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These
are actual cases from the office of Dr. Charles Kaner: Under Cosmetic Procedures,
there are two cases of: ”Too
Much Gum” and four of
“Too Little Gum.”
There are also cases of
“Periodontal
Regeneration” around
teeth, "Bone Regeneration”
of jaw ridges and “Implant
Placement.” Solutions
to inadequate bone for implant placement under the maxillary
sinus include “Special Short
Implants,
Bypassing the Sinus, and Sinus Grafting.”
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Cosmetic
Procedures: Too
much gum.
Esthetic Crown Lengthening |
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During
this procedure, excess gum and bone tissue is reshaped to expose
more of the natural tooth.
This can be performed to one or more teeth to expose a
natural broad pleasing smile.
Your dentist or periodontist may also recommend crown
lengthening to allow for the fabrication of a restoration or
cosmetic dental prosthesis.
Your tooth may be decayed, broken below the gum line, or
have insufficient tooth structure to make a restoration such as
a crown or bridge.
Crown lengthening adjusts the gum and bone level to
expose more of the tooth so that it can be restored.
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Case
1: |

Before |

After |
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Case
2: |
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In
addition to removing excess gum, a frenectomy was performed
which allowed the teeth to move closer together. |

Before |

After |
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Cosmetic
Procedures: Too
Little Gum
Esthetic Root Coverage |
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This
type of gum graft is designed to cover exposed root
surfaces.
It is meant to be placed in highly visible areas
that can be seen when one smiles.
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Case
1: |

Before |

After |
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Case
2: |

Before |

After |
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Case
3: |

Before |

After |
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Ridge
Deformity Under a Temporary Bridge |
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Case
4: |

Before |

After |
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Periodontal
Regeneration Using a Guided Tissue Regeneration Membrane
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The
ultimate aim of periodontal therapy is the regeneration of
the attachment apparatus (cementum, periodontal ligament,
and alveolar bone), around a previously
bacteria-contaminated root surface.
Reconstructing the periodontium can add longevity
to the dentition. Bone
grafting with autogenous, demineralized
freeze-dried bone allograft (DFDBA), synthetic bone
or xenograft (cow bone) and barrier membranes for guided
tissue regeneration, represent great strides in
regeneration therapy.
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Before |

After |
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| Ridge
Augmentation for Dental Implants. |
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Ridge
augmentation techniques to reconstruct the jaw bone deformities
caused by the infection process of hopeless teeth enable
implants to be placed.
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Case
1: |

Before |

Extraction
of hopeless teeth plus bone graft |

Implant
and crowns replacing teeth |
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Case
2: |
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The
hopeless right central incisor caused destruction of the
maxillary ridge which was repaired with a bone graft and
followed with the insertion of implants and crowns. |

Before |

After |
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Insufficient
Bone Under The Maxillary Sinus For Implant Placement: |
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Various
solutions are presented.
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Case
1: |
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Use
of special short implants |

Before |

After |
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Case
2: |
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Bypassing
the sinus with a Pterygoid implant |
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Hopeless
Tooth
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Bypassing
Sinus
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After |
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Case
3: |
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Sinus
grafting |
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