perio plastic surgery (compressed)

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Periodontal Plastic Surgery: Framework for the Perfect Smile Dr. Scott K. Smith Valley Forge Dental Forum March 27, 2013

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Making a smile beautiful requires attention to detail not only with regards to teeth but to subtle features of the soft tissue to enhance or detract from the overall picture we know as the smile. This power point reviews the golden proportion of the teeth, gums and lips and reviews surgical procedures to enhance ones beautiful smile. Feel free to email me with questions or comments [email protected]

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Page 1: Perio plastic surgery (compressed)

Periodontal Plastic Surgery:

Framework for the Perfect Smile

Dr. Scott K. SmithValley Forge Dental Forum

March 27, 2013

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Resective Therapy Augmentation Therapy• Root coverage procedures• Hard and soft tissue ridge

augmentation

Treatment Options

Combination Procedures

Peri-oral Plastic Surgery

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Esthetic Crown Lengthening

Resective

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Anterior Crown Lengthening

Prerestorative For smile enhancementBiologic width sensitivePapillary retention critical

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Before

After

CL

Tow

nse

nd

, D

DS

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Crown LengtheningBefore

After

CL Townsend, DDSRestorations by G Kinzer, DDS

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Crown LengtheningBefore Incisions

CL Townsend, DDS

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Crown Lengthening

CL Townsend, DDS

Immediate Post-Suturing

One-Month Healing

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Crown Lengthening

CL Townsend, DDS

Before

Two-Months Postsurgical

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Crown LengtheningBefore

Incision

BL Butler, DDS

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Crown LengtheningBefore After

BL Butler, DDSRestorations by T Bridgeman, DDS

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Crown Lengthening

CL Townsend, DDS

Before

One-Month Postsurgical

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Crown LengtheningBefore

Incisions

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Crown Lengthening

BL Butler, DDS

Immediate Post-Op

Surgical

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Crown Lengthening

BL Butler, DDSRestorations by G Kinzer, DDS

Before After

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Augmentation Therapy

Hard and Soft Tissue Augmentation Procedures

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Clinical IndicationsAugmentation Therapy

RecessionDeficiency in Gingival Form•Ridge Collapse•Loss of PapillaAnterior Extractions

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Augmentation Therapy

Root Coverage Procedures

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Root CoverageBefore

Immediate Post-Op

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Root CoverageBefore

After

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Root CoverageBefore

Prepared Root Surfaces

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Root Coverage

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Root CoverageBefore After

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Root CoverageBefore

After

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Root CoverageBefore

After

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Augmentation Therapy

Root Coverage for

Implants

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Root Coverage for Implants

After

Before

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Ridge Augmentation

Augmentation Therapy

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Ridge Augmentation

CL Townsend, DDS

Before

After

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Ridge Augmentation

CL Townsend, DDSRestorations by S Carstensen, DDS

Before

Post-Suturing

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Ridge Augmentation

CL Townsend, DDSRestorations by S Carstensen, DDS

Before

After

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Augmentation Therapy

Site Preservation

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Site PreservationBefore

CL Townsend, DDS

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Site Preservation/Root Coverage

CL Townsend, DDSRestorations by R Hsu, DDS

Before

One-Month Post-Extraction

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Site Preservation

CL Townsend, DDSRestorations by R Hsu, DDS

Before

After

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Site Preservation/Ridge Augmentation

BL Butler, DDS

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Combination ProceduresBefore

Suturing

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BL Butler, DDS

Site Preservation

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BL Butler, DDSRestorations by G Kinzer, DDS

Site PreservationBefore After

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Combination Procedures

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Combination Procedures

BL Butler, DDSRestorations by G Chyz, DDS

Before

After

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Combination ProceduresBefore

After with Provisional Restoration

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CL Townsend, DDSRestorations by L Jones, DDS

Combination ProceduresBefore After

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CL Townsend, DDS

Combination Procedures

Incisions

Before

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CL Townsend, DDS

Combination ProceduresBefore

Immediate Post-Suturing

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Combination ProceduresAfterBefore

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Combination ProceduresBefore After

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Esthetics with Implants

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Site Preservationfor Implants

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Before

Site Preservation/Implants

Immediate Post-Op

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Site Preservation/Implants

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Site Preservation/Implants

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Implant Placement

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Implant Placement

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After

After

Site Preservation/Implants

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Site Preservation/Implants

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Augmentationand

Implants

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Before

Guided Bone Regeneration

Implant Site Development

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Implant Placement

Gingival Augmentation

Augmentation/Implants

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Augmentation/Implants

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Augmentation/Implants

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Final Results

Augmentation/Implants

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Before After

Augmentation/Implants

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Crown Lengthening and

Implants

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Before

After

Crown Lengthening/Implants

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Crown Lengthening/Implants

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Before After

Crown Lengthening/Implants

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Crown Lengthening/Implants

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Crown Lengthening/Implants

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Lip and Peri-Oral Augmentation

•Lip Proportion

•Smile Lines

•Rhytids

•Skin Tone

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Peri-Oral Plastic Surgery

Begin with the End in Mind!

The End!