The Experts below are selected from a list of 519 Experts worldwide ranked by ideXlab platform

Hom-lay Wang - One of the best experts on this subject based on the ideXlab platform.

  • Is a soft tissue graft harvested from the Maxillary Tuberosity the approach of choice in an isolated site
    Journal of Periodontology, 2019
    Co-Authors: Lorenzo Tavelli, Shayan Barootchi, Henry Greenwell, Hom-lay Wang
    Abstract:

    Soft tissue augmentation procedures are becoming more popular these days. Different soft tissue graft harvesting approaches have been proposed. Nonetheless, the location of the donor site (whether anterior-, lateral-, superficial-, deep-palate or the Maxillary Tuberosity) can affect the graft shape and its composition. Soft tissue grafts from the Maxillary Tuberosity are rich in connective tissue fibers, with minimal presence of fatty or glandular components. Clinical, histological, and molecular evidence shows that a soft tissue graft obtained from the Maxillary Tuberosity has unique properties. In addition, harvesting from this area presents minimal risk for intra- or postoperative complications, leading to reduced patient morbidity. The aim of this commentary is to discuss the advantages and disadvantages of harvesting a soft tissue graft from the Tuberosity and to compare it with the traditional palatal graft, while highlighting functional, esthetic, and patient-related outcomes.

Lorenzo Tavelli - One of the best experts on this subject based on the ideXlab platform.

  • Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction
    'Wiley', 2020
    Co-Authors: G. Zucchelli, Lorenzo Tavelli, M.k. Mcguire, G. Rasperini, S.e. Feinberg, H.-. Wang, W.v. Giannobile
    Abstract:

    This state-of-the-art review presents the latest evidence and the current status of autogenous soft tissue grafting for soft tissue augmentation and recession coverage at teeth and dental implant sites. The indications and predictability of the free gingival graft and connective tissue graft (CTG) techniques are highlighted, together with their expected clinical and esthetic outcomes. CTGs can be harvested from the Maxillary Tuberosity or from palate with different approaches that can have an impact on graft quality and patient morbidity. The influence of CTGs on soft tissue thickness and keratinized tissue width are also discussed

  • Is a soft tissue graft harvested from the Maxillary Tuberosity the approach of choice in an isolated site
    Journal of Periodontology, 2019
    Co-Authors: Lorenzo Tavelli, Shayan Barootchi, Henry Greenwell, Hom-lay Wang
    Abstract:

    Soft tissue augmentation procedures are becoming more popular these days. Different soft tissue graft harvesting approaches have been proposed. Nonetheless, the location of the donor site (whether anterior-, lateral-, superficial-, deep-palate or the Maxillary Tuberosity) can affect the graft shape and its composition. Soft tissue grafts from the Maxillary Tuberosity are rich in connective tissue fibers, with minimal presence of fatty or glandular components. Clinical, histological, and molecular evidence shows that a soft tissue graft obtained from the Maxillary Tuberosity has unique properties. In addition, harvesting from this area presents minimal risk for intra- or postoperative complications, leading to reduced patient morbidity. The aim of this commentary is to discuss the advantages and disadvantages of harvesting a soft tissue graft from the Tuberosity and to compare it with the traditional palatal graft, while highlighting functional, esthetic, and patient-related outcomes.

Peter Windisch - One of the best experts on this subject based on the ideXlab platform.

  • analysis of blood supply in the hard palate and Maxillary Tuberosity clinical implications for flap design and soft tissue graft harvesting a human cadaver study
    Clinical Oral Investigations, 2019
    Co-Authors: Arvin Shahbazi, Andras Grimm, Georg Feigl, Gabor Gerber, Andrea Szekely, Balint Molnar, Peter Windisch
    Abstract:

    The aim of the present study is to provide a detailed macroscopic mapping of the palatal and tuberal blood supply applying anatomical methods and studying specific anastomoses to bridge the gap between basic structural and empirical clinical knowledge. Ten cadavers (three dentate, seven edentulous) have been prepared for this study in the Department of Anatomy, Semmelweis University, Budapest, Hungary, and in the Department of Anatomy of the Medical University of Graz. All cadavers were fixed with Thiel’s solution. For the macroscopic analysis of the blood vessels supplying the palatal mucosa, corrosion casting in four cadavers and latex milk injection in other six cadavers were performed. We recorded major- and secondary branches of the greater palatine artery (GPA) and its relation to the palatine spine, different anastomoses with the nasopalatine artery (NPA), and lesser palatal artery (LPA) as well as with contralateral branches of the GPA. Penetrating intraosseous branches at the premolar-canine area were also detected. In edentulous patients, the GPA developed a curvy pathway in the premolar area. The blood supply around the Maxillary Tuberosity was also presented. The combination of different staining methods has shed light to findings with relevance to palatal blood supply, offering a powerful tool for the design and execution of surgical interventions involving the hard palate. The present study provides clinicians with a good basis to understand the anatomical background of palatal and tuberal blood supply. This might enable clinicians to design optimized incision- and flap designs. As a result, the risk of intraoperative bleeding and postoperative wound healing complications related to impaired blood supply can be minimized.

Seongho Choi - One of the best experts on this subject based on the ideXlab platform.

  • histologic observation of soft tissue acquired from Maxillary Tuberosity area for root coverage
    Journal of Periodontology, 2008
    Co-Authors: Ui Won Jung, Seongho Choi
    Abstract:

    Background: The palatal area has been the major donor site for obtaining connective tissue for root-coverage procedures. This study evaluated the long-term outcome of using a gingival cuff from the Maxillary Tuberosity area as a donor site for root coverage procedures.Methods: Case 1: A 26-year-old female patient complaining of tooth hypersensitivity and gingival recession on the Maxillary left canine was treated with root coverage using a pouch technique. A connective tissue graft was obtained from the gingival cuff of the Maxillary Tuberosity area. An additional gingivectomy was performed at 3 months after surgery to trim the bulk of the grafted tissue. Regular recall check-up visits, including oral hygiene maintenance, occurred every 6 months. The patient was followed for 35 months after surgery. Case 2: A 24-year-old female patient with a chief complaint of tooth hypersensitivity and multiple areas of gingival recession in the maxilla was treated with a pouch and semilunar technique. The patient was t...

Luis A.g. Segade - One of the best experts on this subject based on the ideXlab platform.

  • Histomorphometric assessment in human cadavers of the peri-implant bone density in Maxillary Tuberosity following implant placement using osteotome and conventional techniques.
    Clinical oral implants research, 2008
    Co-Authors: Juan Blanco, J.a. Suárez, Silvia Novío, Gabriel Villaverde, Isabel Ramos, Luis A.g. Segade
    Abstract:

    OBJECTIVE To evaluate and compare peri-implant bone condensation in the Maxillary Tuberosity of human cadavers following the osteotome and standard drilling techniques, and to determine whether peri-implant bone condensation following the osteotome technique is localized or homogeneous. MATERIAL AND METHODS Twenty-four cylinder-threaded titanium implants (12 on each side) were placed in the left (standard technique) and right (osteotome technique with tapered osteotomes for bone condensation, Straumann) Maxillary tuberosities of 12 edentulous posterior maxillae of deceased people who had bequeathed their bodies to the University of Santiago de Compostela for medical-scientific research. After surgery, the implants were removed with the surrounding bone, prepared using sawing and grinding technique and examined histomorphometrically. The bone density (bone area/analyzed area) of the entire, periapical (fifth apical) and pericylinder peri-implant areas was calculated, statistically analyzed and compared with the bone density of the host cancellous Maxillary bone. RESULTS The bone density of the entire peri-implant area was statistically found to be greater with the osteotome technique (39.38 +/- 9.67) than with conventional drilling technique (31.06 +/- 5.9). This difference was greatest for the periapical zone (53.32 +/- 12.26 vs. 34.18 +/- 6.34). Nonetheless, in the pericylinder area no significant difference was found between the two techniques (32.30 +/- 8.74 vs. 30.34 +/- 7.2). CONCLUSION Peri-implant bone condensation following the osteotome technique is not homogeneously observed through the entire peri-implant area. A greater bone density was achieved only in the fifth apical peri-implant area.