Soft Tissue Grafting for the General Dental Practice

Soft Tissue Grafting for the General Dental Practice
With Dr Lincoln Harris & Dr Florin Bobia

2 Days Lecture Only: Saturday 2nd & Sunday 3rd June 2018
2 Days Lecture + 2 Days Hands-On: Saturday 2nd, Sunday 3rd & Monday 4th and Tuesday 5th June 2018

Venue Lectures and Hands-On: Pullman Hyde Park

Learning Objectives:
Incisions and flap design. When, Why and How
Graft harvest, Graft site management
Flap and Soft tissue manipulation
Case presentations for perfect exemplification

Different Grafting Techniques - and when to use them

Free Gingival Grafts

- Pre-orthodontics.

- Recession prevention.

Sub-Epithelial Connective Tissue Grafts

- Recession repair

- Biologic shaping (combined perio-restorative)


- Soft tissue aesthetics around implants

- Two stage implants

- Tissue bulk for fixed partial denture pontics

Treatment Planning Principles

The Patient’s Goal

- Controlling expectations

The Clinical Goal

- Which technique is best?

- Balancing finer outcomes against predictability

Sequencing With Multiple Procedures

- Which procedures to do before grafting and which after?

-How long should you wait before the next procedure?

-When can you do simultaneous procedures?

Harvesting Grafts

- Opportunistic implant harvests

- Sub-epithelial connective tissue

- Keratinized gingiva

- Harvest site coverage

​- Open sites

​- Closed sites

- Non palatal harvest sites

- What to do if you get a big bleed on the palate

Suturing techniques

- Interrupted with flat and locked knot

- Vertical mattress

- Sling sutures

Gut Versus Teflon

-When you want a non-resorbable suture and when you don’t

Suture Anchorage

-Palatal anchorage

-Tooth anchorage

-Periosteal anchorage

Flap Design

- Complete split thickness flap

- Complete full thickness flaps

- Partial full thickness and split flaps

- Tunneling procedures​

- Tension free closure


Expectation Management

What can go wrong?

- Common surgical errors

- Known risk factors

Planning for poor outcomes

- Techniques to recover from poor outcomes

Aspect of informed consent

-Palatal anchorage

-Tooth anchorage

-Periosteal anchorage

Pain Management

- Anxiolysis

- Analgesics

- Steroidal versus Non-Steroidal anti-inflammatories

- Dressings and packs

Hands-on sessions:
Practice all suturing techniques on soft tissue models
Multiple flap designs, graft harvests, and closure techniques will be practiced on models
Case presentations and treatment planning

Start your Soft Tissue Grafting journey with an experienced mentor to smooth the way.

Learn to Soft Tissue Graft with confidence
Get comfortable with taking on more complex cases by understanding how to add management of damaged, receded or unattached soft tissue to your treatment plans
Add an invaluable new tool to your restorative dentistry skill-set and improve patient outcomes

Find out more:
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