Videos

C1-1 AlloDerm Grafting in the Esthetic Zone to Correct Failed CTG

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

C1-1 AlloDerm Grafting in the Esthetic Zone to Correct Failed CTG from EP Allen 20/20.

C1-2 AlloDerm Grafting: Class III Recession with Cervical Notching

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

C1-2 AlloDerm Grafting: Class III Recession with Cervical Notching from EP Allen 20/20.

C1-3 AlloDerm grafting using the Papilla Retention Pouch procedure to treat Class III recession in the mandibular arch

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

C1-3 AlloDerm Grafting of Mandibular Anterior Recession from EP Allen 20/20.

C1-4 Cornally Positioned Pouch Procedure

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

C1-4 Cornally Positioned Pouch Procedure from EP Allen 20/20.

C1-5 Alternate Papilla Tunnel Technique

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

C1-5 Alternate Papilla Tunnel Technique from EP Allen 20/20.

C1-6 Connective Tissue Graft

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

C1-6 Connective Tissue Graft from EP Allen 20/20.

C1-8 AlloDerm Grafting of Multiple Maxillary Teeth with Root Notching

Multiple contiguous maxillary teeth with two separate graft pieces to cover an expanse of 76mm. The single continuous sling suturing technique advanced the graft and pouch simultaneously.

• Placement of 2 separate grafts due to 76 mm expanse of treated teeth
• Management of incidental papilla separation
• 6-mo post-op

C1-8 AlloDerm Grafting of Multiple Maxillary Teeth with Root Notching from EP Allen 20/20.

C1-9 Solving Implant Soft Tissue Defect in the Esthetic Zone

• Thin tissue with fenestration facial to maxillary anterior implant
• Dark "show-through" of implant in high lip-line patient
• Minimally invasive AlloDerm grafting surgical technique
• Reduced risk of untoward outcome
• Early post-surgical outcome demonstrates success of technique

C1-9 Solving Implant Soft Tissue Defect in the Esthetic Zone from EP Allen 20/20.

C1-10 AlloDerm Grafting, Maxillary Right Quadrant with Cervical Restorations

Recession involving 4 maxillary teeth, the lateral incisor through the second premolar, with shallow restorations on the root surfaces. The bonded restorations were removed with a curette.

• Cervical restoration removal
• Use of new posterior micro elevator and new modified Orban knife for tunnel preparation
• Modified suturing method
• R2 month post-op

C1-10 AlloDerm Grafting, Maxillary Right Quadrant with Cervical Restorations from EP Allen 20/20 on Vimeo.

C1-11 AlloDerm Grafting, Mandibular Left Quadrant

Shallow recession and lack of attached gingiva facial to the mandibular central incisors, left lateral, canine and first premolar.

• Management of thin tissue and shallow recession with the tunnel technique
• Grafting under the mandibular midline frenum
• Modified suturing method
• Early post-op showing minimal swelling and inflammation

C1-11 AlloDerm Grafting, Mandibular Left Quadrant from EP Allen 20/20 on Vimeo.

C1-12 Mandibular Anterior with Deep Recession and Cervical Restorations - NEW

Recession, lack of attached gingiva and prominent roots involving 6 mandibular anterior teeth, with cervical restorations in the canines. The bonded restorations were retained:

• Use of new Allen Arrowhead Knife for initial sharp dissection
• Grafting over restorations
• Modified suturing method
• 6-month post-op

C1-12 Mandibular Anterior with Deep Recession and Cervical Restorations - NEW from EP Allen 20/20.

C1-13 Augmentation of Thin Tissue Facial to Mandibular Anterior teeth and a Central Incisor Implant - NEW

Shallow recession and lack of attached gingiva facial to the mandibular left central incisor implant, right central incisor, and left canine.

• AlloDerm grafting to treat this tissue at an implant site with the tunnel technique
• Management of delicate tissue facial to an implant with a bony dehiscence
• 2-week post-op showing minimal swelling and inflammation
• 2-month post-op showing successful augmentation

C1-13 Augmentation of Thin Tissue Facial to Mandibular Anterior teeth and a Central Incisor Implant - NEW from EP Allen 20/20 on Vimeo.

C2-1 Soft Tissue Ridge Augmentation with Papilla Elevation

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

C2-1 Soft Tissue Ridge Augmentation with Papilla Elevation from EP Allen 20/20.

C2-2 Soft Tissue Ridge Augmentation with Esthetic Crown Lengthening

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

C2-2 Soft Tissue Ridge Augmentation with Esthetic Crown Lengthening from EP Allen 20/20.

C2-3 Esthetic Crown Lengthening

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

C2-3 Esthetic Crown Lengthening from EP Allen 20/20 on Vimeo.

C2-4 Esthetic Crown Lengthening By Apically Positioned Flap

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

C2-4 Esthetic Crown Lengthening By Apically Positioned Flap from EP Allen 20/20.

C2-5 Allogenic Block Graft at Site of Tooth Lost to Endodontic Failure

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

C2-5 Allogenic Block Graft at Site of Tooth Lost to Endodontic Failure from EP Allen 20/20.

C2-6 Allogenic Block and Particulate Bone Grafting to Augment Bilateral Congenitally Missing Maxillary Lateral Incisor Defects

• 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

C2-6 Allogenic Block and Particulate Bone Grafting to Augment Bilateral Congenitally Missing Maxillary Lateral Incisor Defects from EP Allen 20/20.

C2-7 Lateral Ridge Augmentation with SonicWeld Rx Resorbable Rigid Membranes

• Utilization of SonicWeld RX system of rigid resorbable fixation devices and membranes
• Incision design, flap reflection, tooth removal and defect site preparation
• Rigid resorbable membrane design and fixation at defect site
• Particulate graft preparation and placement
• Acellular Dermal Matrix utilization for flap augmentation
• PRP application
• Flap closure technique

C2-7 Lateral Ridge Augmentation with SonicWeld Rx Resorbable Rigid Membranes from EP Allen 20/20.

C2-8 Palatal Pedicle CTG Combined with Tunnel Technique for Implant Site Development

Alveolar ridge defect at maxillary central incisor site and recession involving the proximal root surface of the adjacent lateral incisor secondary to removal of ankylosed central incisor:

• Treatment of proximal root exposure and ridge deficiency
• Incision design for minimally invasive site prep using tunnel technique
• Harvesting of palatal pedicle CTG
• Rotation and insertion of pedicle CTG
• Suturing technique
• Postoperative outcome

C2-8 Palatal Pedicle CTG Combined with Tunnel Technique for Implant Site Development from EP Allen 20/20.

T1 Surgical Assistant's Guide for Successful AlloDerm Graft Procedures

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

T-1 A Surgical Assistant's Guide to Successful Alloderm Grafting 3rd Edition from EP Allen 20/20 on Vimeo.

T2 Gingival Recession: Oral Examination and Diagnostic Guidelines

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

T-2 Gingival Recession: Oral Examination and Diagnostic Guidelines from EP Allen 20/20.

T3 A Patient's Guide to Gum Recession

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

T-3 A Patient's Guide to Gum Recession from EP Allen 20/20.