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Results 1 - 20 of 85 for 'Lee H. Silverstein, DDS, MS, FACD, FICD'

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Bipolar Electrosurgery: Gingival Modification in Passive Eruption

Bipolar Electrosurgery: Gingival Modification in Passive Eruption
Excessive gingival display can affect the total aesthetics of a smile, becoming its focus instead of its frame. This can be the result of passive eruption of the gingival complex as the teeth erupt. The condition of delayed or altered passive eruption exists when the gingival complex remains coronal to the cementoenamel junction (CEJ), with the attachment on the enamel instead of the cementum of the root, giving the appearance of short clinical crowns. Crown lengthening is critical to the success…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
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Utilization of Advanced Technology as an Instructional Tool

Utilization of Advanced Technology as an Instructional Tool
As the practice of dentistry has evolved, significant advances have been realized in the success and predictability of technical procedures, the efficacy of instrumentation, and the means by which information is distributed. Interactive CD-ROMs and videos that guide viewers through selected restorative techniques are currently being developed as instructional tools for contemporary medical and dental professionals. In coniunction with collegiate universities, pioneering dental operatories have been…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Peter C. Shatz, DDS, Russell A. Gornstein, DDS, MS
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Use of the Subepithelial Connective Tissue Graft to Improve Esthetics

Use of the Subepithelial Connective Tissue Graft to Improve Esthetics
The subepithelial connective tissue graft is a gingival grafting plastic surgery procedure that can be used to enhance the aesthetic and gingival contour of the periodontium around dental implants. This technique is described and illustrated to create a soft-tissue root prominence and mask the grey color penetrating the thin labial attached gingival tissues over dental implants.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Michael D. Lefkove, DDS
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The Use of an Extraoral Verification Template for Dental Implant Supported Prosthesis

The Use of an Extraoral Verification Template for Dental Implant Supported Prosthesis
This article demonstrates the utilization of a preprosthetic extraoral verification template that could be used to ensure the accuracy of the master cast from which the laboratory working model is used as the in vitro foundation for the implant-supported prosthesis framework construction.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS, Allen Schneider, DDS, Peter C. Shatz, DDS
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Suture Selection for Optimal Flap Closure and Tissue Healing

Suture Selection for Optimal Flap Closure and Tissue Healing
Suture selection is based on a knowledge of the physi cal and biologic characteristics of the suture thread in relationship to the healing process. In addition, accurate apposition of the flap is significant to patient comfort, hemostasis, reduction of the wound to be repaired, and prevention of unnecessary bone destruction. If flaps are not approximated and inadequate hemostasis is present, blood and serum may accumulate under the flap, delaying the healing process by separating the flap from the…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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Subgingival Technology to Enhance the Theraputic Outcome Smile Reconstruction

Subgingival Technology to Enhance the Theraputic Outcome Smile Reconstruction
As the public becomes more attuned to the esthetic possibilities available for selfimprovement through smile enhancement, dentistry is seeing a significant increase in patients wanting the so-called "Hollywood" smilel This emerging trend is causing the growth of the periodontal plastic aspect of periodontal therapy, which includes procedures such as root coverage, ridge augmentation, site development for implants, soft and hard tissue grafting to correct un esthetic or functionally compromising…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Peter C. Shatz, DDS, Kathy Baker, RDH
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Soft Tissue Procedures Related to Dental Implant Surgery

Soft Tissue Procedures Related to Dental Implant Surgery
Clinicians often encounter an insufficient amount of keratinized soft tissue in the proposed implant site. When this occurs, the question arises: Should the necessary softtissue manipulation be performed before, during, or after placement of the implant? There are three answers or scenarios for this question, according to Lee Silverstein, DDS, associate professor at the Medical College of Georgia in Augusta.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation

Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation
Predictable tissue regeneration presents a considerable challenge in the surgical treatment of gingival tissue defects. Soft-tissue augmentation procedures to increase the existing or create a new zone of attached keratinized gingival tissue have classically been performed using the patient's own masticatory mucosa and, more recently, using an acellular dermal allograft as the donor material. This article presents a clinical case whereby an acellular dermal allograft was placed on the buccal surface…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Russell A. Gornstein, DDS, MS, Donald P. Callan, DDS, Baldev Singh, BDS, PhD
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Preprosthetic Extraoral Verification for Implant-Supported Restorations

Preprosthetic Extraoral Verification for Implant-Supported Restorations
It has been well established that osteointegration of a dental implant is one of the fundamental components for successful implant therapy. A vital portion of this process is ascertainment of the appropriate prosthetic tooth position from which the ideal dental implant position is dictated within the alveolar bone. I It is equally imperative that prosthetically gUided implant positioning be accomplished for predictable attainment of functional, aesthetic, and hygienically maintainable restorative…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS, MS, Allen Schneider, DDS
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Prosthetic Considerations with Periodontal Root Resective Therapy Part 2

Prosthetic Considerations with Periodontal Root Resective Therapy Part 2
The treatment of advanced furcation lesions may require the removal of a portion of the crown and its associated root, or resection of only one root from a multi rooted tooth. This resective-type of therapy is a definitive treatment because it predictably enables clinicians to better access the remaining tooth structure for periodontal and subsequent prosthetic therapy. The morphology of tooth preparation for hemisective periodontal therapy is critical to facilitate the patient's ability to perform…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Marc E. Moskowitz, DDS, David Kurtzman, DDS, Peter C. Shatz, DDS, Russell E. Gornstein, DDS, MS
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Prosthetic Considerations with Periodontal Root Resective Therapy Part 1

Prosthetic Considerations with Periodontal Root Resective Therapy Part 1
Previousiy, the presence of a probable furcation with in a multi rooted tooth was considered an indication for extraction. Loss of attachment in the furcation has traditionally been described as classes I, II , or [ II, depending on the extent of horizontal penetration into the furcation. Tamow and Fletcher subsequently included a vertical component classification with its horizontal counterpart. Interestingly, both of these classifications are based only on periodontal probing depths rather than…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Marc E. Moskowitz, DDS, David Kurtzman, DDS, Robert Falella, DDS, MMS, Peter C. Shatz, DDS
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Improving Implant Framework

Improving Implant Framework
Passive fit of implant frameworks is related in part to the accuracy of the mastercast. A method of fabricating a verification stent to check the accuracy of the master cast prior to waxing and casting the implant framework is discussed. The methods utilize routinely available materials and do not require any special instrumentation or equipment. The stent can be fabricated either by the laboratory or the dentist.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Allen Schneider, DDS, Gregori M. Kurtzman, DDS
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Applied Techniques for Predictable Suture Placement Part 1

Applied Techniques for Predictable Suture Placement Part 1
Surgical suture positioning is crucial to ensure adequate healing and can be accomplished using a variety of suturing methods. Sutures should generally be placed distal to the last tooth and within each interproximal space and should always be inserted through the more mobile flap first The flaps should not be blanched during the tying procedure, and closure should not be positioned closer than 2 mm to 3 mm from the edge of the flap, in order to prevent tearing during the inevitable swelling that…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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Achieving Predictable Connective Tissue Root Coverage

Achieving Predictable Connective Tissue Root Coverage
Gingival recession creates esthetic issues. These issues may be corrected from a restomtive 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 tire 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 stabIe 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
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Periodontal Probing: Probe Tip Diameter

Periodontal Probing: Probe Tip Diameter
Background: Periodontal probing is one of the most common methods used in diagnosing periodontal disease. The purpose of this study was to determine the importance of the diameter of periodontal probing tips in diagnosing and evaluating periodontal disease. Methods: The literature discussing periodontal probe diameters in human, dog, and monkey studies was reviewed and compared. Tip diameters varied from 0.4 to over 1.0 mm in these studies. Probe advancement between the gingiva and the tooth is determined…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Jerry J.Garnich
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Dental Implants: Oral Hygine & Maintenance

Dental Implants: Oral Hygine & Maintenance
Proper monitoring and maintenance is essential to ensure the longevity of the dental implant and its associated restoration through a combination of appropriate professional care and effective patient oral hygiene. Gregori M Kurtzman and Lee H Silverstein explain the protocols for the dental team.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman
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Pediatric Sialithiasis

Pediatric Sialithiasis
A sialolith represents a precipitation of calcium salts around a nidus of desquamated epithelial cells, foreign bodies, bacterial by-products, microorganisms, or mucous plug. The most common location of salivary calculi is the submandibular gland. Although sialadenitis is relatively common in the pediatric population, sialolithiasis is not. We present a case report of a healthy 7-year-old male who presented to the office with sialolithiasis of the distal duct of the left submandibular gland discovered…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Lee M. Whiesides, DMD, MMSc
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Oral Pyogenic Granuloma in Pregnancy

Oral Pyogenic Granuloma in Pregnancy
An oral pyogenic granuloma can develop immediately following the first trimester of pregnancy. Usually an oral pyogenic granuloma is a slow-growing mass that does not, upon excision, leave a large defect in the periodontium requiring surgical repair. However an oral pyogenic granuloma often grows into a large mass in the gravid female, which generally emanates from a stalk, originating at an interdental gingival papilla. Although such lesions are commonly known as 'pregnancy tumors' or 'pregnancy epulides',…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;C.H. Burton Jr., B.B. Singh
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Patients Treated with Oral and IV Bisphophnates & Periodontal or Implant Care

Patients Treated with Oral and IV Bisphophnates & Periodontal or Implant Care
When can patients who are being treated with oral and IV bisphosphonates receive periodontal, implant, and/or oral surgical care?

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Louis Rose, DDS, MD, Salvatore Ruggiero, DMD, MD , Peter C. Shatz, DDS
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Diagnosis and Treatment Planning for Predictable Gingival Correction of Passive Eruption

Diagnosis and Treatment Planning for Predictable Gingival Correction of Passive Eruption
While the need to maintain a dry operative field has traditionally caused complications during various soft tissue surgical procedures, the use of bipolar electrosurgical techniques can eliminate the need to maintain a dry field, thus increasing the clinician's ability to deliver predictable, long-term results. This case presentation describes how to determine the presence of passive eruption, treatment plan its correction, and surgically alter the gingiva to provide a more aesthetic smile. Upon…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
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