Soft Tissue Key Points for Immediacy in the Aesthetic Zone
Immediacy in thin phenotypes and recession sites (CTG)
Immediacy in bone dehiscence sites (Wall Technique, VIP-CTG)
Prosthetic management for full arch FP1 Case (Gingival impression Index and Gingival
Conditioning cast)
Immediacy in the posterior zone (Roll Flap option)
Soft Tissue Key Points for Implants already fixed in the Aesthetic Zone
Color Compromised implant (CTG)
Buccal Volume/emergence profile deficiency (CTG)
Recession (Tunneling; CAF)
Black Triangles and Papilla deficiency (Papilla lifting, Table Top)
Soft Tissue Key Points for Healed Sockets in the Aesthetic Zone
Volume Deficiencies (Horizontal Vertical CTG)
Attached Gingiva Deficiencies (Layering Technique; FGG; Strip)
Frenulum and short vestibule corrections (Layering Technique; FGG; Strip)
Soft Tissue Key Points for Healed Sockets in the Posterior Zone
Volume Deficiencies (Roll Flap, Table Top)
Attached Gingiva Deficiencies (Layering Technique; FGG; Strip)
Frenulum and short vestibule corrections (Layering Technique; FGG; Strip)
Course Objectives:
By the end of this course, participants will be able to:
- Identify the different etiologies and contributing factors that lead to a gummy smile.
- Understand the principles of smile analysis and its relevance in treatment planning for gummy smile correction.
- Understand the Biological principles involved in the precision and long-term stability of surgery and treatment.
- Learn about various surgical techniques, including gingivectomy, crown lengthening flap and flapless, lip repositioning with Biovolumes, and the indication of orthognathic surgery and orthodontic intrusion for gummy smile correction.
- Develop protocol in communication to discuss treatment options, risks, and predictability effectively.
- Understand the importance of interdisciplinary collaboration when managing complex gummy smile cases.
Chronogram
The perfect harmony of soft tissue
- The pink and white aesthetic balance philosophy
- Concepts for digital planning - Surgical aesthetic rehabilitation
- Perfect team communication tools - From surgery to laboratory
Aesthetic Parameters
- Facial Analysis
- Lip analysis
- Gingival analysis
- Dental analysis
Etiologies of Gummy Smile
- Altered passive eruption
- Excessive vertical growth of the maxilla
- Gum growth
- Short upper lip
- Upper lip hyperactivity
- Association of factors
Diagnosis of a gummy smile
- Extra and intra-oral photograph protocol
- Clinical examination
- X-rays and CT scans
Reverse Planning (from Analog to Digital)
Crown Lengthening “A to Z”
- Influence of tissue design on restorative aesthetic results
- Factors that affect precision
- Factors that affect short-term predictability and long-term stability
Crown Lengthening conjugated with aesthetic restorative Rehabilitation.
Techniques for Lip Repositioning
- Classic Lip Repositioning
- Classic Lip Repositioning Modifications
- Orthopedic Cement / Prototyping BIovolume
- Medical grade PMMA Biovolume
Treatment of Recessions
Course Description:
This course was built to deliver precise information about soft tissue management for periodontal tissue. From treating recession and root exposure sites to phenotype modification
to achieving healthy and stable tissue and to masking dark roots in the aesthetic site!
Method:
Repetition and exchange of teaching techniques for skills development and memorization.
Biological concepts, Surgical design, Incision drawing, hands-on practice - REPEAT
Chronogram
Anatomy, histology, and physiology of the periodontal complex of donor and recipient areas
Periodontal phenotype and classification of defects
Hands-on:
Refinement and precision of incisions in the preparation of flaps and donor areas
Success criteria for root coverage. The checklist that you need to comply with for predictability of results in root coverage
Coronally Advanced Flap Incision Design from single to multiple sites (CAF and para-marginal incision design)
Donor area approach: Pros and cons of each type of graft and post-surgical treatment
The Layering Technique: All the insights about how the site preparation influences performance, thickness, keratinization, mucogingival line relocation, and aesthetic “blending”
results from universal use in mucogingival grafts
Tunneling,
Lateral Pedicle,
Laterally Closed Tunnel
Modified Vista
Suturing refinement