The Journal of Implant & Advanced Clinical Dentistry
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Maxillary Sinus Augmentation

  • Journal:Maxillary Sinus Augmentation Volume: Vol. 1, No. 8 Date: November 2009
    Authors:Daniel Melker, DDS, M. Thomas Wilcko, DMD, William M. Wilcko, DMD, MS, Aron Gonshor DDS, PhD, Yoon-Je Jang, DDS, PhD, Arthur B. Novaes Jr., DDS, MScD, DSc, Rafael R. de Oliveira, DDS, MScD, Valdir A. Muglia, DDS, MScD, DSc

    13. Case of the Month Biologic Shaping

    When performing conventional crown lengthening, the existing margins of an old restoration or the cementoenamel junction (CEJ) of a non-restored tooth are used to determine necessary bone removal to establish adequate space for biologic width. Creating proper space for biologic width ensures that the new margin will not infringe upon the periodontal complex and reduces the likelihood for future inflammation. One significant problem of this procedure is that, at times, significant bone must be removed. This can weaken the stability of the tooth or create a weakened and vulnerable furcation area. The more bone removed in the furcation, the greater the likelihood of future problems with maintenance. It is critical to preserve as much bone as possible to sup- port the tooth, especially in the furcation area.

    19. JIACD Continuing Education Management of the Actively Bleeding and Hypovolemic Dental Patient

    Background: With an increasing number of dentists incorporating surgical procedures such as implant dentistry into their daily practice, the ability to manage hemorrhagic complications is indispensable. The purpose of this article is to provide an updated review on contemporary oral hemostatic measures and offer literature based recommendations on the perioperative management of the actively bleeding and hypovolemic dental patient.

    29. Single Surgery Comprehensive Gingival Grafting Utilizing Palatal Donor Tissue

    As many as 24 teeth can be grafted in a single surgical appointment utilizing the patient’s own palatal tissue. If more than a dozen teeth require grafting, thick free gingival grafts (FGG’s) can be split and the resulting subepithelial connective tissue grafts (SCTG’s) can be utilized in a bilaminar approach. The resultant thinner FGG’s can be used in conjunction with a retained semilunar flap and marginal tissue lifting. This case series presents 4 cases in which SCTG’s or a combination of SCTG’s and FGG’s are utilized for multiple areas of gingival grafting at the same surgical appointment.

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