Gingival-Grafts

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Gingival-Grafts

  1. 1. TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS
  2. 2. UCLA SCHOOL OF DENTISTRY
  3. 3. Presents Presents Dr. E. Barrie Kenney Professor & Chairman Section of Periodontics
  4. 4. E. Barrie Kenney B.D.Sc., D.D.S., M.S., F.R.A.C.D.S. Tarrson Family Endowed Chair in Periodontics. Professor and Chairman Division of Associated Clinical Specialties UCLA School of Dentistry
  5. 5. Gingival Grafts
  6. 6. Treatment of Gingival Recession Esthetic Problem Adequate Keratinized Gingiva Adequate Keratinized Gingiva Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap Recession More than 2 mm. Coronally Repositioned Semi-Lunar Flap Lateral Sliding Flap Adequate Adjacent Donor Site Adequate Palatal Donor Site Yes No Yes Yes Yes Yes Yes No No No No No 3 Month Evaluation for Progression Gingival Graft Connective Tissue Graft Coronally Repositioned Flap with Membrane or Emdogain
  7. 7. Treatment of Gingival Recession Esthetic Problem Adequate Keratinized Gingiva Adequate Keratinized Gingiva Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap Recession More than 2 mm. Coronally Repositioned Semi-Lunar Flap Lateral Sliding Flap Adequate Adjacent Donor Site Adequate Palatal Donor Site Yes No Yes Yes Yes Yes Yes No No No No No 3 Month Evaluation for Progression Gingival Graft Connective Tissue Graft Coronally Repositioned Flap with Membrane or Emdogain
  8. 8. Gingival Grafts
  9. 23. A l l o D e r m <ul><li>Processed human skin </li></ul><ul><li>Developed in 1994 for burns </li></ul><ul><li>Cells removed </li></ul><ul><li>Antiviral treatment </li></ul><ul><li>Freeze-dried </li></ul><ul><li>Dermal side red, shiny </li></ul><ul><li>Basement membrane side white, rough and dull </li></ul><ul><li>Collagen elastin and ground substance </li></ul><ul><li>No epithelium </li></ul><ul><li>Vessels intact </li></ul><ul><li>All donors </li></ul><ul><li>Negative for HIV, hepatitis B & C, syphilis </li></ul>
  10. 28. UCLA SCHOOL OF DENTISTRY
  11. 29. <ul><li>THE END </li></ul>

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