ABSTRACT
Alveolar ridge defects resulting from tooth loss, trauma, periodontal disease, or congenital lesions often require correction prior to dental implant therapy. Numerous classifications proposed to describe alveolar ridge defects have been limited to describe intra-arch relationships. To provide sufficient jaw-to-jaw alveolar ridge (interarch) relationship information for both restorative and surgical treatment decision-making, this article introduces a new interarch alveolar ridge relationship classification system. This article also discusses cone beam computed tomography and multidisciplinary treatment planning options for approaching each classification.
Subject(s)
Alveolar Bone Loss/classification , Alveolar Ridge Augmentation/classification , Alveolar Ridge Augmentation/methods , Decision Support Techniques , Dental Articulators , Dental Implantation, Endosseous/methods , Dental Prosthesis Design , Gingival Recession/classification , Gingivoplasty/classification , Gingivoplasty/methods , Humans , Jaw Relation Record , Vertical DimensionABSTRACT
The Octagon Model is a clinical assessment tool designed to assess marginal tissue recession (MTR) and estimate the level of difficulty in achieving root coverage. It evaluates eight patient- and siterelated factors: patient's expectations, smoking status, width of keratinized tissue, absence/presence of cervical lesion, interproximal soft tissue/bone level, depth and width of recession defect, and buccal bone thickness. The model is presented in a three-colored diagram to facilitate communication between clinicians and between clinicians and their patients, and to assist clinicians in optimizing treatment plans at both site and patient levels.
Subject(s)
Gingival Recession/classification , Tooth Root/pathology , Alveolar Bone Loss/classification , Alveolar Process/pathology , Attitude to Health , Esthetics, Dental , Gingiva/pathology , Gingival Recession/surgery , Gingivoplasty/classification , Humans , Keratins , Patient Care Planning , Smoking , Tooth Cervix/pathology , Tooth Root/surgery , Tooth Wear/classification , Toothbrushing/methodsABSTRACT
This article describes a soft tissue surgical modification--the trap door technique--used to enhance contemporary patient esthetic expectations and preserve periodontal health longitudinally. This surgical modification is greatly indicated for single-stage single and multiple implant surgery to preserve the integrity of the papillae and eliminate buccal soft tissue concavity. This procedure also addresses the issue of interproximal papillary development to obviate the presence of a black triangle. The technique is very effective in cases of minimal interproximal bone loss, it does not require autogenous bone harvesting, and is therefore less invasive and well accepted by the patient.