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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: Video
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The Magnetic Mallet and its Use in Daily Practice - Clinical Perspective Premium Member Content

The Magnetic Mallet and its Use in Daily Practice - Clinical Perspective
The aim of this lecture is to analyze the use of an osteotome technique that I perform using a machine that is more precise than the traditional manual mallet, that you can manage using both hands. The magnetic mallet has several tips of different shapes and diameters to manage the native bone and to move it apically and around the implant.

Presented By:: Fabio Manuel Filannino, DDS
Presentation Style: Video
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Orchestration of Static Guided Surgery, Navigation & Guided Prosthesis for Complete Rehabilitation Premium Member Content

Orchestration of Static Guided Surgery, Navigation & Guided Prosthesis for Complete Rehabilitation
The computer guided implant surgery and the x-guide navigation systems introduced a novel minimally invasive concept in the treatment of total edentulous and terminal dentition patients, with new perspectives based on bone graft-less rehabilitation and low morbidity implant surgery. Moreover with diagnostic data obtained from CBCT and extra and intra-oral optical surface scanning, a novel digital pathway based on facially driven virtual diagnostic waxing, prosthetically driven surgical plan, digitally printed surgical template, and prefabricated implant-supported screw-retained interim restorations can be realized in a predictable manner. The challenging interplay with the surrounding gingival framework, often overlooked in the extensive rehabilitation supported by tilted implants, will be highlighted through a step by step clinical protocol to deliver a natural gingival architecture and a direct pink free prosthetic emergence.

Presented By:: Prof. Dr. Alessandro Pozzi
Presentation Style: Video
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Fully Guided with Root Membrane Technique Premium Member Content

Fully Guided with Root Membrane Technique
Loss of blood supply derived from the periodontal ligament (PDL) has been identified as a major etiologic factor for ridge resorption. Animal studies and case reports provide proof-of-principle data on the feasibility of immediate implant placement in proximity to a retained root fragment for the strategic preservation of the natural tooth apparatus. This novel concept relies on the preservation of PDL, buccal bone and soft tissue esthetics via selective preservation of the buccal portion of the root and PDL which can lead to predictable and sustainable clinical stability of immediately placed and loaded implants.

Presented By:: Mitsias E. Miltiadis, DDS, MSc, PhD;Isaac D Tawil, DDS
Presentation Style: Video
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Other Surgical Articles
Socket Shield Technique - Implantology Today

Socket Shield Technique - Implantology Today
The socket shield procedure is an effective surgical technique for implant supported restorations. It helps in preserving the labial bone and soft tissue architecture around osseointegrated implants. The procedure provides comparable or better outcomes compared to other conventional alternatives at a lower cost.

Author(s): Udatta Kher, BDS, MDS;Ali Tunkiwala, MDS
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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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The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study

The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study
The “socket-shield technique” has shown its potential in preserving buccal tissues. However, front teeth often have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines. The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the remaining buccal root segment in two pieces before immediate implant placement.

Author(s): Markus B. Hürzeler, DMD, PhD;Daniel Bäumer, DDS; Otto Zuhr, DDS; Stephan Rebele, DDS; David Schneider, DDS, PhD; Peter Schupbach, PhD
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Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report

Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report
Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. This report describes the use of a mucosal coronally positioned flap for the management of a gummy smile associated with vertical maxillary excess and hypermobility of the upper lip. For patients desiring a less invasive alternative to orthognathic surgery, the mucosal coronally positioned flap is a viable alternative. We demonstrate short-term successful use of this technique for the management of excessive gingival display in the presence of slight vertical maxillary excess and hypermobility of the upper lip. Long-term follow-up studies are needed to determine stability of the results.

Author(s): Monish Bhola, DDS, MSD;Nomahn Humayun; Shilpa Kolhatkar; Jason Souiyas
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Other Surgical Courses
The Magnetic Mallet and It’s Use in Daily Practice - Clinical Perspective Premium Member Content

The Magnetic Mallet and It’s Use in Daily Practice - Clinical Perspective
This innovative machine called the Magnetic Mallet is a device based on a EU/US patent of invention in oral surgery. It uses magnetism to generate a very impressive acceleration of the osteotomes that maximizes the forces applied to the bone (making the procedure fast and efficient) and in the meantime minimizes the inertia and discomfort for the patient. Such speed doesn’t cause any bone heating therefore irrigation water is also not needed!

Presented By:: Fabio Manuel Filannino, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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The Digital Smile Designer Journey: Step-by-Step of the Facially Driven Smile Design Process Powered by 3D Technology Premium Member Content

The Digital Smile Designer Journey: Step-by-Step of the Facially Driven Smile Design Process Powered by 3D Technology
Understanding how to break down into rational steps the challenging process of designing beautiful smiles in harmony with faces and integrating esthetics with function. Utilizing 3D digital technology to facilitate this process. Integrating the DSD principles of documentation and facial analysis with CAD softwares and utilizing this 3D process to improve team communication, interdisciplinary diagnostics and treatment planning.

Presented By:: Christian Coachman, DDS, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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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
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 Self-Study Course
CE Hours: 1 CEU (Continuing Eduication Credit)
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Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability Premium Member Content

Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability
The main factor for soft and hard tissue healing is the speed and quality of new vascularization. This lecture will present all the positive and negative factors who control the angiogenesis, blood supply and bone metabolism: -Biological factors as vit. D and cholesterol have to be checked before the surgery -The management of the flaps with sutures is one the main factor for the bone and soft tissue maintenance.. -The soft brushing technique is a new technique which increases the flap without periosteal incision nor bleeding. -Careful Implant placement without too much torque, specially in cortical bone or grafted bone at the re-entry.. -The A-PRF liquid and i-PRF are solutions to reduce the mobility of the granules (sticky bone) with an improvement of angiogenesis The use of growth factors is a stimulation of angiogenesis. The prevention of the negative factors will allow us to achieve the long term stability.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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