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Bone Grafting Videos
Complex Full Mouth Rehabilitation in a Periodontal Patient Premium Member Content

Complex Full Mouth Rehabilitation in a Periodontal Patient
In this case that I originally presented at the dental XP summit last August at NYU but did not show the final results, we pretty much used the entire armamentarium currently available to us dentists. Many different procedures and protocols were applied in this complex case. The patient's main concern was long-lasting natural results. We decided to take no shortcuts and to practice as many gold standard procedures as possible, and thankfully the patient could afford the treatment. We are very happy with the outcome, might not be perfect but she is very happy. It has been six months now since we finished and everything is quite stable, and according to what we have been seeing here on XP and in the literature should remain quite stable for a long time.

Presented By:: Miguel Stanley, DDS
Presentation Style: Video
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Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2 Premium Member Content

Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa. The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.

Presented By:: Daniel Buser, DDS
Presentation Style: Video
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Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2 Premium Member Content

Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2
By scientific studies produced in recent years has been confirmed, in selected cases, the validity of the post-extraction implants. The use of this method implies a lower emotional impact, a single surgery and a healing often better for the patient. We will be discussed traumatic extraction methods, perfect insertion of the implants with or without bone regeneration with bone substitutes and membranes and the opportunity to combine an advanced method as immediate implant with the execution of an immediate loading to restore aesthetics in more complex cases.

Presented By:: Alfonso Coscarella, DDS
Presentation Style: Video
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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: 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
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 Course
CE Hours: 1 CEU (Continuing Education Unit)
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Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2 Premium Member Content

Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2
By scientific studies produced in recent years has been confirmed, in selected cases, the validity of the post-extraction implants. The use of this method implies a lower emotional impact, a single surgery and a healing often better for the patient. We will be discussed traumatic extraction methods, perfect insertion of the implants with or without bone regeneration with bone substitutes and membranes and the opportunity to combine an advanced method as immediate implant with the execution of an immediate loading to restore aesthetics in more complex cases.

Presented By:: Alfonso Coscarella, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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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 Course
CE Hours: 1 CEU (Continuing Education Unit)
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Achieving Stable Esthetic Results with Implant Supported Restorations Premium Member Content

Achieving Stable Esthetic Results with Implant Supported Restorations
We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.

Presented By:: Gianluca Paniz, DDS, MS, FACP;Luca Gobbato, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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