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More Surgical Articles

Pinhole Surgical Technique: The rebirth of the noninvasive soft-tissue graft

The main goal when restoring health, function, and esthetics of lost tissue due to gingival recession is to accomplish surgery the most efficiently with the fewest postoperative complications. Scott Froum, DDS, Perio-Implant Advisory's editorial director, reviews the history of noninvasive soft-tissue grafting and describes a new surgical protocol—the Pinhole Surgical Technique—that has taken soft-tissue grafting awareness to a new level.

Radiographic guides and surgical guide stents for dental implants: Laboratory fabrication techniques

It is almost standard routine in treatment planning to use tomographic imaging with radiographic guides and surgical guide stents during placement of dental implants. David L. Brown, DDS, describes simple laboratory techniques to fabricate guide stents that can be used during imaging and then easily converted for use during dental implant surgery.

Narrow-diameter implants: A solution for replacing single missing lower incisors

Most dentists dread having to replace single missing mandibular incisors due to the numerous challenges involved. Peter Mann, DDS, FICOI, FAGD, presents two case studies demonstrating the successful use of narrow-diameter implants (mini-implants) for patients who "don't want a bridge" and those who were told they are not candidates for conventional dental implants.

Top causes of gingival enlargement and treatment options

Scott Froum, DDS, editorial director of Perio-Implant Advisory, describes the various causes and dental treatment options for gingival enlargement, a condition mistakenly used synonymously with gingival hypertrophy and gingival hyperplasia. He also presents a new form of surgical treatment that can assist in correcting certain types of gingival enlargement.

Treatment of exposed dental implant surfaces with the minimally invasive bone grafting technique: SMART

As dental implant placement has become ubiquitous in dental practice, interest has increased in treatment options to manage peri-implantitis and other complications. In cases of exposed implant surfaces, a subperiosteal minimally invasive bone grafting technique (SMART) has delivered consistent outcomes without flaps, membranes, or tenting screws, and fewer complications—a promising alternative for the management of peri-implant bone loss.

Are we there yet? A new instrument that determines when dental implants are ready to be restored

Dr. Scott Froum, editorial director of Perio-Implant Advisory, says osseointegration of dental implants is dependent on a variety of patient-related factors, and because each patient heals differently, load time is different. He explains how using resonance frequency analysis (RFA) to measure implant stability is a simple, fast, noninvasive way to test maturity of bone around the implant without exposing patients to radiation.

Gingival contouring using dental implant provisional restorations in the esthetic zone

Achieving appropriate gingival contouring in the smile zone is important in creating an esthetically pleasing smile. Dr. V. Landon Blatter presents a case study to demonstrate how immediate nonocclusal load and occlusal load provisionals can be used to restore gingival contouring for dental implants placed in the challenging areas of congenitally missing maxillary lateral incisor sites.

Minimally invasive soft-tissue grafting: The GumDropTechnique

As medicine and dentistry continue to evolve and technology advances, patients become more used to minimally invasive surgical procedures with lower morbidity and less postoperative discomfort. Delia Tuttle, DDS, introduces the GumDropTechnique, a new soft-tissue grafting technique that combines minimally invasive incisions with blood derivatives to achieve root coverage and increased keratinized tissue.

A new minimally invasive bone grafting technique: SMART

The subperiosteal minimally invasive esthetic ridge augmentation technique called SMART—developed as an alternative to traditional guided bone regeneration procedures—has the potential to profoundly impact the future of bone augmentation. Ernesto A. Lee, DMD, explains more about the clinical features of this new bone grafting technique.

AO Orlando preview: Morning with the Masters highlights from Dr. Anthony Sclar

Anthony G. Sclar, DMD, will present an interdisciplinary session titled “Avoiding and Managing Esthetic Implant Complications” during the Morning with the Masters Program at the upcoming Academy of Osseointegration Annual Meeting. Participants will learn scientific and clinical concepts required for diagnostically driven treatment planning and become familiar with risk stratification of simple-to-complex esthetic dental implant cases. Read more about the objectives of this program and the five key takeaways.

AO 2017 Annual Meeting Opening Symposium: 30 years of advancements in implant dentistry

Dr. Jeffrey Ganeles, the 2017 Academy of Osseointegration’s Annual Meeting Program Committee chair, details what you can expect to learn from the Opening Symposium at the upcoming meeting. Find out more about the presentations in the field of implant dentistry you’ll get to experience—from the concept of beauty and esthetics to regenerative dental medicine to craniofacial reconstruction and more.

Deciding between pink porcelain versus ridge augmentation in the esthetic zone

Although dental implants are a predictable treatment modality for the replacement of failed or lost teeth, the challenge continues to be achieving desirable esthetic outcomes in the maxillary anterior region that are acceptable to both patient and clinician. Two cases from Peter Mann, DDS, FICOI, FAGD, highlight two different approaches to reconstructing tissue defects during dental implant therapy, and considerations as to why that specific modality was selected.

Learning from root canal complications

When a root canal begins uneventfully and ends up with an obstacle, what do you do? You learn from it! Peter Mann, DDS, FICOI, FAGD, and Tina Tong, DMD, say: “Dentistry is a very humbling profession. But that’s what makes it exciting and interesting as well. After thousands of root canals, you still find one that surprises, teaches, and amazes.” Follow along with their case study.

Medication-related osteonecrosis of the jaw: Lowering the risk of MRONJ using new drug alternatives

By now, we have all faced the clinical decision about whether to proceed with elective oral surgery for the postmenopausal female patient who has begun bisphosphonate (BP) therapy. The potential for medication-related osteonecrosis of the jaw (MRONJ) that may occur after oral surgery persists for years after BPs have been administered, due to the fact that they have been found in bone 10 years after even a single administration. Michael DiPace, DDS, offers a general review of three alternative drugs used to treat osteoporosis that have little or no known association with MRONJ.

Perio-Implant Advisory JOMI Clinical Pearls: Photofunctionalization in bone generation, sinus augmentation and composite bone grafts, peri-implant tissue stability

In this Perio-Implant Advisory JOMI Clinical Pearls column, Andrea Henderson, DDS, FACP, a member of the Academy of Osseointegration’s Young Clinicians Committee, reviews three articles from The International Journal of Oral and Maxillofacial Implants—the official journal of the AO. Topics cover photofunctionalization in bone generation, changes in sinus dimensions using bovine-derived xenograft and autogenous bone composites for lateral bone augmentation of the maxillary sinus, and peri-implant soft- and hard-tissue stability in dental implants placed simultaneously versus delayed with intraoral block bone grafts.

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