Periodontal Esthetics and Regeneration

Stuart A. Feldman, D.D.S.Chairman

Stuart A. Feldman, D.D.S.


Gaston Berenguer, D.M.D.
Mauricio Gutierrez, D.M.D.
Karina F. Leal, D.M.D.

Guest Presenters

Mark T. Damerau, D.M.D. Thomas Dwork, D.M.D.
David Feuer, D.M.D. Robert Ritter, D.M.D.
Robert Holt, D.M.D. Stephen Rimer, B.D.S.,D.D.S.
Julian C. Leichter, D.M.D. Jairo Salcedo, D.M.D.
Gerard J. Lemongello, Jr., D.M.D.

Periodontal Esthetics and Regeneration

Dr. Feldman received his D.D.S. degree in 1969 from the University of Maryland, School of Dentistry. He served as Lieutenant in the U.S. Navy Dental Corps from 1969-1971. He received his Certificate in Periodontics at Columbia University School of Dental and Oral Surgery in 1973. Dr. Feldman is an Assistant Clinical Professor of Graduate Periodontics in the Department of Periodontology at the University of Florida School of Dentistry. He is a visiting lecturer at the L.D. Pankey Institute in Key Biscayne and at Nova Southeastern School of Dentistry. He is Past President of the Palm Beach County Dental Association and the Florida Association of Periodontists. He served as an Executive Council Member of the Southern Academy of Periodontology for six years. Dr. Feldman has presented continuing education programs on a variety of subjects, including Autogoneous and Alloplast Bone Grafting in Periodontal Defects, Interdisciplinary therapies to achieve optimal esthetics, Long term results of implant therapies and periodontal regeneration with enamel matrix derivatives. Dr. Feldman lectures locally and nationally on a variety of topics relating to periodontics and implant surgery. Dr. Feldman is a fellow of the American College of Dentists and the Pierre Fauchard Academy. He is currently in private practice in West Palm Beach and Jupiter, FL.

Our program focuses on the multi-dimensional aspects of periodontal esthetics and regeneration and their close associations with a variety of dental disciplines. We have assembled a group of lecturers who will present programs unique to their special interests in creating optimal periodontal esthetics, facial esthetics, periodontal regeneration, orthodontics, maxillofacial surgery, occlusion and advanced restorative dentistry. We also invite your participation in a special symposium on Implants in the Esthetic Zone.

The clinical sessions further assist the development of diagnostic and surgical skills. We invite your participation in our program Periodontal Esthetics and Regeneration.


Periodontal Plastic Surgery and Regeneration – Soft Tissue Enhancement in the Esthetic Zone

Soft tissue grafting for root coverage and pontic site development will be
presented. Single and multi-stage soft tissue enhancement procedures are discussed
including grafts placed during implant surgery.

  • Gingival Grafts
  • Sub-Epithelial Connective Tissue Grafts
  • Dermal Grafts
  • Guided Tissue Regeneration
  • Pedicle or Sliding Flaps
  • Semilunar Flaps with Enamel Matrix Derivatives
  • Coronally Repositioned Flaps
  • Combination Techniques
  • Enamel Matrix Proteins with Soft Tissue Grafts


Esthetic Crown Length Surgery

  • The Periodontal Esthetic Treatment Plan
  • Relationship of the Periodontium to Facial Harmony
  • Tooth Length, Width, Gingival and Osseous Levels
  • The Esthetic Surgical Guide
  • Biologic Width and Periodontal Profiles and Biotypes
  • Classification of Esthetic Crown Length Surgery
  • Case Presentations
  • Communication Between Surgeon and Restorative Dentist


Bone Grafting and Regeneration in Periodontal and Implant Therapies

A variety of bone grafts including autografts, allografts, xenografts and alloplasts are demonstrated along with expected outcomes. Guided tissue regeneration with various membranes, with and without bone grafts and enamel matrix derivative, are demonstrated. Classification of osseous defects, sequence of therapy, new attachment proteins and root preparation techniques are demonstrated. This program allows the student to better understand prognosis and success with current periodontal osseous grafting techniques, materials and membranes. An added program focuses on ridge augmentation, ridge expansion, socket grafting and sinus grafting techniques. A detailed presentation of commercially availabl egrowth factors, bone and membrane products are presented along with their applications.


Development of a Decision Tree for Optimal Function and Esthetics in the Advanced Restorative Patient


  • Establish the Goal
  • Set Expectations
  • Rehabilitative vs. Esthetics
  • The Evaluation
    • Face – Vertical Height, Symmetry, Convexity, Lips
    • Teeth – Incisal Edge Position, Midline, Occlusal Plane, Arch Form, Angulation, Size
    • Gingivae – Thick/Thin, Scalloped/Flat, Recessions, Symmetry, Biologic Width, Sulcus Depth
  • Development of Final Esthetic Treatment Sequence
  • Case Presentations


Implants in the Esthetic Zone – A Symposium


Biologic Principles, Periodontal Anatomy and Their Relationship to
Bone and Soft Tissue Regeneration in the Esthetic Zone With Dental Implants


The ultimate challenge for the surgeon and restorative dentist is to provide the patient
with a highly cosmetic and functional implant restoration in the esthetic zone. Multiple
issues and challenges need to be considered.


This presentation discusses the importance of implant position, emergence profile,
abutment selection, bone and soft tissue determinants and final restorations.


This program will review the periodontal determinants associated with biologic width
and the effects that implant size and position, as well as abutment designs can have on
preserving bone and soft tissue. Preservation of crestal bone, soft tissue volume and
papillae form are challenges for both the surgeon and restorative dentist.


Topics of importance include:

  • Implant location and angulations
  • Implant size and design
  • Periodontal biotype
  • Emergence profile
  • Temporization
  • Choice of abutment
  • Platform switching and the “dead Zone”
  • Choice of ceramic and zirconium abutments and restorations


Orthodontics for the Periodontal Patient – The Missing Link in Esthetic Dentistry

The objective of this course is to emphasize the importance of an interdisciplinary
approach to the treatment of extensive malocclusions in the adult patient. We will touch
on many aspects of how orthodontics, periodontics and ultimately, restorative dentistry,
treatment planned together will result in the most esthetically pleasing result. Extrusion
of anterior teeth to enhance both hard and soft tissue, orthodontic placement of teeth to optimize implant placement and opening the bite to allow the placement of ideal anterior restorations are just a few topics that will be addressed.


Other Topics Will Include:

  • Gingiva-Lip Relationships
  • Altering Gingival Levels, Gingival Display and Sulcus Dept h
  • Site Development for Implants
  • Issues of Alignment
  • Vertical Orthodontic Tooth Positioning
  • Gingival Margin Esthetics
  • Maxillary Anterior Tooth Fractures
  • Gingival Embrasures
  • Implant Site Preparation

Altering Facial Esthetics and Skeletal Form with Orthognathic Surgery

  • Principles of Orthognathic Surgery
    • Growth Development
    • Orthodontic Considerations
    • Treatment Planning
    • Functional Aspects
    • Types of Procedures
      • Maxillary Surgery
      • Mandibular Surgery
      • Segmental Osteotomies
      • Distraction Osteogenesis
      • Adjunctive Cosmetic Procedures


The Role of Occlusal Therapy in Dental/ Facial/ Periodontal Esthetics

  • Review the History of Past and Present Occlusal Concepts.
  • When to Restore in Centric Occlusion vs. Acquired Occlusion.
  • Is CR a Valid Concept?
  • Why, When and How to Use Centric Relation.
  • Altering the Vertical Dimension of Occlusion and When to Do It.
  • Altering Anterior Guidance Without any Change in the VDO .
  • How to Evaluate the TMJ Prior to Restoration.
  • How to Lengthen Teeth Gingivally Without Changing Anterior Guidance .
  • Evaluation Occlusal Wear and Bruxism Patterns
  • Esthetic Mockups and How to Use Them.
  • Permissive Occlusion vs. Restrictive Occlusion
  • How to Win the Occlusion Wars!
  • Incisal Edge Position. A Good Place to Start.



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