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The Evolution of CAD/CAM Technologies Premium Member Content

The Evolution of CAD/CAM Technologies
This presentation will review some of the myths surrounding CAD/CAM ceramics and provide an update on the state of the science on functional, biologic, and esthetic properties of current ceramic restorations.

Presented By:: Markus B. Blatz, DMD, PhD
Presentation Style: Video
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Back to the Future: Feldspathic Veneers & Zirconia Layering Techniques Premium Member Content

Back to the Future: Feldspathic Veneers & Zirconia Layering Techniques
Full monolithic zirconia with external stain technique is one of the popular preference techniques used today. There are many selections of multi-layered zirconia disks and blocks available in the market, which enable dental technicians to produce faster and more esthetic results. When it comes to anterior fabrication, however, full monolithic is not always the best option to process the case. There are many varieties; unique translucencies and characterization that can be seen naturally, making it nearly impossible to achieve with just an external stain technique. That is to say, in order to achieve a natural and lifelike fabrication, a layering technique must be done. This lecture will speak about all ceramic layering technique with current technology of digital tools and how these technologies may be able to assist us.

Presented By:: Sean Park, MDC, DTG
Presentation Style: Video
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In the Transition Line; Between the Prosthodontics of Today & Tomorrow Premium Member Content

In the Transition Line; Between the Prosthodontics of Today & Tomorrow
Dentistry is evolving rapidly, digital technology is covering all areas of our profession, streamlining the treatment plan and the execution of clinical cases. Prosthodontics more than any other specialty is in this transition zone between analog and digital. With the increase in the popularity of the different procedures of digital dentistry, some questions are born: to what point is the digital age here to replace the human ability? Where are we today to make predictable, repeatable and efficient digital dentistry? among many others. Undoubtedly, the digital era is here to improve our clinical practice, the dentist of today must be aware of the digital processes without forgetting the basic principles of dentistry so that their daily practice is successful and achieve the maximum goal, well-being of the patient.

Presented By:: Jonathan Esquivel, DDS
Presentation Style: Video
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Anterior Aesthetic Zone - 100% Digital Premium Member Content

Anterior Aesthetic Zone - 100% Digital
Over the past 5 years many digital technologies have merged to allow clinician the opportunity to restore anterior teeth with implants, crowns and veneers. Many of these techniques can now be performed in a 100% digital platform. Utilizing digital imaging, file merging and digital analysis any patient can now be treated with a digital treatment plan: From planning, scanning, designing and printing, the options are endless. Determining the correct and efficient digital path will be presented for these procedures. Ideal capture of information pre-surgically and pre- preparation will allow the clinician ideal control of the hard tissue, soft tissue, tooth structure and implant abutment design. It will be demonstrated how todays digital technologies are predictable, cost effective and easy to learn through our step by step approach

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Video
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Restorative Articles
Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept

Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept
This article, the first of a planned three-part series, outlines a new surgical & prosthetic approach for treating cases involving two missing adjacent teeth in the esthetic zone. These type of cases, particularly when combined with a three-dimensional ridge deficiency, represent one of esthetic dentistry's most challenging dilemmas. A Clear understanding of the unilateral and bilateral defect concept is necessary to properly evaluate each particular case, understand surgical limitations, perform a better risk assessment, establish an esthetic prognosis, develop the best clinical-laboratory strategy, and adjust patients' expectations. While not recommended for every case, represents a useful, economical, and predictable alternative that decreases the umber and complexity of interventions.

Author(s): Christian Coachman, DDS, CDT;Maurice Salama, DMD;Eric Van Dooren, DDS; Eduardo Mahn, DDS, DMD, PhD
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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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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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CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions

CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions
Dental erosion is a global health problem that can lead to significant functional and esthetic impairments of the affected patients. Treatment of sever cases with augmented loss of the vertical dimension of occlusion (VDO) represents a challenge for both the dental team and the patient. CAD/CAM technology was used in the presented case to analyze the inter-occlusal space. The case report documents a practical, digital approach and discusses the advantages related to treatment time, ease of treatment, and predictability.

Author(s): Petra C. Guess Gierthmuehlen, DDS; Enrico Steger, MDT
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Restorative Courses
Back to the Future: Feldspathic Veneers & Zirconia Layering Techniques Premium Member Content

Back to the Future: Feldspathic Veneers & Zirconia Layering Techniques
Full monolithic zirconia with external stain technique is one of the popular preference techniques used today. There are many selections of multi-layered zirconia disks and blocks available in the market, which enable dental technicians to produce faster and more esthetic results. When it comes to anterior fabrication, however, full monolithic is not always the best option to process the case. There are many varieties; unique translucencies and characterization that can be seen naturally, making it nearly impossible to achieve with just an external stain technique. That is to say, in order to achieve a natural and lifelike fabrication, a layering technique must be done. This lecture will speak about all ceramic layering technique with current technology of digital tools and how these technologies may be able to assist us.

Presented By:: Sean Park, MDC, DTG
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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OCCLUSION: Can We Possibly Simplify It? - Part 1 Premium Member Content

OCCLUSION: Can We Possibly Simplify It? - Part 1
Over the past 20 years, many of us have been confused, frustrated, unsure and crazy about ... “How do I get my occlusion philosophy on the right path?” At NYU FMR we have developed tried and true techniques that are guaranteed to make you understand occlusion, contact points and mandibular movement that makes sense, is easy to diagnose and systematically treat with success. In addition being comfortable Restoring OVD, understanding TMJ joint position and treating the worn dentition. Using our SOT methods and Level 1-10 Occlusion Classification we can show you how to become successful in the “Occlusion” of your patients. Spend an hour with us and open up a whole new world of occlusion philosophy and understanding. This is the real deal!

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Occlusion: What Else? Premium Member Content

Occlusion: What Else?
Occlusion-Confusion, most of the dentist feel this way. Occlusion is one of the most important part of dentistry but also the most controversy. The balance and the restore of function of the stomatognathic system is often an everyday challenge during most dental treatments. For these two distinct reasons the dentist needs to study and fully understand the normal function of the TMJoints, understand how the mandible rests against the cranium in a most favourable position, and of course how occlusion and any dental prosthetic restorations should be adjusted without jeopardising the stability of the stomatognathic system.

Presented By:: Ilia Roussou, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Biofunctional Dynamic Occlusion Premium Member Content

Biofunctional Dynamic Occlusion
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. After a proper structural, functional analysis, and diagnostic, phase II offers the alternative of orthopedic facial development where we can restructure the architecture of the face and the airway.

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