Course 1

DVD Surgical Series: Root Coverage Grafting and Grafting at Implant Sites.

AlloDerm grafting using the Papilla Retention Pouch procedure to treat severe recession of the maxillary canines and central incisors in the presence of scarring from a failed CTG:

• Canine substitution for congenitally missing lateral incisors
• Use of the new end-cutting intrasulcular knife for the initial incision
• Sub-papillary continuous sling technique for simultaneous suturing of graft and pouch developed by Dr. Allen
• Post-operative results demonstrate an enhanced esthetic outcome for sites treated with AlloDerm compared to site with the CTG

AlloDerm grafting using the Papilla Retention Pouch procedure to treat Class III recession in the mandibular arch:

• Presence of cervical notching and restorations
• Use of the new end-cutting intrasulcular knife for the initial incision
• Root preparation with a Varios 750 ultrasonic unit and a special safe-sided diamond tip for reshaping the notched root surfaces following blunt reflection
• AlloDerm graft sutured with 6-0 polypropylene suture using the subgingival double-back continuous sling suture method developed by Dr. Allen

Mandibular anterior and right premolars with thin tissue and a pontic:

• Site evaluation, root surface preparation, pouch formation under pontic
• Management of thin tissue in mandibular anterior region
• Surgical technique for creating a pouch with no surface incisions
• Subgingival continuous sling suture with 6-0 polypropylene to secure graft within the pouch

Treatment of multiple teeth with recession in the maxillary arch:

• Surgical technique for a coronally positioned pouch with no surface incisions developed by Dr. Allen
• Site evaluation, root surface preparation, incision design, pouch formation
• AlloDerm preparation and placement
• Subgingival double-back continuous sling suture for the graft using resorbable 6-0 suture
• Pouch suturing technique with 7-0 polypropylene suture

AlloDerm root coverage grafting of mandibular molar and premolars with root notching:

• Alternating papillae are incised and tunneled
• Inverted “V” and Zucchelli oblique papillary incisions
• Technique facilitates site preparation and graft placement and is particularly indicated for sites with shallow recession and/or very thin tissue

Harvesting and use of palatal connective tissue in the maxillary canine area:

• Site evaluation, root surface preparation, incision design
• Connective tissue harvesting for minimal post-operative palatal discomfort
• Graft suturing and flap closure

AlloDerm grafting technique for treatment of recession involving an implant replacing a maxillary central incisor:

• Significant implant exposure, absence of facial bone and attached gingiva, complicated by a broad frenulum and chronic infection
• Esthetic and functional problems
• Treatment objective was to establish a zone of stable marginal tissue while covering the implant exposure

Course 2

DVD Surgical Series: Hard and Soft Tissue Ridge Augmentation and Esthetic Crown Lengthening

Use of AlloDerm for soft tissue ridge augmentation and papilla augmentation in Class lll ridge defect in the maxillary anterior region:

• Pre-operative considerations
• Innovative minimally invasive surgical design for ridge augmentation developed by Dr. Allen
• Unique AlloDerm placement, and suturing technique

Esthetic crown lengthening is performed along with soft tissue ridge augmentation to enhance esthetics in this patient with a high lip line:

• Esthetic treatment planning, restorative requirements, and surgical considerations for combining these two procedures are discussed and demonstrated
• Following a crestal incision and pouch preparation, AlloDerm is folded and inserted for correction of a single tooth ridge defect in the maxillary anterior area
• Pre-and post-op photos demonstrate the long term success of treatment

The proper surgical technique for the predictable long-term correction of a gummy smile and short clinical crowns in the maxillary arch:

• Diagnostic criteria and detailed surgical technique are demonstrated and discussed
• Pre-operative considerations, incision design, 3-dimensional osseous surgery, and suturing methods

The modifications in surgical technique required for the correction of a gummy smile and short clinical crowns in the presence of a narrow zone of attached gingiva:

• Diagnostic criteria, surgical planning, incision design, and flap reflection
• Osseous surgery in the presence of osseous dehiscence
• Suturing for apical positioning of the flap

Severe alveolar ridge defects at maxillary central and lateral incisor tooth sites are augmented with allogenic bone block grafts:

• Incision design, flap reflection, and defect site preparation
• Bone block hydration and shaping
• Bone block fixation
• Flap closure technique
• Three month re-entry

• Utilization of block vs. particulate graft material based on site presentation
• Incision design, flap reflection and defect site preparation
• Bone block hydration, shaping, and fixation
• Bone block fixation
• Particulate graft preparation and placement
• Membrane placement and PRP Application
• Flap closure technique for each site
• Four month re-entry

Staff Training and Patient Education

Provides detailed information for your entire staff to facilitate incorporation of AlloDerm procedures in your office:

• Illustrates the surgical assistant’s role in patient education, surgical set-up, instrument sharpening, assisting in surgery, and suture removal
• Pre- and post-op instructions
• Recognition and management of mild complications

Demonstrates soft tissue anatomic features important to the dentist and staff in determining the potential need for soft tissue grafting, as well as those features that influence the success of grafting:

• Basic anatomic landmarks
• Etiology of recession
• Indications for when and why to graft
• How to determine the amount of root coverage that can be expected
• When to graft and when to restore cervical lesions
• Glossary of Terms

Designed for the reception area or consultation room to answer common questions asked by patients including:

• What causes recession
• How common is recession
• What problems are associated with:
  • Bone loss
  • Root sensitivity
  • Root notching
  • Decay
  • Esthetics

AlloDerm is defined and questions are answered about safety and rejection concerns. Grafting procedures are reviewed and postoperative behavior is discussed.