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1996 ucla gingival grafts

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UCLA perio course slide

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1996 ucla gingival grafts

  1. 1. TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS
  2. 2. UCLA SCHOOL OF DENTISTRY 2
  3. 3. Presents Dr. E. Barrie Kenney Professor & Chairman Section of Periodontics 3
  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 UCLASchool of Dentistry
  5. 5. Gingival Grafts 5
  6. 6. Treatment of Gingival Recession Adequate Recession More Adequate Adequate Esthetic Problem Yes Yes Yes Adjacent No Palatal Keratinized than 2 mm. No Gingiva Donor Site Donor Site Adequate No Yes Keratinized Yes No Connective Gingiva Coronally No Gingival Graft for Root Lateral Tissue Graft Yes No Repositioned Sliding Coverage or Gingival Graft Semi-Lunar Flap Flap Coronally3 Month and Coronally Repositioned Gingival RepositionedEvaluation for Flap Graft Flap withProgression Membrane or Emdogain
  7. 7. Treatment of Gingival Recession Adequate Recession More Adequate Adequate Esthetic Problem Yes Yes Yes Adjacent No Palatal Keratinized than 2 mm. No Gingiva Donor Site Donor Site Adequate No Yes Keratinized Yes No Connective Gingiva Coronally No Gingival Graft for Root Lateral Tissue Graft Yes No Repositioned Sliding Coverage or Gingival Graft Semi-Lunar Flap Flap Coronally3 Month and Coronally Repositioned Gingival RepositionedEvaluation for Flap Graft Flap withProgression Membrane or Emdogain
  8. 8. Gingival Grafts
  9. 9. AlloDerm• Processed human skin •Basement membrane side white, rough and dull• Developed in 1994 for burns •Collagen elastin and ground substance• Cells removed •No epithelium• Antiviral treatment •Vessels intact• Freeze-dried •All donors• Dermal side red, shiny Negative for HIV, hepatitis B & C, syphilis
  10. 10. UCLA SCHOOL OF DENTISTRY 28
  11. 11. • THE END

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