Botox and Dermal Fillers
For the general dentist, the use of BTA and dermal fillers confers the ability to exert control over the soft tissues surrounding the mouth to better create a harmonious smile….
Clinical Uses of Platelet-Rich Fibrin in Oral and Maxillofacial Surgery
Platelet-rich fibrin (PRF) is an autogenous material that is derived from a person’s own platelets and is used to enhance wound healing and tissue regeneration. Platelet concentrates have been applied…
Diagnosis and Treatment Approaches to a “Gummy Smile”
Excessive gingival display or “gummy smile” is a growing concern to dental patients and often considered detrimental to an esthetic smile. Gingival display of more than 4 mm of gingiva is…
Peri-implantitis
With a very large number of endosseous dental implants placed by generalists and specialists, complications are to be expected. Among them are problems with the soft tissue interface and the…
New Approaches to Pain Management
Opioid addiction has reached epidemic proportions in the United States and it is thought that the problem started with the prescription for legal pain medications by health care professionals, particularly…
Short Implants
The purpose of this article is not to discuss the success of short dental implants versus standard/long dental implants, but to compare short dental implants with standard/long dental implants in…
Implant refinement of postorthognathic surgery facial contour
Le Fort I maxillary and sagittal split mandibular osteotomies are performed to correct dental malocclusion and improve facial harmony. Skeletal movements of large magnitude, particularly those for correction of preexisting…
Rejuvenation of the aging face and skeleton with implants
In his article “Anatomy and pathophysiology of facial aging”, Zimbler states, “Facial aesthetics begin with the marriage of hard and soft tissue integration; however, it is the changing balance of…
Designer faces: CAD/CAM facial implants
Indications for and Advantages of Cad/Cam Computer-aided design and manufacturing (CAD/CAM) provides added sophistication to facial implant surgery. It provides three-dimensional millimeter accuracy in implant design and manufacturing specific to…
Infraorbital rim
The upper midface skeleton has direct and indirect influences on the appearance of the face and, particularly, the eyes. The relationship between the globe and the orbital rims will determine…
Internal orbit
The size and shape of the internal orbit determines orbital volume and the position of the eye. An increase in orbital volume results in enophthalmos – the recession of the…
Pyriform aperture
A relative deficiency in lower midface projection may be congenital or acquired, particularly after cleft surgery and maxillary fractures. Since the majority of white faces are convex, midface concavity is…
Cranioplasty
Cranioplasty is performed to restore the integrity and appearance of the skull. This most often involves the reconstruction of full-thickness skeletal defects. Cranioplasty may also be performed to normalize or…
Temporal augmentation
Concavity in the temporal area is often referred to as “temporal hollowing.” It reflects a deficiency in the bulk of the temporalis muscle, the temporal fat pad, and/or an underlying…
Implant materials
The craniofacial skeleton can be reconstructed with both autogenous bone and alloplastic implants. Alloplastic implants are used only as onlay grafts to the native skeleton to improve facial contour and…
Principles and operative technique for facial skeletal augmentation
This chapter presents the principles and basic steps of the senior author’s operative technique for implant augmentation of the facial skeleton. Preparation In anticipation of implant surgery, steps to minimize…
Evaluation and planning for facial implant surgery
Physical examination is the most important element of preoperative assessment and planning for both reconstructive and cosmetic procedures. Reviewing photographic images with the patient can be helpful when discussing aesthetic…
