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General Vidoes
Analogue vs. Digital Dentistry Premium Member Content

Analogue vs. Digital Dentistry
In the progressive world of modern digital technologies, it is more apparent than ever that there is always an analogue component to the restorative clinical process. This presentation will discuss the diagnostic aspects of restorative based digital dentistry as well as the accuracy advantages to the final outcomes. Digital Smile planning, smile mockups and their critical role in minimally invasive tooth preparation  will be highlighted. Lab communication with these digital templates relay all the necessary information and provide the lab technician with  a more manageable workflow.  Accuracy, better outcomes and less invasive dentistry are the winners in this evolution.

Presented By:: Nazariy Mykhaylyuk, DMD
Presentation Style: Video
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Facial Rejuvenation: Using Botox & Fillers as Support of the Oral Rehabilitation & Lips Enhancement Premium Member Content

Facial Rejuvenation: Using Botox & Fillers as Support of the Oral Rehabilitation & Lips Enhancement
In general the population have been associating the use of Botox & Fillers just as an aesthetic treatment on the derm to avoid wrinkles of aging. It is very important to understand that the Onabotulinum toxin A will take effect in the muscular plane, not in the epiderm and neither in the derm, its actuation is to block the release of a neurotransmitter necessary for muscles contraction. The result will be the inhibition of undesirable movements and reduction of strength and potency on the muscles, what can help on the treatment of parafunctional disorders and also improve the conditions for immediate loading in implant dentistry. The Dental losses, alveolar ridge atrophies and loss of vertical dimension contribute significantly to the aging process of the face and the perioral region, so it is essential for dentists to have the knowledge of the use of fillers in association with oral rehabilitation, improving the aesthetics and self-esteem of their patients.

Presented By:: Alexander D. Salvoni, PhD
Presentation Style: Video
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Venipuncture & Blood Drawing: Phlebotomy Step-by-Step Premium Member Content

Venipuncture & Blood Drawing: Phlebotomy Step-by-Step
The use of platelets concentrates is becoming unavoidable in our surgeries. To take full advantage of these techniques, the surgeon has to be familiar with the blood collection technique and capable to draw blood at any time. This presentation will show you how to manage simply the venipuncture according to a step by step protocol, with special attention for tricky situations & difficult patients.

Presented By:: Elisa Choukroun, DDS
Presentation Style: Video
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Biofunctional Dynamic Occlusion Premium Member Content

Biofunctional Dynamic Occlusion
Biofunctional Dynamic Occlusion is a comprehensive approach between occlusion, posture, and function. Overall, this lecture will create an understanding and relationship between the cervical spine and mandibular movements and the trilogy between Joints, Muscles and Occlusion. Most of the patients that we treat for dysfunction, were compromised during the early stages of growth and development. Overtime these created accommodations and compensations in the system induced by the physiology of the airway.

Presented By:: Javier Vasquez, DMD, CDT
Presentation Style: Video
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General Articles
Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota

Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota
Amoxicillin is commonly used in oral surgery for antimicrobial prophylaxis against surgical-site infection and bacteremia because of its effect on oral streptococci. The aim of this study was to determine whether amoxicillin reaches the break-point concentrations in saliva and has any effect on the salivary microbiota, colonizing bacteria on mucosal membranes and on the gingival crevice after a single dose of amoxicillin. A single dose given as prophylaxis to prevent a surgical-site infection results in a significant reducing effect on the oral streptococcal microflora in the gingival crevice and may have an impact on bacteria spreading into tissues and the bacteria of streptococci.

Author(s): Cecilia Larsson Wexell, DDS, PhD; Henrik Ryberg, PhD; Wivi-Anne Sjöberg Andersson, DDS; Susanne Blomqvist, BSc; Pieter Colin, PhD; Jan Van Bocxlaer, PhD; Gunnar Dahlén, DDS PhD
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Effectiveness of a Super-Pulsed CO2 Laser For Removal of Biofilm From Three Different Types of Implant Surfaces: An In Vitro Study

Effectiveness of a Super-Pulsed CO2 Laser For Removal of Biofilm From Three Different Types of Implant Surfaces: An In Vitro Study
As dental implants become a routine part of dental practice, so too will the prevalence of peri-implant diseases. Inherent to the treatment of peri-implant disease is the removal of microbial biofilms from the implant surface. Currently, there is no standardized protocol for application of any treatment modality directed at implant surface decontamination. In this in vitro study, we report on the effectiveness of a super-pulsed CO2 laser, delivering an average fluence of 6.3 to 113 J/cm2, to remove biofilm from three different types of implant surface topographies. Biofilms ranged in thickness from 5 to 15 μm. An average fluence of 19 J/cm2 was sufficient to achieve 100% ablation of the biofilm on hydrophilic sandblasted and acidetched surface specimens (SA). However, to achieve 100% ablation of biofilm on HA and highly crystalline, phosphate enriched titanium oxide (PTO) surfaced implants required an average fluence of 38 J/cm2.

Author(s): Peter Vitruk, PhD;Charles M. Cobb, DDS, MS, PhD
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Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra

Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra
The key to the success of soft tissue lasers is their ability to cut and coagulate the soft tissue at the same time. Present work is aimed to derive the wavelength-dependent differences in photo-thermal ablation and coagulation efficiencies for oral soft tissue pulsed dental Near-IR Diode, Mid-IR Erbium and IR CO2 lasers. Even though the soft tissue photothermal ablation has been extensively studied, there remains a discrepancy between (a) the widely proliferated notion about efficient Near-IR 800-1,100 nm laser ablation of the oral soft tissue, and (b) studies reporting the inefficient soft tissue Near-IR absorption/ablation. Indeed, the notions about “the key to the usefulness of the Nd:YAG is that this wavelength is highly absorbed in oral soft tissue”, and “all currently available dental laser instruments and their emission wavelengths have indications for use for incising, excising... oral soft tissue surgery”, contradict an observation illustrated here...

Author(s): Peter Vitruk, PhD
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An Expression of Your Vision: High-Quality Photography

An Expression of Your Vision: High-Quality Photography
Digital photography is common in many of today’s dental practices, and high-quality dental images are paramount for laboratory communication and marketing dentistry. The purpose of this article is to define what a high-quality dental image is, and to give an overview of what these images are used for. In this article I will briefly go over all the steps involved in making these images and review in detail the equipment, camera settings, techniques, and post-production workflow using Adobe Photoshop Lightroom.

Author(s): Steven H. Goldstein, DDS
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General Courses
“The Full Arch Patient”; A Fully Digital Affair Premium Member Content

“The Full Arch Patient”; A Fully Digital Affair
Guided Surgery (GS) is a concept where you are guided by the rehabilitation needs of your patient to perform the implant surgery procedure based on all the info that we process via planning software that are loaded with digital files coming from intra-oral scanning (IOS) and cone beam computed tomography (CBCT). After planning the case, we print a surgical guide or stent to perform the surgery, this technique allows us to do it flap or flapless in a complete secure environment, quicker and more precise if we compare to "freehand" surgery. However, we have to be careful because not all the systems are the same; those who use scoops as reductors are less precise than the "scoopless", no matter which system we use we have to be clear to understand that all the classic concepts of osseointegration are not erased by guided surgery, especially bone physiology.

Presented By:: Orlando Alvarez Del C., DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Biofunctional Dynamic Occlusion Premium Member Content

Biofunctional Dynamic Occlusion
Biofunctional Dynamic Occlusion is a comprehensive approach between occlusion, posture, and function. Overall, this lecture will create an understanding and relationship between the cervical spine and mandibular movements and the trilogy between Joints, Muscles and Occlusion. Most of the patients that we treat for dysfunction, were compromised during the early stages of growth and development. Overtime these created accommodations and compensations in the system induced by the physiology of the airway.

Presented By:: Javier Vasquez, DMD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Multitasking Digital Dentistry - Part 1 of 2 Premium Member Content

Multitasking Digital Dentistry - Part 1 of 2
The "Digital Smile Design" is a technique codified and published in 2011 by Christian Coachman and Marcelo Calamita. This approach has radically changed the way we analyze the aesthetics of our patients and at the same time gave the clinician a great tool of communication with the laboratory and with the patient. In recent years, softwares and applications have been introduced on the market in order to simplify the workflow and make more predictable the outcome. The purpose of the lecture is to resume the current concepts about digital aesthetic preview, and to show new trends.

Presented By:: Mario Imburgia, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Dental Photography: From Theory to Practice Premium Member Content

Dental Photography: From Theory to Practice
Dental photography should be your daily tool. If not, don’t wait and take your steps to learn it and master it. In this lecture, you will see how to take step by step full dental portfolio and which instruments are helpful in surgical photo documentation. In the end, you will get an update in settings, equipment, and accessories used to take excellent dental photo documentation.

Presented By:: Kris Chmielewski, DDS, MSc
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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