Evidence-Based Periodontal and Peri-Implant Plastic Surgery: A Clinical Roadmap from Function to Aesthetics

Evidence-Based Periodontal and Peri-Implant Plastic Surgery: A Clinical Roadmap from Function to Aesthetics

Language: English

Pages: 330

ISBN: 3319359673

Format: PDF / Kindle (mobi) / ePub


From the Back Cover

This atlas, featuring numerous superb illustrations and vivid photographs, aims to create a bridge between research and practice in the field of periodontal plastic surgery and cosmetic dentistry with a view to enabling optimal decision making in daily practice. After an opening overview of evidence-based decision making and discussion of treatment planning, subsequent chapters address the surgical treatment of recession-type defects, use of soft tissue substitutes, aesthetic clinical crown lengthening, and peri-implant plastic surgery. Illustrated case studies depict application of the described surgical procedures in daily practice, and advice is provided on clinical indications and contraindications and basics of the surgical sequence. In addition, critical summaries of the results of systematic reviews are provided. Further chapters consider aspects of multidisciplinary decision-making and present decision trees for soft tissue augmentation procedures proposed by the American Academy of Periodontology. The atlas will be a valuable clinical guide for general dentists and specialists in periodontology/periodontics and implantology.

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interdental papilla [41], as well as increasing age might be associated papillary recession [50]. Normal a class I b class II c class III d Fig. 2.26 (a–d) Schematic representation of the papilla loss classification by Nordland and Tarnow [38] 2 Periodontal Anatomy and Its Role on the Treatment Planning of Aesthetic Areas 2.6 Rationale, Concepts, and Basic Surgical Principles of Periodontal Plastic Surgery Although treatment planning involving periodontal plastic surgery procedures

Depigmentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Leandro Chambrone, Manuel de la Rosa-Garza, Erick G. Valdivia Frias, Marco Antonio Serna Gonzalez, Gerardo Guzman Pérez, Gerardo Mendoza, Umberto Demoner Ramos, Jamil Awad Shibli, and Francisco Salvador Garcia Valenzuela 6 Peri-implant Plastic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 Leandro Chambrone, Luiz Armando

also provided gains, many of them similar to SCTG-based procedures, and thus these may be considered as adequate substitute treatment approaches. Defects treated at mandible as well as at posterior sites (i.e. molars) can be safely and satisfactory treated as well. The final outcomes achieved seem to benefit by the use of magnification during the surgical procedures, but little evidence was available for analysis. Conversely, smoking may decrease the expected results of SCTG” [10]. “(b) Miller’s

band has been broadly proposed since the late 1990s. Specifically to the potential materials capable to be used in periodontal and peri-implant plastic surgery, allogenic and xenogeneic grafts have been developed [1, 3–7], and the main commercial brands are depicted below: • The Alloderm® Regenerative Tissue Matrix (BioHorizons IPH Inc., Birmingham, AL, USA) or ADMG is the most studied soft tissue substitute since its development in 1994. It is an allograft material obtained from a human donor

tissue) (200×) 17 (by the group of collagen fibers and the viscosity of the amorphous intercellular substance of the extracellular matrix) and phagocytic (via macrophages, neutrophils, antigen–antibody reactions, and activation of the complement system) mechanisms of defense [13, 15] Figs. 2.12 and 2.13. 18 Although parts of the fibers are irregularly distributed through the connective tissue layer, most of them consisting of a dense network of collagen fiber bundles form an organized

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