338039/coronally-advanced-flap-combined-with-connective-tissue-graft-treatment-of-choice-for-root-coverage-following-recession
#6
COMMENT
Ed Madeley, Brett Duane
Data sourcesMedline, The Cochrane Database Trials Register, Embase, supplemented by handsearching of five prominent periodontal journals, references from reviewed papers and contact with experts in the field of mucogingival surgery.Study selectionRandomised controlled trials (RCTs) with or without a split-mouth design, on human patients. RCTs had to compare at least two different surgical interventions on clearly specified recession defects, be over six months in duration and have clearly specified clinical measurements regarding root coverage...
March 2017: Evidence-based Dentistry
https://www.readbyqxmd.com/read/28298828/changes-of-the-peri-implant-soft-tissue-thickness-after-grafting-with-a-collagen-matrix
#7
Gregory-George Zafiropoulos, Giorgio Deli, Oliver Hoffmann, Gordon John
BACKGROUND: The aim of this study was to determine the treatment outcome of the use of a porcine monolayer collagen matrix (mCM) to increase soft-tissue volume as a part of implant site development. MATERIALS AND METHODS: Implants were placed in single sites in 27 patients. In the test group, mCM was used for soft-tissue augmentation. No graft was placed in the control group. Soft-tissue thickness (STTh) was measured at the time of surgery (T0) and 6 months postoperatively (T1) at two sites (STTh 1, 1 mm below the gingival margin; STTh 2, 3 mm below the mucogingival margin)...
July 2016: Journal of Indian Society of Periodontology
https://www.readbyqxmd.com/read/28293441/free-gingival-graft-to-increase-keratinized-mucosa-after-placing-of-mandibular-fixed-implant-supported-prosthesis
#8
Danny Omar Mendoza Marin, Andressa Rosa Perin Leite, Lélis Gustavo Nícoli, Claudio Marcantonio, Marco Antonio Compagnoni, Elcio Marcantonio
Insufficiently keratinized tissue can be increased surgically by free gingival grafting. The presence or reconstruction of keratinized mucosa around the implant can facilitate restorative procedure and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient. The aim of this clinical case report is to describe an oral rehabilitation procedure of an edentulous patient with absence of keratinized mucosa in the interforaminal area, using a free gingival graft associated with a mandibular fixed implant-supported prosthesis...
2017: Case Reports in Dentistry
https://www.readbyqxmd.com/read/28050319/the-hidden-x-suture-a-technical-note-on-a-novel-suture-technique-for-alveolar-ridge-preservation
#9
Jung-Chul Park, Ki-Tae Koo, Hyun-Chang Lim
PURPOSE: The present study investigated the impact of 2 different suture techniques, the conventional crossed mattress suture (X suture) and the novel hidden X suture, for alveolar ridge preservation (ARP) with an open healing approach. METHODS: This study was a prospective randomized controlled clinical trial. Fourteen patients requiring extraction of the maxillary or mandibular posterior teeth were enrolled and allocated into 2 groups. After extraction, demineralized bovine bone matrix mixed with 10% collagen (DBBM-C) was grafted and the socket was covered by porcine collagen membrane in a double-layer fashion...
December 2016: Journal of Periodontal & Implant Science
https://www.readbyqxmd.com/read/27987520/-dental-implantation-and-soft-tissue-augmentation-after-ridge-preservation-in-a-molar-site-a-case-report
#10
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/27982194/histologic-and-tomographic-findings-of-bone-block-allografts-in-a-4-years-follow-up-a-case-series
#11
Daniel Deluiz, Luciano Santos Oliveira, Paul Fletcher, Fábio Ramôa Pires, Justine Monnerat Tinoco, Eduardo Muniz Barretto Tinoco
The aim of this paper is to report histologic and tomographic findings of fresh frozen bone block allografts bearing dental implants in functional occlusion in a long-term follow-up. Four patients with implants functionally loaded for 4 years on augmented ridges requiring additional mucogingival surgery or implant placement were included in this case series. Cone-beam tomography scans were compared volumetrically between the baseline (first implant placement) and current images. Biopsies of the grafts were retrieved and sent to histological analysis...
October 2016: Brazilian Dental Journal
https://www.readbyqxmd.com/read/27977828/modified-lip-repositioning-with-esthetic-crown-lengthening-a-combined-approach-to-treating-excessive-gingival-display
#12
Isis M Sánchez, Sadja Gaud-Quintana, Jacob K Stern
Lip repositioning surgery to address excessive gingival display induced by different etiologies has received major attention recently. Several techniques and variations have been reported, including myotomy or repositioning of the levator labii superioris muscle, Le Fort impaction, maxillary gingivectomies, botulinum toxin injections, and lip stabilization. This study reports a case of excessive gingival display treated by a modified combined approach. A 25-year-old woman with a 4- to 8-mm gingival display when smiling caused by a combination of short clinical crowns induced by an altered passive eruption and hypermobility of the upper lip underwent a staged esthetic crown-lengthening procedure followed by a modified lip repositioning technique...
January 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/27891263/coverage-root-after-removing-peripheral-ossifying-fibroma-5-year-follow-up-case-report
#13
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/27740647/combined-regenerative-and-mucogingival-treatment-of-deep-intrabony-defects-associated-with-buccal-gingival-recession-two-case-reports
#14
Giacomo Santoro, Giovanni Zucchelli, Enrico Gherlone
The case reports presented in this article describe a surgical approach for improving root coverage and regenerative parameters in deep intrabony defects associated with buccal gingival recession. A mandibular canine and a maxillary premolar were treated. The surgical technique consisted of a connective tissue graft (CTG) that was placed and sutured at the inner surface of a coronally advanced envelope flap (CAF), thickening the buccal soft tissue wall of the most coronal extension of the intrabony defect and treated with biomaterials as scaffold...
November 2016: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/27730220/one-stage-treatment-of-multiple-recessions-in-the-esthetic-area-%C3%A2-with-the-bilaminar-technique-clinical-procedures-and-24-month-follow-up
#15
Magda Mensi, Eleonora Scotti, Stefano Salgarello, Antonio Cerutti
The aim of this case report was to treat eight simultaneous recessions that caused an unesthetic smile in a 27-year-old orthodontically treated female patient and to restore the anterior maxillary teeth in the esthetic area. The treatment consisted of bilaminar mucogingival surgery with a palatine graft and a collagen matrix graft (Mucograft, Geistlich). At 24 months, complete root coverage was achieved in all treated sites, with an increase of keratinized tissue (KT), complete resolution of hypersensitivity, and a high level of esthetic satisfaction...
2016: International Journal of Esthetic Dentistry
https://www.readbyqxmd.com/read/27677810/gingival-margin-stability-after-mucogingival-plastic-surgery-the-effect-of-manual-versus-powered-toothbrushing-a-randomized-clinical-trial
#16
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/27525131/two-stage-mucogingival-surgery-with-free-gingival-autograft-and-biomend-membrane-and-coronally-advanced-flap-in-treatment-of-class-iii-millers-recession
#17
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/27522706/-treatment-of-patients-with-isolated-orbital-wall-injuries
#18
A P Bakushev, K A Sivolapov
OBJECTIVE: to optimize surgical treatment in patients with orbital wall defects and deformities. MATERIAL AND METHODS: For diagnosis of orbital wall injuries, the patients underwent facial skeletal X-ray study in the semiaxial projection and midfacial spiral computed tomography. Defects were removed via the intrasinus approach in the victims, by applying a combined prosthesis designed at the Department of Oral Surgery and General Dentistry, Novokuznetsk State Institute for Postgraduate Training of Physicians...
March 2016: Vestnik Rentgenologii i Radiologii
https://www.readbyqxmd.com/read/27508164/a-combined-approach-to-non-carious-cervical-lesions-associated-with-gingival-recession
#19
SungEun Yang, HyeJin Lee, Sung-Ho Jin
Non-carious cervical lesions (NCCLs) with gingival recession require specific consideration on both aspects of hard and soft tissue lesion. In the restorative aspect, careful finishing and polishing of the restorations prior to mucogingival surgery is the critical factor contributing to success. Regarding surgery, assessment of the configuration of the lesion and the choice of surgical technique are important factors. The precise diagnosis and the choice of the proper treatment procedure should be made on the basis of both restorative and surgical considerations to ensure the successful treatment of NCCLs...
August 2016: Restorative Dentistry & Endodontics
https://www.readbyqxmd.com/read/27469545/modified-connective-tissue-punch-technique-to-increase-the-vestibular-buccal-keratinized-tissue-on-flapless-implant-surgery-a-case-series
#20
M Andreasi Bassi, C Andrisani, M A Lopez, R M Gaudio, L Lombardo, D Lauritano
The aim of this article is to show a simple and predictable technique to enhance both the vestibular/buccal (V/B) gingival thickness (GT) and keratinized tissue width (KTW) improving the soft-tissue profile after flapless implant placement. The technique proposed was named Modified Connective Tissue Punch (MCTP). Fourteen patients (6 men and 8 women) aged between 35 and 69 years (mean value 48.07±13.023 years) were enrolled in this case series. Seventeen implant sites were submitted to flapless procedure. The connective punch (CP) was harvested with a motor-driven circular tissue punch and then a full-split dissection was executed, in order to create a deep pouch, beyond the mucogingival junction, on the V/B side...
April 2016: Journal of Biological Regulators and Homeostatic Agents
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