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Activity Provided By:

Herman Ostrow School of Dentistry of USC


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Overview / Abstract:

The goal of esthetic reconstruction is to provide patients with naturally looking restorations and healthy surrounding soft tissues. Often, patients present with gingival deformities, such as tissue deficiency or excessive gingivae, thereby posing a challenge to the treating clinician. Other problems include subgingival caries and tooth fractures. These typically lead to difficulties in managing the restorative finish line and an inability to make proper impressions. In other situations, dentists face difficulties obtaining adequate crown retention and a ferrule effect, which can lead to secondary caries, repeated fractures and periodontal complications due to biologic width impingement. It has been shown that proper handling of the gingival tissues can make the difference between treatment success and failure. This course is designed to provide clinicians with the scientific background and surgical techniques to perform periodontal surgery for ultimate esthetics and function. It will address the methods to attain success from a soft tissue perspective.

Module I - Lecture/Workshop
Essential surgical principles and suturing techniques
• Principles of soft tissue esthetics and gingival harmony
• The challenges of tissue deficiency and excess
• Anatomical considerations for periodontal surgery
• Principles of flap design
• The essential principles of suturing
• Suturing safety and mechanics
• How to choose suture material and when to use it
• Needle types and their use
• The most useful suturing techniques
• Suturing for exodontia, bone grafting and implants
• How to deal with suture challenges and complications

Hands-On Workshop
• Simple interrupted
• Continuous interlocking
• Sling
• X-suture
• Vertical and horizontal mattress
• How to suture an edentulous arch
• Principles of tying a knot
• Finger maneuvering options

Module II - Lecture/Workshop
Soft Tissue Grafting
• Soft tissue grafting to correct gingival recession
• Coronally repositioned flaps for root coverage
• “Tunneling” and “Pouch” techniques
• Improving tissue quality
• Soft tissue management around implants
• Soft tissue allografts and enamel proteins for root coverage
• Management of soft tissue complications

Hands-On Workshop
• Epithelizlialzied palatal graft
• Connective tissue graft
• Coronally advanced flap
• 1 incision harvest technique
• Donor site management

Module III - Lecture/Workshop
Esthetic & Functional Crown Lengthening
• Etiology for excessive gingival display
• Treatment options for the “Gummy Smile”
• Esthetic crown lengthening step-bystep
• Surgical lip repositioning
• Apically positioned flaps
• Tori and tuberosity reduction
• Frenectomy procedures
• Indications for crown lengthening
• The importance of biologic width
• Restorative considerations relevant to crown lengthening surgery
• Treatment of gingival hyperplasia
• Complications management
• When and what to refer

Hands-On Workshop
• Apically positioned flaps
• Functional crown lengthening
• Ostectomy and osteoplasty
• Surgical hand instrumentation
• Using rotary instruments
• Managing subgingival tooth fractures
• Quadrant crown lengthening


Oct 27, 2017


Dental CDE


Live / Seminar, Seminar



Credits / Hours

18 Continuing Education Credits



Is This Activity Certified for "Live" Credit?


Presenters / Authors / Faculty

Dr. Ziv Simon

Activity Specialities / Related Topics

Dentistry "Cosmetic", Dentistry General

Keywords / Search Terms

Herman Ostrow School of Dentistry of USC implant, implants, implantology, surgery, surgical, esthetic restoration, restorative, restoration, reconstruction, periodontal surgery, periodontics, perio, periodontal, dental, dentist, dentistry, Free CE CME Live CE CME Seminar CE CME

LIVE Activity Location Details

10-27-2017 - 10-29-2017

Herman Ostrow School of Dentistry of USC
925 W. 34th St.
Los Angeles, CA   90089
United States of America

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