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The Surgical-Restorative Digital Work Flow In Comprehensive Therapy Premium Member Content

The Surgical-Restorative Digital Work Flow In Comprehensive Therapy
Traditional methods of treating our patients are being been replaced by digital processes, impacting our daily life. The intake of various technologies such as CBCT imaging, scanning, digital restorative design and CAD/CAM production have contributed to this movement. In the same time, restorative materials have also been developed and studied that have improved strength and esthetic qualities. All these capabilities create opportunities for better restorative outcome.

Presented By:: Karim Dada, DDS, MS;Leon Pariente, DDS
Presentation Style: Video
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Big Picture Planning: A Comprehensive Surgical and Prosthetic Workflow Premium Member Content

Big Picture Planning: A Comprehensive Surgical and Prosthetic Workflow
This seminar will highlight interdisciplinary aspects of treatment to achieve optimum outcomes in challenging cases. The cases presented range from single tooth replacement in the esthetic zone to full-arch rehabilitation and reconstruction of composite defects with restorative and surgical modalities. Emphasis will be placed on meeting and exceeding patient needs and working as a team in an everyday private practice setting. Surgical modalities presented will include creation of optimum hard and soft tissue architecture as well as peri-implant tissue modification procedures prior, during and after implantation. Diagnostic considerations for prosthetic rehabilitation of failing dentition and composite defects will also be discussed through case presentations.

Presented By:: Thanos Ntounis, DDS, MS
Presentation Style: Video
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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: Video
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Combining Implant Replacement with Esthetic Restorative Dentistry Premium Member Content

Combining Implant Replacement with Esthetic Restorative Dentistry
Achieving predictable anterior implant esthetics is often a challenge for clinicians. The creation of anterior implant restorations with harmonious gingival contour that emulate nature is a fusion of science and art. Understanding the biologic and physiologic limitations of the soft and hard tissue along with proper implant positioning facilitates predictability in both simple and complex esthetic situations. This presentation focuses on current implant treatment philosophies and methodologies for the replacement of missing or failing teeth in the esthetic zone. Equal emphasis is placed on the diagnosis and treatment planning, current protocols for optimal 3D implant positioning, periodontal plastic procedures, bone grafting maneuvers, and prosthetic management for optimal anterior implant esthetics.

Presented By:: Achraf Souayah, DDS
Presentation Style: Video
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Implant Articles
Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement

Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore be cognizant of circumstances with a predisposition toward esthetic outcomes and treatment plan accordingly. Preservation of the surrounding hard and soft tissues associated with an immediate postextraction socket implant to replace a nonrestorable tooth in the esthetic zone is one of the greatest challenges facing the dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological, and esthetic parameters were recorded to evaluate primary treatment outcomes.

Author(s): Alessandro Agnini, DMD;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Andrea Mastrorosa Agnini, 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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The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry

The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry
Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone-periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD, Dipl Implantol, Dipl Oral Surg, MSc Dent
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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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Implant Courses
The Surgical-Restorative Digital Work Flow In Comprehensive Therapy Premium Member Content

The Surgical-Restorative Digital Work Flow In Comprehensive Therapy
Traditional methods of treating our patients are being been replaced by digital processes, impacting our daily life. The intake of various technologies such as CBCT imaging, scanning, digital restorative design and CAD/CAM production have contributed to this movement. In the same time, restorative materials have also been developed and studied that have improved strength and esthetic qualities. All these capabilities create opportunities for better restorative outcome. This presentation will highlight a practice-based model centered on digitally enhanced treatment for efficient and predictable esthetic restorative outcomes.

Presented By:: Karim Dada, DDS, MS;Leon Pariente, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique Premium Member Content

Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique
This lecture is focused on an effective regenerative approach, but at low knowledge. The goal is to provide a new skill in favor of well-established techniques. The Fibrin Sealant (FS) is an additional clot of human origin. It has adhesive, sealant and inductive action stimulating hard and soft-tissue regeneration. The FS, mixed with bone chips and biomaterials, allows a better handling of the graft that, becoming plastic and moldable, adapts perfectly to bony defects without dispersion of granules. It’s effective also on wound protection achieving a faster healing of soft-tissue. This approach is excellent in the socket preservation and in the peri-implant regeneration on "closed" sites where the implants are inside the defects.

Presented By:: Vincenzo Foti, MD, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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The Use of Digital Technology for Patient Care Premium Member Content

The Use of Digital Technology for Patient Care
In this presentation, we will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new software's. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtaining with these are systematic and overlapping times better than traditional one.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Site Preparation & Osseodensification in Bone Management Premium Member Content

Site Preparation & Osseodensification in Bone Management
Today's implant arena involves not only the understanding of procedures but also the science behind wound healing. Often new technologies and instrumentation evolves that have a significant impact on what we are able to do clinically. Piezosurgical devices, periotomes, osteotomes, hydraulic sinus devices, neurosurgical drills, and the "PET" (Partial Extraction Therapies) system are just a short list of those that have made surgery more efficient and less traumatic for our patients. Osseodensification is another concept that can be added to this long list. This lecture will speak about new age bone management concepts and how these technologies may be able to assist us. Potential issues and focus on use will be touched upon as well.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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