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Bone Grafting Videos
Modern GBR Concepts, Flap Design and Materials as an Alternative to Autologous Bone Premium Member Content

Modern GBR Concepts, Flap Design and Materials as an Alternative to Autologous Bone
This lecture will provide a decision tree to assist the practitioner to best choose devices and biomaterials to achieve successful outcomes in bone regenerative treatment. Moreover, a straight-forward review of the step-by-step surgical maneuvers will be given, like incision design, flap management, membrane fixation strategies, and tension-free suturing technique. in the final part of the lecture, strategies to simplify the regenerative protocols will be presented with the intention to decrease morbidity and complications while boosting patients’ innate healing response.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Video
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Modern Implant Concepts in the Esthetic Zone Premium Member Content

Modern Implant Concepts in the Esthetic Zone
Managing aesthetic zone with dental implants is one of the most challenging and demanding treatments in dentistry due to biological limitations. From Sockets type I to healed ridges with hard and soft tissue deficiencies, everyday clinicians may face different situations to manage in the aesthetic zone. When we are talking about rebuilt and have long term success, autogenous hard and soft tissue still are the gold standard as the Socket shield technique promises to be to prevent bucal collapse in Immediate Implants. During the lecture the author will systematize how to face each different clinical situation, utilizing different autogenous tissues combined with a micro surgical approach, in order to have the best healing patterns and scar-less surgery.

Presented By:: Luis Lapa Bessa, DDS;Miguel Stanley, DDS
Presentation Style: Video
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Multidisciplinary Management of the Complex Patient: Team Croatia Approach Premium Member Content

Multidisciplinary Management of the Complex Patient: Team Croatia Approach
Dentistry has benefited in many ways with advances in digital technology. Lectures about digital dentistry are usually showing in many terabytes and animations effortless protocols. Daily we face problems like data loss, reduced visibility and irrigation with surgical guides, difficulties with edentulous jaw scanning and alignment to name only some of them. Obstacles that we find in a daily practice on the way to the digital dentistry for the full arch implant reconstruction are shown in this lecture.

Presented By:: Snježana Pohl, MD, DMD;Matko Oguić, DMD;Josip Brusić, DMD
Presentation Style: Video
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Management of the Full Arch Edentulous Patient: Team India Approach Premium Member Content

Management of the Full Arch Edentulous Patient: Team India Approach
The number of fully edentulous patients is on the rise due to higher life expectancy. Also, higher number of young patients are edentulous due to congenital disorders or advanced periodontal disease. Various treatment options are now available to the clinician for treating edentulous patients. However a lot of confusion exists amongst clinicians while choosing the right treatment approach and the correct prosthesis design for such patients. During this lecture, Team India will present a decision tree for treatment planning fully edentulous patients. This will help clinicians to opt for the most suitable prosthetic design for their patients. Critical factors such as age of patient, bone zones, cosmetic display and degree of resorption will be discussed. The importance of a well adjusted interim restoration and the conversion from provisional restoration to the final one utilizing the novel ‘Fast tracking’ technique will be a part of this presentation.

Presented By:: Udatta Kher, BDS, MDS;Ali Tunkiwala, MDS;T.V. Narayan, MDS
Presentation Style: Video
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Bone Grafting Articles
Reconstruction of a Horizontal and Vertical Bone defect using The Cortical Lamina Technique

Reconstruction of a Horizontal and Vertical Bone defect using The Cortical Lamina Technique
For many years guided bone regeneration has been a challenge in oral and implant surgery. Many techniques and devices have been used in trying to regenerate and reconstruct resorbed edentulous ridges. The literature in the field is scarce due to the impossibility to perform RCT on such lesions, therefore the judgement of the international community is based on case reports and retrospective studies. In the last ten years a new device has proved to be quite successful and predictable on top of showing a very low morbidity, a membrane made of xenogeneic collagenated bone with features that are very different from any other material used in the past. This paper will show the application of the cortical lamina technique where a vertical and horizontal defect was corrected and successfully restored.

Author(s): Roberto Rossi, DDS;Edoardo Foce MD, DDS
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Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft

Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft
Trauma to teeth and the dentoalveolar process may result in a ridge defect that precludes straightforward implant therapy of the patient. Typically bone and soft tissue augmentation of the area would first be needed to adequately prepare the tissues for the implant and its restoration..Grafting of the site is substantially more difficult in cases where the ridge also lacks adequate height, and techniques to recreate a bony envelope to apply guided bone regeneration may be required. Moreover, defects in the anterior aesthetic zone that require both bone and soft tissue grafting and a restoration that harmonizes the adjacent pink and white aesthetics may be an even more significant challenge to the restorative team. Hereafter a case of trauma to an anterior maxillary tooth that saw destruction of the ridge is presented, with the defect reconstructed to accommodate a functional and aesthetically pleasing implant supported restoration.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit, BChD
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Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series
To measure the buccal plate reconstruction of extraction sockets with labial plate dehiscence defects using a bone allograft in combination with an absorbable collagen membrane and a custom-healing abutment at the time of tooth removal. Implants placed into sockets with labial plate dehiscence defects demonstrated radiographic reformation of the labial plate dehiscence defect at 6 to 9 months post-treatment. The net gain in labial plate on CBCT in L1 and L2 was 3.0 mm, where 0 mm existed at pre-treatment. The minimum amount of labial plate thickness of 2.0 mm was achieved in all treated sites, evaluated radiographically at 6-9 months post-operatively, in a single procedure, without flap elevation and maintaining the gingival architecture and satisfactory esthetics.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
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Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects

Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects
Immediate implant therapy involving implants placed into intact Type 1 extraction sockets has become a consistent clinical technique. The classification of Type 2 extraction sockets, where the mucosal tissues are present but there is a midfacial osseous dehiscence defect, has been described according to the extent of the buccal bone plate absence. The literature has offered different techniques in the treatment of Type 2 sockets; however, the extent of the defect has never been defined or delineated.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Mark N. Hochman, DDS
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Bone Grafting Courses
The Modern Age of Regeneration: Tenting, Fixating and Space Creation Premium Member Content

The Modern Age of Regeneration: Tenting, Fixating and Space Creation
Regeneration requires a common biological thread for predictable results. Space Maintenance, Graft Stability, Bone Biologics, and Wound Management. This presentation will describe the importance of each critical step in regeneration and introduce a new technical system to assist the surgeon in managing and stabilizing the space required for optimal bone regeneration. Flap design, release, biologics selection and enhancement as well as bone stabilization, fixation, and secure membrane adaptation will be further highlighted as to it's critical value in the final results.

Presented By:: Homa Zadeh, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Combined Augmentation Therapies in the Esthetic Zone Premium Member Content

Combined Augmentation Therapies in the Esthetic Zone
The esthetic zone presents a far bigger challenge than any other area of the mouth. It is the one area that a patient has the ability to really scrutinize the work that has been done and anything that does not pass muster will quickly create problems in our practices. Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlife the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Integrating Orthodontics with Orthognatic Surgery; From Virtual Planning to Clinical Excellence Premium Member Content

Integrating Orthodontics with Orthognatic Surgery; From Virtual Planning to Clinical Excellence
Dentofacial deformities in adults require the combination and skills of the orthodontist and maxillofacial surgeon. In order to achieve all the functional and esthetic goals. In digital dentistry’s days virtual planning of orthodontics and orthognatic surgical corrections has become a valuable tool. Results can be compared to planning both for reevaluation and sharing information with colleagues and our patients. Virtual planning account for more reliable and precise results in our orthognatic surgery. Orthodontic preparation is the gold standard for maximizing the surgical correction. Cases will illustrate our treatment protocol from A to Z for these complex and challenging situations.

Presented By:: Miguel Hirschhaut, DDS;Nelson Leon, DDS, OMFS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Esthetic Management for Compromised Extraction Sites - Part 2 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 2 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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