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At least 721 records · Page 40Linked to original sources
PubMed2004

Use of the gingival unit transfer in soft tissue grafting: report of three cases.

Current procedures in periodontal plastic surgery probe the limits of the copious blood supply available to the periodontal tissues. None reaches for these limits more consistently and meets with less forgiveness than soft tissue grafting for the interdental papilla and root coverage in esthetically sensitive areas. Gingiva contains the only soft tissue naturally created to survive and function interproximally and facially over avascular root surfaces. Preliminary results suggest that the supracrestal gingiva, used as a free graft for the above purposes, may have an uncommon capacity for perfusion and survival. More investigation is necessary to confirm the validity of this concept. The gingival unit transfer is introduced through three case reports that describe its use for root coverage and replacement of intact but pathologically involved or esthetically compromised papillae.

Adult↗
PubMedDate not supplied

Direct composite bonding in conjunction with surgical tissue management.

This article discussed several issues associated with the intimate relationship between attachment apparatus and the restorative interface. First, it is essential that the restorative dentist have a clear understanding of crest position and its impact on the restorative outcome. Then, the restorative dentist must understand the importance of sequencing and timing when orthodontic therapy, tissue recontouring and restorative dentistry must be accomplished on the same patient.

Adolescent↗
PubMedDate not supplied

How communication can affect aesthetic outcome.

Effective communication between dentist and patient before and during treatment is crucial to an optimal outcome. Careful sequential treatment planning can be enhanced by a detailed patient interview and the use of video imaging, but misunderstanding can still occur. An open dialogue between dentist and patient as treatment progresses is the key to avoiding communication failures.

Adult↗
PubMed1992

Periodontal surgery for the maxillary anterior area.

A modified surgical technique, aimed at the conservation of maxillary anterior esthetics, has been proposed for the treatment of maxillary anterior periodontal pathoses that do not respond to traditional, nonsurgical approaches. The modified resective technique gives selective access to the periodontally diseased root surfaces while allowing the periodontist to avoid facial areas with shallow pockets. This paper describes the technique in detail and discusses its indications, advantages, and disadvantages.

Follow-Up Studies↗
PubMed2004

Impacted permanent maxillary canines: diagnosis and treatment.

Palatally impacted permanent maxillary canines are a relatively common dental anomaly of unknown etiology. Early diagnosis of these impactions and subsequent intervention reduce the risk of further complications and may even remedy the impactions. Additionally, several surgical techniques can be used to resolve the impactions when intervention is not sufficient. An understanding of effective diagnosis and treatment of these impactions is imperative to the health and well-being of the teeth and supporting periodontium.

Crown Lengthening↗
PubMed2005

Orthodontic extrusion of an extensively broken down anterior tooth: a clinical report.

A predictable esthetic restoration is not limited to the restored teeth; it has to include the gingival unit and its interface with the teeth involved. Failure to deliver restorations that maintain gingival health jeopardizes the success of any restorative procedure and creates potential for periodontal problems. Perforations, fractures, root resorption, or caries in the cervical area of the tooth, especially in the anterior part of the mouth, present many challenges to the clinician. Failure to place the crown margins on sound tooth material may violate the biologic width and should be considered a restorative failure. Orthodontic root extrusion or forced eruption is a well-documented clinical method for altering the relation between a nonrestorable tooth and its attachment apparatus, elevating sound tooth material from within the alveolar socket. It has some advantages over surgical crown lengthening, which is less conservative considering the sacrifice of supporting bone and the negative change in the length of the clinical crowns of both the tooth and its neighbors. This article presents a case of a maxillary right lateral incisor, extensively broken down following trauma, treated with orthodontic extrusion combined with gingival fiberotomy, without a need for a corrective surgical procedure.

Adult↗
PubMedDate not supplied

Removal of hyperplastic lesions of the oral cavity. A retrospective study of 128 cases.

AIMS: Based on our accumulated experience, the present study evaluates and discusses the indications, advantages and inconveniences of oral cavity epulis resection using the carbon dioxide laser (CO2) versus the Erbium:YAG laser (Er:YAG), diode laser and surgical scalpel. MATERIAL AND METHODS: A retrospective study has been made of 120 patients involving the removal of 128 epulis lesions with the CO2 laser, Er:YAG laser, diode laser and surgical scalpel. Postoperative controls were carried out after 7, 15 and 30 days to evaluate healing and wound evolution, and after 3, 6 and 12 months to assess possible relapse. RESULTS: Two groups were defined, based on the clinical and etiopathogenic characteristics of the excised lesions: gingival hyperplastic lesions (77 cases) and fibromatous hyperplasia (51 cases). The lower jaw was the most frequent location of gingival hyperplasia (51.9%). Fibrous hyperplasia was the most common histological diagnosis (49 cases; 63.6%). Percentage relapse following removal was 9.1%, of which 5 cases corresponded to fibrous hyperplasia. Only one malignancy was identified, corresponding to infiltrating squamous cell carcinoma. On the other hand, of the 51 treated cases of fibromatous hyperplasia, 58.8% were located in the upper jaw. These were histologically confirmed to be fibrous hyperplasia, with relapse in 19.6% of the cases. CONCLUSIONS: Although the different surgical techniques used for removal of epulis of the oral cavity are appropriate, we consider the CO2 laser to be the treatment of choice, since it offers a number of both intra- and postoperative advantages. On the other hand, all oral lesions require histological study to establish a firm diagnosis.

Adolescent↗
PubMedDate not supplied

Aesthetic crown lengthening: classification, biologic rationale, and treatment planning considerations.

UNLABELLED: The rationale for crown lengthening procedures has progressively become more aesthetic-driven due to the increasing popularity of smile enhancement therapy. Although the biologic requirements are similar to the functionally oriented exposure of sound tooth structure, aesthetic expectations require an increased emphasis on the appropriate diagnosis of the hard and soft tissue relationships, as well as the definitive restorative parameters to be achieved. The development of a clinically relevant aesthetic blueprint and attendant surgical guide is of paramount importance for the achievement of successful outcomes. LEARNING OBJECTIVES: This article provides a classification system that clinicians can use when treatment planning for aesthetic crown lengthening. Upon reading this article, the reader should have: A clear understanding of the involved biological structures. Didactic instruction on the classification and treatment planning for aesthetic crown lengthening procedures.

Crown Lengthening↗
PubMed2005

Anterior esthetic gingival depigmentation and crown lengthening: report of a case.

Excessive gingival display space and gingival hyperpigmentation are major concerns for a large number of patients visiting the dentist. Melanin hyperpigmentation usually does not present a medical problem, but patients usually complain of dark gums as unaesthetic. This problem is aggravated in patients with a "gummy smile" or excessive gingival display while smiling. Esthetic periodontal plastic surgery is especially rewarding in such individuals with compromised esthetics. A case is reported here on the cosmetic correction of "black gums" and "gummy smile." Periodontal plastic surgery combining gingival depigmentation and esthetic crown lengthening was performed in a single appointment using scalpel surgical technique. The outline of steps involved in the surgical procedure is demonstrated and a brief review of the various gingival depigmentation techniques is depicted here.

Adult↗