Current soft tissue graft materials and microsurgical techniques for the treatment of gingival recessions and peri-implant deficiencies
Speaker: Lorenzo Tavelli, DDS, MS. Duration: 5 h. 23 min.
DDS, MS
Lorenzo Tavelli - Key factors for treating gingival recessions. Coronally advanced flap or tunnel technique?
Lorenzo Tavelli - Autogenous grafts, acellular dermal- and collagen matrices. The right graft for the right indication
Lorenzo Tavelli - Peri-implant soft tissue phenotype. The role of soft tissue augmentation on peri-implant health and patient’s comfort
Lorenzo Tavelli - Soft tissue dehiscence/recessions at implant sites. Risk factors and treatment
Lorenzo Tavelli - Soft tissue grafting complications
Video lecture 1 - “Key factors for treating gingival recessions. Coronally advanced flap or tunnel technique?”
Gingival recession is a common finding among most patients. This condition is often associated with root caries, abrasion, esthetic concerns and dental hypersensitivity.
This lecture discusses etiological and anatomical factors to consider and address prior to the surgical treatment of gingival recessions. The coronally advanced flap technique is reviewed step-by-step, with several clinical cases illustrating the flap design, management and suturing in different scenarios. The use of coronally advanced flap versus tunnel technique with different graft materials is also discussed. This lecture provides the rationale and the basis for treating single and multiple gingival recessions, choosing the most predictable and appropriated technique.
Video lecture 2 - “Autogenous grafts, acellular dermal- and collagen matrices. The right graft for the right indication”
Autogenous grafts are considered the gold standard materials for periodontal and peri-implant soft tissue augmentations. But are they always necessary? Different types of soft tissue graft substitutes have been introduced over the years in order to reducing the surgical time and patient morbidity. Although acellular dermal- and collagen matrices have been shown promising outcomes, it is crucial to highlight what are the indications and favorable conditions for their use. This lecture discusses the characteristics of autogenous and graft substitutes, together with treatment recommendations regarding their application at natural dentition and implant sites.
Video lecture 3 - “Peri-implant soft tissue phenotype. The role of soft tissue augmentation on peri-implant health and patient’s comfort”
Do we need a minimal amount of keratinized mucosa and mucosal thickness around dental implants? The critical role of peri-implant soft tissue on implant health has been at the center of significant discussion in the last decade. This lecture reviews the peri-implant soft tissue phenotype that encompasses the keratinized mucosa width, mucosal thickness and supracrestal tissue height. The effect of peri-implant soft tissue phenotype modification on peri-implant health is discussed, together with the most effective techniques for increasing keratinized mucosa width and mucosal thickness.
Video lecture 4 - “Soft tissue dehiscence/recessions at implant sites. Risk factors and treatment”
While the predictability of dental implants in replacing missing teeth has been largely demonstrated, the success of implant therapy also depends on aesthetics and patient satisfaction. Peri-implant soft tissue dehiscence (or mucosal recession) has been defined as the apical shift of the soft tissue margin revealing the greyish color of the implant or the apical shift of the soft tissue margin with the implant-supported crown longer than the contralateral homologous tooth. This lecture discusses risk factors for Peri-implant soft tissue dehiscences and treatment guidelines for treating these conditions, based on the new classification. Several cases illustrating different clinical scenarios are presented.
Video lecture 5 - “Soft tissue grafting complications”
Although soft tissue grafting procedures have the potential of improving periodontal and peri-implant esthetics, health and patients’ comfort, complications are not rare.
This lecture discusses the possible intra- and post-operative complications that may occur at the palatal donor site and at the recipient site, when using autogenous graft or substitutes. Several cases showing different complications are presented. Recommendations for reducing the risk of complications and for managing these clinical scenarios are also provided.