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Implant Articles
Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy

Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy
This article suggests a strategy to provide a more predictable protocol for esthetic implant treatment for multiple- tooth defects using the root submergence technique (RST). The RST maintains the natural attachment apparatus of the tooth in the pontic site, which in turn allows for complete preservation of the alveolar bone frame and assists in the creation of an esthetic result in adjacent multipletooth- replacement cases.

Author(s): Maurice Salama, DMD;Henry Salama, DMD;Akiyoshi Funato, D.D.S.;Tomohiro Ishikawa, DDS;David Garber, DMD
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Pilot Clinical and Histologic Evaluations of a Two-Piece Zirconia Implant

Pilot Clinical and Histologic Evaluations of a Two-Piece Zirconia Implant
An investigation was conducted to evaluate the clinical and histologic results of bone and soft tissue healing around a two-piece zirconia dental implant in a human model.

Author(s): Myron Nevins, DDS;Marcelo Camelo, DDS; Marc L. Nevins, DMD, MMSc; Peter Schupbach, PhD; David M. Kim, DDS, DMSc
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Immediate Implant Placement with GBR Using Alloplast

Immediate Implant Placement with GBR Using Alloplast
Presented here is a case report wherein guided bone regeneration was done simultaneously at the time of immediate implant placement to achieve a desirable outcome.

Author(s): Dr. Lanka Mahesh; Dr. Sagrika Shukla; Dr. Prashant Nanda; Dr. Manoj Eapen
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Biologic Interfaces in Esthetic Dentistry - Part II: The Peri-implant/Restorative Interface

Biologic Interfaces in Esthetic Dentistry - Part II: The Peri-implant/Restorative Interface
The design of the implant–abutment interface is important because it is one of the primary determinants of prosthetic stability.

Author(s): Arndt Happe, Dr med dent, DDS; Gerd Körner, Dr med dent
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Bone Grafting Articles
Immediate Implant Placement with GBR Using Alloplast

Immediate Implant Placement with GBR Using Alloplast
Presented here is a case report wherein guided bone regeneration was done simultaneously at the time of immediate implant placement to achieve a desirable outcome.

Author(s): Dr. Lanka Mahesh; Dr. Sagrika Shukla; Dr. Prashant Nanda; Dr. Manoj Eapen
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Long-Term Block Graft Stability in Thin Periodontal Biotype Patients - A Clinical and Tomographic Study

Long-Term Block Graft Stability in Thin Periodontal Biotype Patients - A Clinical and Tomographic Study
Autogenous block grafting seems to be a predictable treatment modality to reconstruct alveolar ridge defects in the long term. A thin periodontal biotype did not seem to affect the volume of transplanted bone for the population studied.

Author(s): Fernando Verdugo, DDS;Krikor Simonian, DDS;Alon Frydman, DDS;Antonio D'Addona, DDS;José Pontón, PhD
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Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies

Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies
As dental implant reconstruction has evolved into a mainstream alternative to replace missing teeth, bone grafting techniques have also evolved as an ancillary procedure for site development, sinus augmentation, and guided bone regeneration.

Author(s): Scott D. Ganz, DMD
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Bone Augmentation of the Atrophic Posterior Mandible for Dental Implants Using rhBMP-2 and Titanium Mesh: Clinical Technique and Early Results

Bone Augmentation of the Atrophic Posterior Mandible for Dental Implants Using rhBMP-2 and Titanium Mesh: Clinical Technique and Early Results
The purpose of the case series was to evaluate the use of recombinant human bone morphogenetic protein 2/acelluar collagen sponge (rhBMP-2/ACS) and titanium mesh for augmentation of the atrophic posterior mandible prior to implant insertion.

Author(s): Craig M Misch, DDS, MDS
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Sinus Lift Articles
Indirect Sinus Lift with CPS Putty

Indirect Sinus Lift with CPS Putty
In situations where lack of bone volume is related to an enlarged maxillary sinus, elevation of the sinus floor has been advocated for implant placement.

Author(s): Dr. Lanka Mahesh; Dr. Manesh Lahori; Dr. Sagrika Shukla; Dr. Prerna Kaushik
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Schneiderian Membrane Perforation Rate During Sinus Elevation Using Piezosurgery - Clinical Results of 100 Consecutive Cases

Schneiderian Membrane Perforation Rate During Sinus Elevation Using Piezosurgery - Clinical Results of 100 Consecutive Cases
This article presents an alternative approach that uses a piezoelectric instrument for the sinus elevation procedure.

Author(s): Steven S. Wallace, DDS;Ziv Mazor, DMD;Dennis P. Tarnow, DDS;Stuart J. Froum, DDS; Sang-Choon Cho, DDS
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Controlling Systematic Perioperative Anaerobic Contamination During Sinus-Lift Procedures by Using Metronidazole: An Innovative Approach

Controlling Systematic Perioperative Anaerobic Contamination During Sinus-Lift Procedures by Using Metronidazole: An Innovative Approach
Analysis of tomodensitometric controls following sinus grafts clearly demonstrates a quite systematic lack of homogeneity. Sinus contamination by anaerobic bacteria seems almost unavoidable during bone graft surgery, and this problem may jeopardize the healing process.The aim of this study was to characterize in a systematic way the nonhomogeneities observed at 1,2,or 3 months post surgery within allogenous sinus grafts,and to assess the possible influence of a 0.5% sterile solution of metronidazole in corporated in the sinus bonegraft.

Author(s): Ziv Mazor, DMD;John Doerr, DDS;JosephChoukroun,MD, AlainSimonpieri,DDS, MarcoDelCorso,DDS, GilbertoSammartino,MD,PhD,David M.Dohan Ehrenfest, DDS,MS,PhD
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Sinus Augmentation for Single-Tooth Replacement in the Posterior Maxilla: A 3-Year Follow-up Clinical Report

Sinus Augmentation for Single-Tooth Replacement in the Posterior Maxilla: A 3-Year Follow-up Clinical Report
A technique for single-tooth sinus lift and simultaneous implant placement in the posterior maxilla is presented. Ten hydroxyapatite-coated cylindric implants, 13 to 15 mm in length, were placed together with a composite bone graft of demineralized freeze-dried bone allograft and autogenous bone in 10 adults. Surgical technique and anatomic considerations are discussed. Follow-up of 3 years showed successful function and no cervical bone loss in all patients.

Author(s): Ziv Mazor, DMD;Michael Peleg, DMD; Martin Gross, BDS, LDS, MSc
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Soft Tissue Articles
A Decision Tree for Soft Tissue Grafting

A Decision Tree for Soft Tissue Grafting
The decision tree proposed serves as a guide for clinicians to select the most appropriate and predictable soft tissue grafting procedure to minimize unnecessary mistakes while providing the ultimate desired treatment outcome.

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Daylene Jack-Min Leong, BDS
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Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique

Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique
This paper describes a new suturing method, the subpapillary continuous sling suture, for use with soft tissue grafts in tunnel procedures to treat gingival recession.

Author(s): Edward P. Allen, DDS, PhD.
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Clinical Realities - Maximizing Aesthetics and Health Using a Closed-Flap ER: YSGG Laser Technique

Clinical Realities - Maximizing Aesthetics and Health Using a Closed-Flap ER: YSGG Laser Technique
Dental lasers have evolved considerably as an adjunct and alternative treatment to safely, conservatively, and reliably decrease bacterial levels and improve the hard and soft tissue contours. In selected cases, long-term aesthetic and functional parameters are satisfied with precise restorative planning and technique and by utilizing minimally invasive procedures. Furthermore, patients are provided with optimal results more comfortably and efficiently.

Author(s): Hugh Flax, DDS, PC
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Use of the Natural Tooth for Soft Tissue Development - A Case Series

Use of the Natural Tooth for Soft Tissue Development - A Case Series
esults from this study showed that all patients achieved a normal or Class 1 papilla appearance similar to the original appearance of the natural tooth.

Author(s): Marius Steigmann, DDS;Hom-Lay Wang, DDS, MSD, PhD;Jason Cooke, DDS
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Periodontic Surgery Articles
Periodontal Photo Essay

Periodontal Photo Essay
Dr. Daniel J. Melker presents a Periodontal Photo Essay. Question: Why do we barrel in furcations?

Author(s): Daniel J Melker, DDS
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Biologic Shaping

Biologic Shaping
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.

Author(s): Daniel J Melker, DDS
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Coverage of Gingival Recession Defects Using Guided Tissue Regeneration With and Without Adjunctive Enamel Matrix Derivative in a Dog Model

Coverage of Gingival Recession Defects Using Guided Tissue Regeneration With and Without Adjunctive Enamel Matrix Derivative in a Dog Model
The results of the present investigation suggest that the adjunctive use of EMD with GTR promotes formation of new bone and cementum without root resorption in recession-type defects in dogs.

Author(s): Takahisa Fujita, DDS; Shigeki Yamamoto, DDS, PhD; Mikio Ota, DDS, PhD; Yoshihiro Shibukawa, DDS, PhD; Satoru Yamada, DDS, PhD
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Biologic Rationale of Esthetic Crown Lengthening Using Innovative Proportion Gauges

Biologic Rationale of Esthetic Crown Lengthening Using Innovative Proportion Gauges
Using a series of innovative measuring gauges, the ideal clinical crown length of a tooth as well as the proper occlusogingival placement of the interproximal papilla will be determined based on established, documented tooth proportion relationships.

Author(s): Paul Fletcher, DDS
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Other Surgical Articles
Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares.

Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares.
Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares. Além de curar diversos sintomas dos problemas funcionais que incomodam os pacientes no seu dia-a-dia, proporciona ainda a elevação da autoestima e da autoconfiança, pois os resultados estéticos são surpreendentes

Author(s): Rogério Zambonato Freitas, DDS, MS
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Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique

Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique
The purpose of this article is to describe the clinical surgical procedures that comprise the PAOO procedure.

Author(s): Kevin George Murphy, DDS, MS;M. Thomas Wilcko, DMD; William M. Wilcko, DMD, MS; Donald J. Ferguson, DMD, MSD
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Human Histologic Evaluation of Anorganic Bovine Bone Mineral Combined with Recombinant Human Platelet-Derived Growth Factor BB in Maxillary Sinus Augmentation: Case Series Study

Human Histologic Evaluation of Anorganic Bovine Bone Mineral Combined with Recombinant Human Platelet-Derived Growth Factor BB in Maxillary Sinus Augmentation: Case Series Study
The objective of this study was to examine the potential for improved bone regenerative outcomes in maxillary sinus augmentation procedures using platelet-derived growth factor BB and anorganic bovine bone mineral.

Author(s): David Garber, DMD;Maurice Salama, DMD;Steven S. Wallace, DDS;Myron Nevins, DDS;James J. Hanratty, DDS; Bradley S. McAllister, DDS; Marc L. Nevins, DMD, MMSc; Peter Schupbach, PhD; Simon M. Bernstein, DDS, MS; David M. Kim, DDS, DMSc
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Applied Techniques for Predictable Suture Placement Part 1

Applied Techniques for Predictable Suture Placement Part 1
Surgical suture positioning is crucial to ensure adequate healing and can be accomplished using a variety of suturing methods. Sutures should generally be placed distal to the last tooth and within each interproximal space and should always be inserted through the more mobile flap first The flaps should not be blanched during the tying procedure, and closure should not be positioned closer than 2 mm to 3 mm from the edge of the flap, in order to prevent tearing during the inevitable swelling that…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
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