Horizontal Bone Augmentation in the Anterior Esthetic Area of the Maxilla Using a Flap Design Adapted from Mucogingival Surgery in Association with PLA Membrane and β-TCP

This chapter covers the fundamentals of the diagnosis, prevention, and treatment of periodontal disease, alongside the most recent classification system. The epidemiology of periodontal disease is discussed before the key aspects of clinical examination are explained. The relevance and implications of plaque and calculus are detailed including their composition and pathological effects. The chapter includes the clinical features of periodontal diseases, including aggressive periodontitis, necrotizing periodontal diseases, and periodontal abscesses, as well as periodontitis associated with endodontic lesions. The principles of periodontal surgery are described, covering local anaesthetic techniques, flap design, and suturing techniques, as well as regenerative techniques and mucogingival surgery.

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Bone regeneration in the aesthetic area using a flap design adapted from mucogingival surgery

Clinical Oral Implants Research ◽

10.1111/clr.59_13358 ◽

2018 ◽

Vol 29 ◽

pp. 174-174

Author(s):

Ugo Covani ◽

Luigi Canullo ◽

Lorenzo Mordini ◽

Luca Signorini

Keyword(s):

Bone Regeneration ◽

Mucogingival Surgery ◽

Flap Design ◽

The Aesthetic

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Clinical Classification of Bone Augmentation Procedure Failures in the Atrophic Anterior Maxillae: Esthetic Consequences and Treatment Options

BioMed Research International ◽

10.1155/2019/4386709 ◽

2019 ◽

Vol 2019 ◽

pp. 1-16 ◽

Cited By ~ 4

Author(s):

Vittorio Checchi ◽

Roberta Gasparro ◽

Roberto Pistilli ◽

Luigi Canullo ◽

Pietro Felice

Keyword(s):

Treatment Guidelines ◽

Treatment Options ◽

Point Of View ◽

Bone Augmentation ◽

Anterior Maxilla ◽

Augmentation Techniques ◽

Complete Failure ◽

Reconstructive Techniques ◽

Esthetic Area

Although the number of complications and failures in bone augmentation procedures is still relatively high, these problems remain poorly documented. Moreover, the literature concerning reconstructive techniques and the treatment of their complications in the anterior areas rarely considers the final esthetic result. The aim of this paper is to propose a new classification of bone augmentation complications in the esthetic area, providing treatment guidelines useful for the management of these cases. Failures of bony regeneration procedures can be mainly divided into partial failures and complete failures. A partial failure can be solved with a corrective surgical intervention: this second surgery can have success or may not be able to provide the desired esthetic result. When the bone reconstructive procedure fails totally, a complete failure occurs and the whole procedure has to be repeated. This new intervention can have success but also this new reconstructive surgery can fail in the same way as the first, causing important damage and a compromise solution that will hardly be acceptable from an esthetic point of view. Bone augmentation techniques are not completely predictable and are not always able to guarantee the expected result, especially in the atrophic anterior maxilla. Complications and failures can often occur and this possibility must always be clearly explained to those patients with high esthetic demands and expectations.

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The Immediate Aesthetic and Functional Restoration of Maxillary Incisors Compromised by Periodontitis Using Short Implants with Single Crown Restorations: A Minimally Invasive Approach and Five-Year Follow-Up

Case Reports in Dentistry ◽

10.1155/2015/716380 ◽

2015 ◽

Vol 2015 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Mauro Marincola ◽

Giorgio Lombardo ◽

Jacopo Pighi ◽

Giovanni Corrocher ◽

Anna Mascellaro ◽

...

Keyword(s):

Minimally Invasive ◽

Aggressive Periodontitis ◽

Functional Restoration ◽

Bone Augmentation ◽

Tissue Destruction ◽

Invasive Approach ◽

Mucogingival Surgery ◽

Single Crown ◽

Maxillary Incisors

The functional and aesthetic restoration of teeth compromised due to aggressive periodontitis presents numerous challenges for the clinician. Horizontal bone loss and soft tissue destruction resulting from periodontitis can impede implant placement and the regeneration of an aesthetically pleasing gingival smile line, often requiring bone augmentation and mucogingival surgery, respectively. Conservative approaches to the treatment of aggressive periodontitis (i.e., treatments that use minimally invasive tools and techniques) have been purported to yield positive outcomes. Here, we report on the treatment and five-year follow-up of patient suffering from aggressive periodontitis using a minimally invasive surgical technique and implant system. By using the methods described herein, we were able to achieve the immediate aesthetic and functional restoration of the maxillary incisors in a case that would otherwise require bone augmentation and extensive mucogingival surgery. This technique represents a conservative and efficacious alternative to the aesthetic and functional replacement of teeth compromised due to aggressive periodontitis.

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