HURZELLER

MICRO SURGICAL APPROACH PART 1 & PART 2

 

the most important thing when placing an implant is the periodontium of a tooth, not just the bone, but the PERIODONTIUM

 

he doesn’t use the microscope very often

 

the issue is INSTRUMENTS

 

7 o suture biggest advantage

you can’t pull beyond the tension there should be, it will tear

 

vertical incision on the CANINE NEVER

 

cairo stated that it might be a little better to add a CT graft to a CAF CORONAL ADVANCED FLAP

 

HOW DOES A CT GRAFT INCORPORATES INTO

THE SITE?

it also connects to the already existing blood vessels

 

a desepithelialized free gingival graft should be used, not to provide such different esthetics & coloration with the part where you removed the epithelium facing the bone, turn it around

 

sometimes hyperplastic response from tuberosity graft

 

avoiding vertical releasing incisions is better

 

tunneling

full thickness til mucogingival junction, split from there, on split go superficial, don’t get too close to the bone

 

we don’t understand yet much

 

palatal sliding flap

2 vertical incisions, one in each side, 1 horizontal incision palatal incision

 

full thickness always, only beyond mucogingival we do split thickness

 

Cairo F. Rotundo R Miller PD jr

root coverage esthetic score

 

SINGLE INTERRUPTED SLING SUTURE

start at the mesial

the needle encircles the tooth, without touching the palatal soft tissue, & then passes under the distal contact point

needle penetrates the inner surface of the buccal flap at the base of the interdental papilla, it passes back through the distal contact point, encircles the tooth & knots on the mesial loose end of the suture

WHEN

flap raised only on one side