Replacing the Natural Tooth System in the Esthetic Zone: Flapless Implant Placement and Simultaneos Restoration to Preserve Tissue Contours and Guarantee Esthetics
Paul S. Petrungaro, DDS
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.
Maximizing Esthetic Transformations Using a Closed Flap ErCr - YSGG Modality
The clinical study presented in this article demonstrates that, in selected cases, combining minimally invasive laser therapy with detailed restorative design and technique can satisfy the bioesthetic functional requirements.
Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Pre-existing malocculsion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases.
Periodontal Regeneration – State of the Art
The latest research and clinical options in periodontal regeneration.
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation.
The Potential of Lasers in Advanced Periodontal and Implant Therapy
Periodontal Disease continues to be the single most significant issue in dentistry.
It effects the teeth, Implants and overall systemic health of our patients. This presentation describes the utilization of a specific laser energy in the treatment of periodontal bone loss around teeth and implants. The comparison of conventional techniques to laser therapy will also be discussed.
From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone
This webinar will highlight surgical and restorative techniques to accomplish predictable outcomes in the esthetic zone with implant therapy. Treatment modalities will be demonstrated with high quality photography and case series discussion. Surgical modalities presented will include ridge preservation, the current evidence on the use of growth factors such as PRP and hr-PDGF bb. Also timing of implant placement as well as soft and hard tissue augmentation will be discussed. Special emphasis will be placed on immediate provisionalization of implants to accomplish optimal peri-implant mucosa architecture. Techniques to transfer provisional emergence profile to the final restoration will be presented.
Esthetic Periodontal Surgery: Making Recession Defects Disappear by Grafting
Expert discussion of soft tissue grafting; first an overview of current trends, the second showing a specific allograft technique for treating multiple adjacent recession defects.
Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist
Contemporary patient expectations have made esthetics a major requisite of all treatment plans, especially in situations where there is a high smile line. Although new restorative materials have highly improved predictability and esthetic outcomes, soft and hard tissue management play a fundamental role when working in esthetic areas. To achieve ideal esthetics, preservation of the natural soft and hard tissue architecture is a primary clinical objective. These new proposed techniques illustrate the importance of pre-prosthetic soft and hard tissue management when working in highly esthetic compromised areas.
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