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[Frenulectomy].

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Humans↗

[Surgical and prosthetic approach to the difficulties of fitting in the completely edentulous].

Prosthetic Surgery must not be considered as an exceptional process. It is likely to transform the comfort and stability of a complete prosthesis if the indications are well laid down. Two elements combine towards its success. 1. The surgical action, which may be -- a limited vestibuloplasty, destined to abolish the small ligaments, the hyperplasias or the polypoid formations; --an extensive vestibuloplasty, intended to deepen the non-retentive vestibules. The process of choice is a super-periosteal plasty of the CLARKE or VRASSE and BATAILLE type. It may be used above all on the mandible. For the maxilla, CELESNIK's intervention may be associated with it; --free skin grafts. They do not always give the results anticipated because of the cicatrical retraction which is almost constantly observed. 2. The retention is as important as the surgery. It is carried out by an anchorage with wires, in a hammock or transcutaneous, and by a plate of resin lined with a layer of elastomeres of silicon. The material appears very much superior to the sponges of polyvinylic alcohol advocated by VRASSE and NETTER.

Acrylic Resins↗

Laser use in fixed, removable, and implant dentistry.

Laser use in reconstructive dental procedures (fixed, removable, or implant) provides a more controlled environment at the operative site. Control is a prerequisite for successful prosthetics and is accomplished by the unique ability of the laser to interact photo/thermally with biologic tissues using the lightest touch or none at all. Hemostasis is the result of this interaction by coagulating and sealing small blood and lymph vessels and vaporizing soft tissue. This hemostasis allows for more exact soft tissue contours to replicate or improve the periodontium before reconstruction, whether fixed or removable. The biologic seal is a unique phenomenon that occurs in the jaws of periimplant tissues of patients as a result of implant treatment. The biologic seal is paramount to the longevity and service of the implant. Use of dental laser technology provides the advanced laser and reconstructive dentist with the tool to improve the seal and improve the prognosis of the implant. The seal must be maintained by good oral hygiene and prophylactic procedures, however.

Aged↗

The role of lasers in cosmetic dentistry.

Dental lasers contribute significantly to the field of cosmetic dentistry, providing an invaluable resource for clinicians who perform different types of esthetic procedures. Practitioners in this specialized field not only help patients acquire beautiful and ideal smiles and dental health, but also they assist patients in benefiting from tremendous clinical advantages, such as sterile surgical sites and increased comfort levels. Tooth whitening will always be an important component of cosmetic dentistry. Developing the most efficient and safe method of tooth whitening is the goal of power bleaching. Currently the argon laser has proved to be the most valuable energy source for power bleaching. Clinicians need to learn more about constantly updated technology and apply newly discovered methods and protocols to clinical situations to benefit patients and clinicians.

Adolescent↗

Reliability of the melolabial flap for alar reconstruction.

OBJECTIVE: To review a series of alar reconstruction cases in which the melolabial flap was used. DESIGN: Case series. SETTING: University medical center and private practice. PATIENTS: One hundred five consecutive patients with alar defects, resulting from oncologic resection, in whom melolabial flap reconstruction was suitable. INTERVENTION: Single-stage melolabial flap reconstruction by a single surgeon (W.H.L.). MAIN OUTCOME MEASURE: Viability of the flap and presence or absence of surgical complications. RESULTS: There were no complete flap failures. Seven patients had partial necrosis of the distal end of the flap, and 3 of these instances occurred when the flap was rolled back onto itself to reconstruct the nasal vestibule; however, none of the patients required a subsequent operation or notching. Three patients developed hematoma, and 2 of them required a return to the operating room for control of bleeding. Four patients developed superficial infection, and 1 developed cellulitis of the cheek requiring opening of the wound and later revision of the flap. This was the only flap requiring revision. Fifteen patients required 3 or fewer corticosteroid infiltrations postoperatively for flap pin-cushioning or scar hypertrophy. CONCLUSION: The melolabial flap is a reliable tool in the reconstructive armamentarium of the facial plastic surgeon.

Esthetics↗

Oral piercing: the hole story.

Oral and perioral jewelry is increasingly being viewed as an acceptable fashion statement in our society. Accordingly, dental professionals are being presented with questions by their patients as to the risks associated with this form of body piercing. This article reviews recommendations for individuals with, or contemplating, an oral piercing, common locations of piercings, risks associated with the piercing procedure, types of jewelry used, and post-piercing home care instructions. Current trends in the piercing industry will be discussed, and the recommendation made that dental professionals advocate for improved safety standards at body modification studios.

Adolescent↗