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




Questions & Comments
Yungchang Ma - (6/16/2020 6:00 AM)

Wonderful lecture.

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

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