Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
The Dual Zone Approach to Tooth Replacement in the Esthetic Zone

Description:
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this presentation will enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. Long term follow up and evidence from scientific literature to support this concept will be described.

Date Added:
8/15/2018

Author(s):

Dennis P. Tarnow, DDS Dennis P. Tarnow, DDS
Dennis P. Tarnow is currently Clinical Professor of Periodontology and Director of Implant Education at Columbia School of Dental Medicine. Dr. Tarnow has a certificate...
[read more]






Online Videos / Surgery / Soft Tissue / The Dual Zone Approach to Tooth Replacement in the Esthetic Zone




Questions & Comments
george hebeka - (8/12/2018 8:59 AM)

Very useful clinical information.

David Bakhouche - (8/7/2018 9:00 AM)

Hi Dennis, A question about the last clinical case with gbr: Why don’t you achieve primary wound closure? Would you use the same surgical protocol without primary wound closure for gbr in a type 2 defect? Thanks for your teaching, David Bakhouche

Maurice Salama - (8/6/2018 9:25 AM)

Thomas; Some of that information regarding videos and steam cleaning the provisional is available on Steve Chu's presentation on XP. As for charging out, it is typical that it is done through appropriate ADA and insurance coding.

Thomas Devlin - (8/5/2018 7:01 PM)

Great information. Lots of practical tips. Do you have a video on how to fabricate and steam clean a temp implant crown? What if the coronal portion is lost? Also, can you discuss fees? How do you charge out for bone grafting, temp fabrication, etc? Thanks Tom Devlin

Maurice Salama - (8/3/2018 9:52 AM)

All encompassing and methodical. Thank you

Related Videos
Connective Tissue and PRGF in Treatment of Periodontal Intrabony Defects Premium Member Content

Connective Tissue and PRGF in Treatment of Periodontal Intrabony Defects
In order to reconstruct the lost periodontal tissues different kinds of graft materials have been used, including auto-grafts, allografts and xenografts and also Polypeptide growth factors in combination with guided tissue regeneration (GTR).In this presentation Dr Omid Moghaddas will present the concepts of using connective tissue and PRGF in treatment of intrabony defects and also review the literature on this topic.

Presented By:: Omid Moghaddas, DMD, MSD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Presented By:: Joseph Choukroun, MD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Functional Gingival Grafts in Anterior Implant Therapy - Part 2 of 2 Premium Member Content

Functional Gingival Grafts in Anterior Implant Therapy - Part 2 of 2
Dr. Richard Martin outlines his approach to simultaneous gingival grafting following extraction to preserve or enhance the critical labial gingival margins around implant restorations in the esthetic zone.

Presented By:: Richard Martin, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
The Dual Zone Approach to Tooth Replacement in the Esthetic Zone Premium Member Content

The Dual Zone Approach to Tooth Replacement in the Esthetic Zone
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this presentation will enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. Long term follow up and evidence from scientific literature to support this concept will be described.

Presented By:: Dennis P. Tarnow, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Team Work: The Role of the Restorative Dentist in the Multidisciplinary Practice Premium Member Content

Team Work: The Role of the Restorative Dentist in the Multidisciplinary Practice
In this presentation, Drs. Conti and Rossi share their experiences in treating challenging cases from a comprehensive multidisciplinary perspective. Emphasis will be placed as to when and how the restorative dentist enhances overall periodontal and esthetic therapy.

Presented By:: Roberto Rossi, DDS;Alessandro Conti, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
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)
Watch Now>>
Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability Premium Member Content

Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability
Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Implant placement level is important for bone stability. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorbtion. The role of soft tissue thickness is well established in aesthetic treatment. It is known that thin soft tissues present an unfavorable situation for implant placement, crestal bone stability and subsequent prosthetic treatment.

Presented By:: Tomas Linkevicius, DDS, Dip Pros, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Related Articles
Modified IVAN Technique: Long-Term Follow-Up of 20 Cases Over 2 to 11 Years

Modified IVAN Technique: Long-Term Follow-Up of 20 Cases Over 2 to 11 Years
When natural teeth fail, frequently there is a loss of hard and soft tissue. This may complicate subsequent dental implant placement by creating insufficient bone to house the implant. This also occurs when the tooth has been missing for an extended period, especially in the premaxilla, where the bone is less dense and often lacks sufficient volume of facial bone. Site reconstruction to accommodate implant placement often requires both hard and soft tissue augmentation. The modified interpositional vascularized augmentation neogenesis (mIVAN) technique achieves the desired treatment goals in both delayed and immediate placement scenarios. The technique will be discussed as well as the long-term follow-up on 20 cases.

Author(s): Snježana Pohl, MD, DMD;Gregori M. Kurtzman, DDS
View Article>>
A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol

A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol
Ten years have passed since Hürzeler and coworkers first introduced the socket-shield technique. Much has developed and evolved with regard to partial extraction therapy, a collective concept of utilizing the patient’s own tooth root to preserve the periodontium and peri-implant tissue. The specifications, steps, instrumentation, and procedures discussed in this article are the result of extensive experience in refining the socket-shield technique as we know it today. A repeatable, predictable protocol is requisite to providing tooth replacement in esthetic dentistry. Moreover, a standardized protocol provides a better framework for clinicians to report data relating to the technique with procedural consistency. This article aims to illustrate a reproducible, step-by-step protocol for the socket- shield technique at immediate implant placement and provisionalization for single-rooted teeth.

Author(s): Howard Gluckman, BDS, MChD, PhD;Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP, PhD;Maurice Salama, DMD;Katalin Nagy, DDS, DSc, PhD;Michel Dard, DDS, MS, PhD
View Article>>
Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique

Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique
An optimal esthetic implant restoration is a combination of a visually pleasing prosthesis and surrounding peri-implant soft tissue architecture. This article introduces a clinical method, the dynamic compression technique, of conditioning soft tissues around bone-level implants with provisional restorations in the esthetic zone. The technique has several goals: to establish an adequate emergence profile; to recreate a balanced mucosa course and level in harmony with the gingiva of the adjacent teeth, including papilla height/width, localization of the mucosal zenith and the tissue profile's triangular shape; as well as to establish an accurate proximal contact area with the adjacent tooth/implant crown.

Author(s): Julia-Gabriela Wittneben, DMD, MMSc; Daniel Buser, DMD; Urs C. Belser, DMD; Urs Bragger, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register