Practical Periodontal Plastic Surgery

by Dibart, Serge; Karima, Mamdouh

• ISBN13: 9780813822686
• ISBN10: 0813822688
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-10-02
• Publisher: Wiley-Blackwell

Summary

Practical Periodontal Plastic Surgery provides the qualified and trainee periodontist with a pragmatic approach to mucogingival plastic surgery, imparting knowledge and expertise through its step-by-step examination of the actual clinical requirements of each procedure. The book focuses on the increasingly requested esthetic procedures such as crown lengthening and root coverage, but it also deals with other mucogingival operations, such as hard and soft pre-prosthetic and pre-implant ridge augmentation. Uniquely, there is also a focus on the burgeoning field of periodontal microsurgery, and the techniques and methods learned from other branches of microsurgery are applied to realities of dentistry, for enhanced soft tissue results. Practical Periodontal Plastic Surgery begins by outlining the place and development of periodontal plastic surgery, and the factors, chiefly periodontal health, that affect surgical outcomes. Periodontal microsurgery is then introduced before the step-by-step description of the surgical procedures with their expected outcome. Each operation is taken in turn, explaining the techniques used and the instrumentation required, and illustrating every step with an abundance of clinical photographs. Finally, the book concludes with a discussion of patient selection criteria. This book will benefit periodontists, dentists, residents and students alike by strengthening understanding of mucogingival surgery through a thorough appreciation of each part of the procedures involved.

Author Biography

Serge Dibart is clinical director of the periodontal residency program at Boston University Goldman School of Graduate Dentistry.

Mamdouh Karima is clinical director of the periodontal residency program at King Abdullaziz University School of Dental Medicine in Saudi Arabia.

Table of Contents

Contributors	vii
Foreword	ix
Spencer N. Frankl
Acknowledgments	xi
Serge Dibart
Introduction	xii
Mamdouh Karima
Definition and Objectives of Periodontal Plastic Surgery	3	(2)
Serge Dibart
Mamdouh Karima
Therapeutic success
Indications
Factors that affect the outcome of periodontal plastic procedures
References
Surgical Armamentarium, Sutures, Anesthesia, and Postoperative Management	5	(4)
Serge Dibart
Armamentarium
Sutures
Anesthesia
Postoperative instructions, medictions, and regimen
References
Introduction to Microsurgery and Training	9	(6)
Ming Fang Su
Yu-Chuan Pan
Introduction
Training in microsurgery
Basic microinstrumentation
Suturing techniques
An animal model for microsurgery technique training
References
Periodontal Microsurgery	15	(8)
James Belcher
Historical perspective
Periodontal applications
Periodontal instrumentation
Periodontal microsurgical procedures
Incorporating the surgical operating microscope into practice
Summary
References
Free Gingival Autograft	23	(8)
Serge Dibart
History
Indications
Armamentarium
Free gingival autograft to increase keratinized tissue
Variation on the same theme: Free connective tissue graft
Free gingival autograft for root coverage
References
Subepithelial Connective Tissue Graft	31	(4)
Serge Dibart
Mamdouh Karima
History
Indications
Armamentarium
Technique (envelope flap)
References
Pedicle Grafts: Rotational Flaps and Double-Papilla Procedure	35	(6)
Serge Dibart
Mamdouh Karima
History
Indications
Prerequisites
Armamentarium
Lateral sliding flap
Obliquely rotated flap
Double-papilla procedure
References
Pedicle Grafts: Coronally Advanced Flaps	41	(4)
Serge Dibart
History
Indications
Armamentarium
Coronally positioned flap: Two stages
Semilunar coronally positioned flap
Coronally positioned flap: One stage
References
Guided Tissue Regeneration	45	(4)
Serge Dibart
History
Indications
Armamentarium
Guided tissue regeneration for root coverage
References
Acellular Dermal Matrix Graft (AlloDerm)	49	(4)
Serge Dibart
History
Indications
Armamentarium
Technique
Postoperative instructions
Graft healing
Removal and correction of amalgam tattoo
Gingival grafting to increase soft tissue volume
Possible complications
References
Labial Frenectomy Alone or in Combination with a Free Gingival Autograft	53	(4)
Serge Dibart
Mamdouh Karima
History
Indications
Armamentarium
Technique
Possible complications
Labial frenectomy in association with a free gingival autograft
References
Preprosthetic Ridge Augmentation: Hard and Soft	57	(12)
Serge Dibart
Luigi Montesani
History
Indications
Armamentarium
Soft tissue graft
Clinical crown reduction using a connective tissue graft
Hard tissue graft
Combination grafts: Hard and soft tissues
Edentulous ridge expansion
Socket preservation
References
Exposure of Impacted Maxillary Teeth for Orthodontic Treatment	69	(2)
Serge Dibart
History
Indication
Armamentarium
Technique
Reference
Soft Tissue Management Around Dental Implants	71	(28)
Diego Capri
Introduction
Gingival tissues and peri-implant mucosa
The need for keratinized tissue
Biological width and gingival bio-types
Aesthetic predictability
One-piece implants versus two-piece implants
Uncovering techniques
Tissue-punch uncovering technique
Apically positioned flap
Buccally positioned envelope flap
Connective tissue graft
Modified roll technique
Free gingival graft
Papilla regeneration techniques
Conclusion
References
Improving Patients' Smiles: Aesthetic Crown-Lengthening Procedure	99	(6)
Serge Dibart
History
Indications
A few words about aesthetics
Armamentarium
Soft tissue crown lengthening
Hard tissue crown lengthening
Microsurgical crown lengthening
References
Selection Criteria	105	(2)
Serge Dibart
Mamdouh Karima
Plaque-free and calculus-free environment
Aesthetic demand
Adequate blood supply
Anatomy of the recipient and donor sites
Donor tissue availability
Graft stability
Trauma
References
Index	107