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Bone Grafting 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;Miguel Stanley, DDS
Presentation Style: Video
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Multidisciplinary Management of the Complex Patient: Team Croatia Approach Premium Member Content

Multidisciplinary Management of the Complex Patient: Team Croatia Approach
Dentistry has benefited in many ways with advances in digital technology. Lectures about digital dentistry are usually showing in many terabytes and animations effortless protocols. Daily we face problems like data loss, reduced visibility and irrigation with surgical guides, difficulties with edentulous jaw scanning and alignment to name only some of them. Obstacles that we find in a daily practice on the way to the digital dentistry for the full arch implant reconstruction are shown in this lecture.

Presented By:: Snježana Pohl, MD, DMD;Matko Oguić, DMD;Josip Brusić, DMD
Presentation Style: Video
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Management of the Full Arch Edentulous Patient: Team India Approach Premium Member Content

Management of the Full Arch Edentulous Patient: Team India Approach
The number of fully edentulous patients is on the rise due to higher life expectancy. Also, higher number of young patients are edentulous due to congenital disorders or advanced periodontal disease. Various treatment options are now available to the clinician for treating edentulous patients. However a lot of confusion exists amongst clinicians while choosing the right treatment approach and the correct prosthesis design for such patients. During this lecture, Team India will present a decision tree for treatment planning fully edentulous patients. This will help clinicians to opt for the most suitable prosthetic design for their patients. Critical factors such as age of patient, bone zones, cosmetic display and degree of resorption will be discussed. The importance of a well adjusted interim restoration and the conversion from provisional restoration to the final one utilizing the novel ‘Fast tracking’ technique will be a part of this presentation.

Presented By:: Udatta Kher, BDS, MDS;Ali Tunkiwala, MDS;T.V. Narayan, MDS
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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Bone Grafting Articles
Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft

Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft
Trauma to teeth and the dentoalveolar process may result in a ridge defect that precludes straightforward implant therapy of the patient. Typically bone and soft tissue augmentation of the area would first be needed to adequately prepare the tissues for the implant and its restoration..Grafting of the site is substantially more difficult in cases where the ridge also lacks adequate height, and techniques to recreate a bony envelope to apply guided bone regeneration may be required. Moreover, defects in the anterior aesthetic zone that require both bone and soft tissue grafting and a restoration that harmonizes the adjacent pink and white aesthetics may be an even more significant challenge to the restorative team. Hereafter a case of trauma to an anterior maxillary tooth that saw destruction of the ridge is presented, with the defect reconstructed to accommodate a functional and aesthetically pleasing implant supported restoration.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit, BChD
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Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series
To measure the buccal plate reconstruction of extraction sockets with labial plate dehiscence defects using a bone allograft in combination with an absorbable collagen membrane and a custom-healing abutment at the time of tooth removal. Implants placed into sockets with labial plate dehiscence defects demonstrated radiographic reformation of the labial plate dehiscence defect at 6 to 9 months post-treatment. The net gain in labial plate on CBCT in L1 and L2 was 3.0 mm, where 0 mm existed at pre-treatment. The minimum amount of labial plate thickness of 2.0 mm was achieved in all treated sites, evaluated radiographically at 6-9 months post-operatively, in a single procedure, without flap elevation and maintaining the gingival architecture and satisfactory esthetics.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
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Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects

Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects
Immediate implant therapy involving implants placed into intact Type 1 extraction sockets has become a consistent clinical technique. The classification of Type 2 extraction sockets, where the mucosal tissues are present but there is a midfacial osseous dehiscence defect, has been described according to the extent of the buccal bone plate absence. The literature has offered different techniques in the treatment of Type 2 sockets; however, the extent of the defect has never been defined or delineated.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Mark N. Hochman, DDS
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Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico

Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico
En nuestra clinica observamos un aumento de pacientes adultos con problemas esqueletales, compromiso periodontal y necesidades protesicas. Debemos recurrir a la interconsulta con el periodoncista, protesista y cirujano maxilofacial, para la correccion del caso, prestando especial atencion al componente dentario, esqueletal y los tejidos blandos faciales del paciente. La cirugia ortognatica, que generalmente la realizamos luego de una preparacion ortodoncica, permite corregir discrepancias en el adulto y restaurar la funcion y estetica en los tres planos del espacio. Realizada la correccion oclusal, procedemos a sustituir dientes ausentes, mediante implantes y protesis fijas. El Periodoncista, mantiene un control constante de la salud de los tejidos de soporte, durante todas las fases de la terapia multidisciplinaria.

Author(s): Miguel Hirschhaut, DDS;Jorge Ravelo, DDS
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Bone Grafting Courses
Integrating Orthodontics with Orthognatic Surgery; From Virtual Planning to Clinical Excellence Premium Member Content

Integrating Orthodontics with Orthognatic Surgery; From Virtual Planning to Clinical Excellence
Dentofacial deformities in adults require the combination and skills of the orthodontist and maxillofacial surgeon. In order to achieve all the functional and esthetic goals. In digital dentistry’s days virtual planning of orthodontics and orthognatic surgical corrections has become a valuable tool. Results can be compared to planning both for reevaluation and sharing information with colleagues and our patients. Virtual planning account for more reliable and precise results in our orthognatic surgery. Orthodontic preparation is the gold standard for maximizing the surgical correction. Cases will illustrate our treatment protocol from A to Z for these complex and challenging situations.

Presented By:: Miguel Hirschhaut, DDS;Nelson Leon, DDS, OMFS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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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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Current Concepts for the Preservation of the Post-Extraction Alveolar Ridge Premium Member Content

Current Concepts for the Preservation of the Post-Extraction Alveolar Ridge
After tooth extraction, bone resorption of varying amounts always occurs as the edentulous site of the alveolar process undergoes both qualitative and quantitative changes. Different techniques have been presented in literature in order to preserve the post-extraction site, including the use of barrier membranes, tri-dimensional matrix and bone fillers. An “open-healing” approach is nowadays commonly used, combining a proper management of soft tissues with biological integration of biomaterials. Once hard tissue has been successfully augmented, an adequate soft tissue thickness becomes mandatory in order to create healthy and stable peri-implant tissues. An innovative volume-stable collagen matrix provides the opportunity to treat soft tissue defects around implants as an alternative to connective tissue graft.

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