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Soft Tissue Videos
Modern Implant Concepts in the Esthetic Zone Premium Member Content

Modern Implant Concepts in the Esthetic Zone
Managing aesthetic zone with dental implants is one of the most challenging and demanding treatments in dentistry due to biological limitations. From Sockets type I to healed ridges with hard and soft tissue deficiencies, everyday clinicians may face different situations to manage in the aesthetic zone. When we are talking about rebuilt and have long term success, autogenous hard and soft tissue still are the gold standard as the Socket shield technique promises to be to prevent bucal collapse in Immediate Implants. During the lecture the author will systematize how to face each different clinical situation, utilizing different autogenous tissues combined with a micro surgical approach, in order to have the best healing patterns and scar-less surgery.

Presented By:: Luis Lapa Bessa, DDS
Presentation Style: Video
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Gingival Recessions Around Teeth & Implants - Clinical Approach Premium Member Content

Gingival Recessions Around Teeth & Implants - Clinical Approach
This lecture will cover different aspects of the perio-implantology environment: strategies to deal with the gingival recessions at single and multiple sites; socket management at the aesthetic zone; and alternatives to treat marginal recessions at already osseointegrated implants. All segments of the lecture made by the ImplantePerio group were backed up by strict and straightforward decision trees created by them to help and assist the clinicians to better treat the different conditions that may be presented at their offices, rendering predictable, consistent, aesthetic and stable outcomes using simple and user-friendly techniques.

Presented By:: Robert Carvalho da Silva, DDS, PhD;Julio Cesar Joly, DDS, PhD;Paulo Fernando Mesquita de Carvalho, DDS, PhD
Presentation Style: Video
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The Great Debate on Soft Tissue Regeneration Premium Member Content

The Great Debate on Soft Tissue Regeneration
Recession and soft tissue deficiencies are a significant challenge in restorative and implant dentistry. A variety of different approaches and techniques using minimally invasive flaps and micro-surgical instrumentation have been proposed in this session with some of the leading clinicians in the field. A conceptual debate format discussing the virtues of CTG, FGG, pedicle grafts, as well as vestibular approaches, growth factor mediated-ACDM and flap management as well as key suturing aspects were discussed.

Presented By:: Maurice Salama, DMD;David Garber, DMD;Howard Gluckman, BDS, MChD;Alina Krivitsky, DDS;SnjeĹžana Pohl, MD, DMD;Ramon Gomez Meda, DDS
Presentation Style: Video
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Soft Tissue Management Around Dental Implants Premium Member Content

Soft Tissue Management Around Dental Implants
Soft tissue management is critical to the long-term success of dental implants. A number of soft tissue grafting technique are available to be utilized at various stages of implant therapy. Whether the goal of treatment is to maximize esthetics or to establish health and longevity, a variety of treatment options exist for patients.

Presented By:: David Wong, DDS
Presentation Style: Video
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Soft Tissue Articles
Tuberosity Versus Palatal Donor Sites for Soft Tissue Grafting: A Split-Mouth Clinical Study

Tuberosity Versus Palatal Donor Sites for Soft Tissue Grafting: A Split-Mouth Clinical Study
The objective of this articles is to compare postoperative pain associated with palatal and tuberosity donor sites for soft tissue grafting, and to evaluate the outcomes in both the donor and recipient sites.

Author(s): Peter N. Amin, BDS, MSD; Nabil R. Bissada, DDS, MSD; Paul A. Ricchetti, DDS, MScD; Andre Paes B. Silva, DMD, PhD; Catherine A. Demko, PhD
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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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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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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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Soft Tissue Courses
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: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Managing Esthetic Implant Complications Premium Member Content

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy Premium Member Content

Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy
When considering implant therapy in the esthetic zone, replicating the natural soft tissue frame may present challenges for the treating clinician. A harmonious gingival form and architecture are not only fundamental for achieving adequate peri-implant pink esthetics, but also for simulating a natural emergence for the future restoration. This presentation will highlight different clinical scenarios in which the lack of hard and soft tissue volume may pose difficulties in achieving ideal peri-implant esthetics, in addition to available clinical strategies on how to manage and minimize hard and soft tissue deficiencies when dealing with implant therapy in the esthetic zone.

Presented By:: Sherif Yousri Said, BDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Current Concepts in Bioactivity and Regeneration Premium Member Content

Current Concepts in Bioactivity and Regeneration
In this lecture, tips on how to deal with the different types of extraction socket, mostly infected, will be presented. The use of plasma rich in growth factors and the Endoret® (PRGF®) fibrin membrane is a key factor to enhance socket regeneration, post-operative recovery and minimize/treat complications.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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