Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Similarities Between an Acellular Alloderm and a Palatal Graft for Tissue Augmentation Similarities Between an Acellular Alloderm and a Palatal Graft for Tissue Augmentation

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Russell A. Gornstein, DDS, MD, Donald P. Callan, DDS, Baldev Singh, BDS, PhD

Date Added:

3/1/1999


Summary:

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 of one mandibular cuspid while a masticatory mucosal graft taken from this patient was placed in a similar fashion on the contralateral mandibular cuspid. Soft-tissue biopsies were obtained from each grafted area 12 weeks after placement, at the time of light and scanning electron microscopy (SEM) evaluation. This initial investigation demonstrated that the acellular dermal alloplastic graft material displayed clinical and histologic features that were similar to the patient's own palatal donor material when used to increase the zone of attached keratinized tissue.

Related Articles
Fibrinogen-Induced Regeneration Sealing Technique (F.I.R.S.T.). An Improvement and Modification of Traditional GBR: A Report of Two Cases

Fibrinogen-Induced Regeneration Sealing Technique (F.I.R.S.T.). An Improvement and Modification of Traditional GBR: A Report of Two Cases
Guided bone regeneration is a technique widely known, clinicians know very well indications and limitations of this technique. One of the principles to achieve bone augmentation and formation resides in the stability of the blood clot forming under a barrier membrane. The technique proposed in this article has the goal of providing stabilization to the bone graft by adding fibrin sealant (FS) to the bone graft and also using the fibrin sealant to attach a bone membrane (cortical lamina) to the recipient site. This simple modification of the technique of guided bone regeneration is presented in two successful cases.

Author(s): Vincenzo Foti, MD, DDS;Roberto Rossi, DDS
View Article>>
Soft Tissue Cone-Beam Computed Tomography: A Novel Method for the Measurement of Gingival Tissue and the Dimensions of the Dentogingival Unit

Soft Tissue Cone-Beam Computed Tomography: A Novel Method for the Measurement of Gingival Tissue and the Dimensions of the Dentogingival Unit
The purpose of the present study was to develop a soft tissue cone-beam computed tomography (ST-CBCT) to improve soft tissue image quality and allow the determination of the dimensions and relationships of the structures of the dentogingival unit. Two separate CBCT scans were obtained from three patients with different periodontal biotypes. The first was a scan following standard methods; however, for the ST-CBCT the patients wore a plastic lip retractor and retracted their tongues toward the floor of their mouths.

Author(s): ALESSANDRO LOURENÇO JANUÁRIO, DDS, MS, PhD; MAURÍCIO BARRIVIERA, DDS, MS; WAGNER RODRIGUES DUARTE, DDS, PhD
View Article>>
Clinical Realities - Maximizing Aesthetics and Health Using a Closed-Flap ER: YSGG Laser Technique

Clinical Realities - Maximizing Aesthetics and Health Using a Closed-Flap ER: YSGG Laser Technique
Dental lasers have evolved considerably as an adjunct and alternative treatment to safely, conservatively, and reliably decrease bacterial levels and improve the hard and soft tissue contours. In selected cases, long-term aesthetic and functional parameters are satisfied with precise restorative planning and technique and by utilizing minimally invasive procedures. Furthermore, patients are provided with optimal results more comfortably and efficiently.

Author(s): Hugh Flax, DDS, PC
View Article>>
Related Videos
The "Modified Tunnel" Technique and the development of the Lateral Tunnel Approach Premium Member Content

The "Modified Tunnel" Technique and the development of the Lateral Tunnel Approach
The "Modified Tunnel" technique is a method of esthetic connective tissue grafting that protects the interdental papillae. First published in 1999, this lateral tunnel approach uses vertical incisions on both sides of the treatment area. These vertical incisions facilitate placement and positioning of the graft over the root surfaces without the need to disturb the interdental papillae. This technique is very useful in esthetic areas and those that involve several teeth. An acellular dermal connective tissue allograft is an excellent choice of graft material to use with this technique.

Presented By:: Douglas H. Mahn, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations Premium Member Content

A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.

Presented By:: Prof. Dr. Alessandro Pozzi
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Importance of Connective Tissue in the Management of Long Term Stability of Compromised Natural Teeth Premium Member Content

The Importance of Connective Tissue in the Management of Long Term Stability of Compromised Natural Teeth
The video presented will show clinical long term evidence of its importance along with different techniques to achieve long term results.

Presented By:: Daniel J Melker, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Modern Crown Lengthening: Classification and Clinical Application Premium Member Content

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

Presented By:: André P. Saadoun, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Vertical or Shoulderless Preparations in Contemporary Prosthodontics Premium Member Content

Vertical or Shoulderless Preparations in Contemporary Prosthodontics
Tooth preparations without a defined finish line have been termed in several different ways, such as knife edge, feather edge, or shoulderless. From a biological standpoint, preserving a maximum amount of sound tooth structure, as it is done in vertical preparations, might also offer a more conservative alternative to a horizontal margin design in other clinical conditions such as endodontically treated teeth, vital teeth in young individual, teeth affected by caries at the cervical third. Vertical margins on zirconia crowns have been tested in vitro and clinical reports have been published. A re-evaluation of possible advantages and shortcomings of vertical preparation design in contemporary prosthodontics will be presented in light of recently published literature.

Presented By:: Carlo Poggio, DDS, MSD, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Protocols for Aesthetic Zone Management: From Maintenance to 3D Reconstruction Premium Member Content

Protocols for Aesthetic Zone Management: From Maintenance to 3D Reconstruction
During the lecture Dr. Bessa will systematize how to face each different clinical situation, utilizing different autogenous tissues combined with a micro surgical approach, in order to have the best healing patterns and scar-less surgery.

Presented By:: Luis Lapa Bessa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free











Contact Us | Privacy Policy | Terms of Use
©2023

Preferred Language: English Flag
Contact Us · Login · Register