Soft Tissue Management
The Restorative Perspective
Putting Concepts into Practice
Soft Tissue Management
THE RESTORATIVE PERSPECTIVE
Putting Concepts into Practice
Ariel J. Raigrodski, DMD, MS Professor Department of Restorative Dentistry School of Dentistry University of Washington Seattle, Washington Private Practice Kenmore, Washington
Dedication
To my parents, Noa and Pinchas Raigrodski, who gave me the love and foundation to be who I am.
To my wife, Dana, for her endless love, patience, understanding, and unconditional support.
To my children—Daphne, Tal, and Maya—who make it all worthwhile.
And to all my teachers—past, present, and future.
Library of Congress Cataloging-in-Publication Data
Raigrodski, Ariel J., author.
Soft tissue management : the restorative perspective : putting concepts
into practice / Ariel J. Raigrodski.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-86715-691-1
eISBN 978-0-86715-740-6
I. Title.
[DNLM: 1. Dental Implantation. 2. Dental Prosthesis. 3. Guided Tissue
Regeneration, Periodontal. 4. Periodontium. 5. Technology, Dental. WU 640]
RK667.I45
617.6’9--dc23
201404616
© 2015 Quintessence Publishing Co, Inc
Quintessence Publishing Co, Inc
4350 Chandler Drive
Hanover Park, IL 60133
5 4 3 2 1
All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.
Editor: Leah Huffman
Design: Ted Pereda
Production: Kaye Clemens
Contents
List of Cases and Treating Clinicians
What is the definition of a “true” teacher? The answer lies in understanding what the underlying goals and objectives are in conveying knowledge. A “true” teacher shares the gift of wisdom and experience without the expectation of receiving anything in return. It is this act of sharing in itself that yields fulfillment.
In a dental world filled with both academic and clinical rivalry, it is unusual today to find a teacher who is not driven solely by the need to “self-promote” and to continually create opportunities to showcase his or her most successful treatment outcomes. It is with this in mind that Dr Raigrodski has written a book for our profession in which he teaches with no other reason than to share his knowledge with dentists who will greatly benefit from its content.
This book is dedicated to providing a better understanding of the soft tissue–restorative interface and its influence on the final restorative result. It provides a simplified, well-organized, evidence-based, step-by-step approach to achieving esthetically pleasing restorative outcomes.
To achieve a predictable soft tissue outcome around natural teeth or dental implants requires not only strict discipline in the clinical protocol but also a keen understanding and control of tooth contour and emergence profile. As this text illustrates—with superb detail and interdisciplinary treatment—the ultimate challenge lies in all of the fine details and nuances of crafting the provisional restorations as well as the definitive ones.
As with all experienced teachers, Ariel has recognized the value of collaboration on a project of this magnitude. As you make your way through this textbook, you will begin to appreciate the level of commitment that the University of Washington graduate students have made with their own teaching contribution to the profession. There was great sensitivity to presenting information in a way that would be clearly understandable and most user-friendly.
Soft Tissue Management: The Restorative Perspective will provide substantial and tangible tools to restorative dentists, which will subsequently help them become more “complete” clinicians to their patients. As dentists become more capable of controlling the “soft tissue frame,” they will better be able to meet or exceed their patient’s ever-demanding expectations.
Michael Cohen
Seattle, Washington
Gerard J. Chiche
Augusta, Georgia
Ten years ago, I was invited to give a lecture on how to manage soft tissue from the perspective of the restorative dentist. The request came from a