Recapturing esthetic gingival margins and adequate papilla height according to ideal soft tissue morphology are major issues both in periodontal and implant cases. The clinician may confront these challenges regularly, especially in very advanced cases. A variety of surgical, nonsurgical, and combination techniques have been proposed to solve these problems. This presentation will analyze long-term results of different treatment modalities, indicating the advantages and limitations of different approaches on natural teeth, dental implants, and edentulous areas. The need for an adequate diagnosis, a comprehensive treatment plan, a full understanding of wound-healing mechanisms, and proper technical execution will be emphasized.
Giano Ricci, MD, DDS, MScD, maintains a private practice in periodontics and implant dentistry in Italy. He holds a specialist certificate in stomatology. He is the founder of Isinago, a private teaching institute, president of the Florence Perio Group, and a founder and past president of the Italian Society of Periodontology. Dr Ricci has lectured extensively in Europe, Japan, and the United States, published over 40 papers in the field of periodontics, and co-authored or contributed to several books on periodontics, esthetics, and osseointegration. His clinical practice and clinical research is focused on the long-term results of severe periodontal cases in which osseous surgery and regeneration of the attachment apparatus are performed.