Tissue Management for Aesthitc Success with Posterior Restorations
Due in part to the positive tissue response to metal-ceramic crowns fabricated with Captek™ substructures, clinicians can now provide an aesthetic restoration with healthy supporting periodontium for their patients. All indirect restorations, however, depend on an accurate impression of the preparation and proper tissue management throughout provisionalization. Even after careful tooth preparation, the restorative site often fills with blood, intracrevicular and intraoral fluids, and the delicate…

Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis
This report investigates the outcome of CLS procedures performed at an urban dental school in a population of individuals with HIV. Specifically, this retrospective clinical analysis evaluates the healing response after crown lengthening surgery (CLS). Of the 21 patients with HIV examined after CLS, none had postoperative complications, such as delayed healing, infection, or prolonged bleeding. Variations in viral load, CD4 cell count, smoking, platelets, and neutrophils did not impact surgical healing. In addition, variations in medication regimens (highly active anti-retroviral therapy; on pro-tease inhibitors; no medications had an impact. The results of this retrospective analysis show the absence of postoperative complications after CLS in this population with HIV. Additional investigation into this area will help health care practitioners increase the range of surgical services provided to this group of patients.

Advanced Esthetic Management of Dental Implants: Surgical and Restorative Considerations to Improve Outcomes
This article demonstrates the importance of proper surgical and prosthetic principles in achieving esthetic implant results.Successful dental implant therapy in the maxillary anterior dentition requires meticulous attention to surgical and prosthodontic measures. Proper diagnosis, extraction technique, implant selection, and placement significantly impact outcomes. Respect of hard and soft tissue physiology following tooth loss and implant placement requires specific steps be taken. Management tissue contours properly, via regenerative therapy, results in successful framing of the restoration. Provisionalization and definitive restorative therapy also impacts the level of esthetic success.The contours of the temporary abutment and crown develop soft tissue contours for the final restoration. Overcontouring can lead to soft tissue recession and mucosal asymmetry. Design of the definitive crown(s) is crucial for long-term maintenance of esthetically acceptable results.

Occlusion Simplified - Clinical Techniques for Restoring Anterior Guidance and Opening Vertical Dimension - Part 1 of 3
In this video, learn a practical system for restoring worn teeth, rebuilding anterior guidance, and increasing vertical dimension.

Zirconia Based Implant Supported Restorations: Planning and Design
This presentation outlines very specific prosthetic determinants for achieving the goals of function and esthetics in different clinical environments.

Tooth Preparation and Dentin Protection in Fixed Prosthodontics
Dr. Jose Padros outlines an excellent review of the keys to a systematic approach to tooth preparation in fixed prosthodontics.

The Role of Occlusion in Implant Prosthetics
In this presentation Dr. Carlo Poggio delves into the biomechanics and clinical relevance of proper occlusal management in implant dentistry. Combining a thorough review of the literature with clinical dental applications, Dr. Poggio attempts to suggest a rational for designing the occlusion for implant restorations. Topics covered include comparison of occlusal management for teeth and implants. In addition, the importance of controlling the occlusal forces to protect the bone-implant interface from overload and the role of occlusion in peri-implant microbial infection.

The Surgical-Restorative Digital Work Flow In Comprehensive Therapy
Traditional methods of treating our patients are being been replaced by digital processes, impacting our daily life. The intake of various technologies such as CBCT imaging, scanning, digital restorative design and CAD/CAM production have contributed to this movement. In the same time, restorative materials have also been developed and studied that have improved strength and esthetic qualities. All these capabilities create opportunities for better restorative outcome. This presentation will highlight a practice-based model centered on digitally enhanced treatment for efficient and predictable esthetic restorative outcomes.

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.