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Soft Tissue Videos
Modern GBR Concepts, Flap Design and Materials as an Alternative to Autologous Bone Premium Member Content

Modern GBR Concepts, Flap Design and Materials as an Alternative to Autologous Bone
This lecture will provide a decision tree to assist the practitioner to best choose devices and biomaterials to achieve successful outcomes in bone regenerative treatment. Moreover, a straight-forward review of the step-by-step surgical maneuvers will be given, like incision design, flap management, membrane fixation strategies, and tension-free suturing technique. in the final part of the lecture, strategies to simplify the regenerative protocols will be presented with the intention to decrease morbidity and complications while boosting patients’ innate healing response.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Video
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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;Miguel Stanley, 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;Snježana Pohl, MD, DMD;Ramon Gomez Meda, 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
Combined Augmentation Therapies in the Esthetic Zone Premium Member Content

Combined Augmentation Therapies in the Esthetic Zone
The esthetic zone presents a far bigger challenge than any other area of the mouth. It is the one area that a patient has the ability to really scrutinize the work that has been done and anything that does not pass muster will quickly create problems in our practices. Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlife the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery Premium Member Content

Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

Presented By:: Alina Krivitsky, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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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 lecture, are discussed all the parameters to achieve the correct diagnosis of the socket and the various treatment plan correlated to each anatomical type of socket. The Dual Zone approach (bone zone and tissue zone) will be evaluated and discussed in detail, regarding each of their variables. 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.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Diagnosis, Planning, & Treatment of Altered Passive Eruption; From a Periodontists Perspective Premium Member Content

Diagnosis, Planning, & Treatment of Altered Passive Eruption; From a Periodontists Perspective
This presentation will teach how to diagnose cases of altered passive eruption based on the radiographic evaluation (with peri-apical rx and CBCT) and how to plan and document a surgical procedure aimed to ‘uncover’ the beautiful and natural hidden enamel. In a world where esthetics is becoming more and more a concern a simple periodontal plastic surgical procedure can re-establish esthetic and balance to the patients affected by this condition.

Presented By:: Roberto Rossi, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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