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Implant Videos
Step-By-Step Surgical Video of Horizontal and Vertical Defects - Part 1 of 2 Premium Member Content

Step-By-Step Surgical Video of Horizontal and Vertical Defects - Part 1 of 2
We are aiming for minimal invasive techniques for the benefit of our patients. Nevertheless, there are many occasions in which we need to repair the anatomy and topography of the atrophic site for better positioning of implants and for their longevity. This step by step surgical technique video presents the treatment sequence for recovering severe vertical and horizontal posterior maxillary atrophy for optimal implant placement.
Vertical augmentation is achieved by using:
First the anatomy: performing sinus augmentation via lateral wall technique.
Second, autologous bone block graft for further recovery of the vertical deficiency decreasing the enlarged inter-maxillary distance. Horizontal augmentation is achieved by using autologous bone block. 
Part II will depict implant placement and soft tissue manipulations.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
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“IPG-DET Technique” The Evolution of New Age Concept Premium Member Content

“IPG-DET Technique” The Evolution of New Age Concept
“IPG” DET protocol: a pioneer technique of internal bone regeneration in the sinus without the need of sinus floor elevation (SFE) Patients suffering from maxilla deficiencies are treated with extensive bone transplantation and Sinus Floor Elevation (SFE) procedures, in order to accomplish a successful and stable dental implantation. In 2014, “IPG” DET – called the Ioannis P. Georgakopoulos Dentist Education Institute Technique – has been proven a solid and reliable alternative to SFE. Actually, “IPG” DET is a well-established, simple, safe, efficient and cost-effective dental implantation protocol that combines a complex of fibrin, concentrated growth factors and CD34+ stem cells (fibrin membrane) along with bone grafting and intentional perforation of the Schneider’s membrane towards a rapid implant insertion.

Presented By:: Ioannis P. Georgakopoulos
Presentation Style: Video
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"The Great Debate" on Tooth Replacement Premium Member Content

"The Great Debate" on Tooth Replacement
Bucco-palatal collapse of the post-extraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in this session with some of the leading clinical research teams in the field. A conceptual debate format discussing the virtues of "Early Placement" at 6 weeks (Buser & Belser Team) vs. "Immediate Placement with Dual Zone Protocols" at time of extraction (Chu & Tarnow Team) vs. "Partial Extraction Therapy" PET (Gluckman & Salama) also at the time of extraction is led by Professor Homa Zadeh of USC. This interactive session explores the current status and poses questions for the future use and indications of each proposed therapy.

Presented By:: Prof. Dr. Urs C. Belser;Daniel Buser, DDS;Howard Gluckman, BDS, MChD;Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Dennis P. Tarnow, DDS;Homa Zadeh, DDS, PhD
Presentation Style: Video
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Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Video
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Implant Articles
The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol

The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol
Inadequate restorative space can result in mechanical, biologic, and esthetic complications with full-arch fixed implant-supported prosthetics. As such, clinicians often reduce bone to create clearance. The aim of this paper was to present a protocol using stacking computer-aided design/computerassisted manufacturing (CAD/CAM) guides to minimize and accurately obtain the desired bone reduction, immediately place prosthetically guided implants, and load a provisional that replicates predetermined tissue contour. This protocol can help clinicians minimize bone reduction and place the implants in an ideal position that allows them to emerge from the soft tissue interface with a natural, pink-free zirconia fixed dental prostheses.

Author(s): Maurice Salama, DMD;Prof. Dr. Alessandro Pozzi;Wendy AuClair-Clark, DDS, MS;Marko Tadros, DMD;Lars Hansson, CDT, FICOI;Pinhas Adar, MDT, CDT
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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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Implant Courses
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Surgical Bioengineering in the Management of the Atrophic Jaw Premium Member Content

Surgical Bioengineering in the Management of the Atrophic Jaw
This lecture presentation will describe the behavior and utilization of of fresh frozen allograft vs. autogenous bone in major bone augmentation cases. The advantages and disadvantages as well as the potential of adding bone marrow aspirate to fresh frozen bone will be further highlighted. In depth review of how to manage and use this new technique in clinical practice will be clearly explained.

Presented By:: Dr. Juan Alberto Fernandez Ruiz
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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“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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Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic Zone Premium Member Content

Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic Zone
In the surgical part, it will be described the criteria necessary for successfully utilizing minimally invasive protocols within the esthetic zone and the possibility of placing or not placing a bone graft in the “gap” and the opportunity to use a connective tissue graft to overbuild the site bucco-lingually, performing the Surgical Veneer Grafting Protocol, idea'ed by the Agnini brothers. In the digital prosthetic part, the authors will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of new materials and daily advances in new software's.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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