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The Surgical-Restorative Digital Work Flow In Comprehensive Therapy Premium Member Content

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Traditional methods of treating our patients are being been replaced by digital processes, impacting our daily life.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.

Presented By:: Karim Dada, DDS, MS;Leon Pariente, DDS
Presentation Style: Video
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Combining Implant Replacement with Esthetic Restorative Dentistry Premium Member Content

Combining Implant Replacement with Esthetic Restorative Dentistry
Achieving predictable anterior implant esthetics is often a challenge for clinicians. The creation of anterior implant restorations with harmonious gingival contour that emulate nature is a fusion of science and art. Understanding the biologic and physiologic limitations of the soft and hard tissue along with proper implant positioning facilitates predictability in both simple and complex esthetic situations. This presentation focuses on current implant treatment philosophies and methodologies for the replacement of missing or failing teeth in the esthetic zone. Equal emphasis is placed on the diagnosis and treatment planning, current protocols for optimal 3D implant positioning, periodontal plastic procedures, bone grafting maneuvers, and prosthetic management for optimal anterior implant esthetics.

Presented By:: Achraf Souayah, DDS
Presentation Style: Video
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Bonding and Cementing Zirconia Restorations: Current Clinical and Scientific Information Premium Member Content

Bonding and Cementing Zirconia Restorations: Current Clinical and Scientific Information
Zirconia continues to play a significant role in modern restorative dentistry. From Implants to abutments all the way to frameworks and monolithic crowns. How we manage the process of bonding and cementing these restorations is extremely important to their long term retention and success. This presentation highlights the different approaches available today and specifically defines protocols with clinically relevant research.

Presented By:: Nasser Barghi, DDS
Presentation Style: Video
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Digital Workflow for Anterior Implant Aesthetics Premium Member Content

Digital Workflow for Anterior Implant Aesthetics
We have seen excellent results in the aesthetic zone when immediate implant placement techniques have been used. A review of the current literature reveals and confirms the re-education of mid-buccal facial recession is best when an immediate provisional is used. If we can digitize this information and create a crown-root form matrix, we can allow tissue to maintain the exact 3D position of the crown and root of the tooth that is to be replaced. A technique using "dicom" files and "STL" files of the original tooth-root will be demonstrated. This will allow ideal healing of the surrounding hard and soft tissues in for any implants restoration.

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Video
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Crowns and Bridges Articles
Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement

Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore be cognizant of circumstances with a predisposition toward esthetic outcomes and treatment plan accordingly. Preservation of the surrounding hard and soft tissues associated with an immediate postextraction socket implant to replace a nonrestorable tooth in the esthetic zone is one of the greatest challenges facing the dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological, and esthetic parameters were recorded to evaluate primary treatment outcomes.

Author(s): Alessandro Agnini, DMD;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Andrea Mastrorosa Agnini, DDS
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CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions

CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions
Dental erosion is a global health problem that can lead to significant functional and esthetic impairments of the affected patients. Treatment of sever cases with augmented loss of the vertical dimension of occlusion (VDO) represents a challenge for both the dental team and the patient. CAD/CAM technology was used in the presented case to analyze the inter-occlusal space. The case report documents a practical, digital approach and discusses the advantages related to treatment time, ease of treatment, and predictability.

Author(s): Petra C. Guess Gierthmuehlen, DDS; Enrico Steger, MDT
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Retrospective Analysis of 26 Complete-Arch Implant-Supported Monolithic Zirconia Prostheses with Feldspathic Porcelain Veneering Limited to the Facial Surface

Retrospective Analysis of 26 Complete-Arch Implant-Supported Monolithic Zirconia Prostheses with Feldspathic Porcelain Veneering Limited to the Facial Surface
The purpose of this retrospective study was to evaluate the clinical performances of 26 implant-supported, complete-arch, monolithic zirconia restorations with facial feldspathic porcelain veneers for the rehabilitation of completely edentulous patients. Eighteen patients were treated with a total of 26 complete-arch fixed prostheses. The mean follow-up time was 20.9 months. In total, 154 implants were placed supporting 309 retainers and pontics. The results of this retrospective evaluation showed that monolithic zirconia restorations with facial porcelain veneer provided satisfactory clinical performance and suggest that these rehabilitations are a viable treatment option for completely edentulous patients.

Author(s): Pietro Venezia, MD, DDS; Ferruccio Torsello, DDS, PhD; Raffaele Cavalcanti, DDS, PhD; and Salvatore D’Amato, MD, DDS
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The "Hybrid Abutment": A New Design for Implant Cemented Restorations in the Esthetic Zones

The "Hybrid Abutment": A New Design for Implant Cemented Restorations in the Esthetic Zones
Cemented implant restorations are widely used by many dentists. The traditional abutment design resembles a natural tooth prepared for a crown with a similar taper and a chamfer finish line. A frequent complication associated with implant restorations in the esthetic zones is the recession of buccal gingiva over time. Abutment morphology, among several other prosthetic factors, may play an important role in the stability of gingival margin in esthetically sensitive areas, but this has never been thoroughly analyzed. With many considerations in mind and recent techniques released, this article proposes the "hybrid abutment: design (HAD), a new design that includes a combination of the two types of features - a feather edge on the buccal side, and a chamfer finish line on the lingual side. This article also presents a rationale for the use of different abutment designs for different situations.

Author(s): Roberto Cocchetto, MD, DDS; Luigi Canuello, DDS
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Crowns and Bridges Courses
Clinical Excellence in Operative Dentistry: Not Only A Question of Color & Fancy Trends Premium Member Content

Clinical Excellence in Operative Dentistry: Not Only A Question of Color & Fancy Trends
Nowadays the maintenance of “a nice smiling” represents the main desire of our patients and the request for tooth colored restorations is very high. Predictable and repeatable results can be achieved through materials and clinical practices that, on one hand, preserve the original structure of the compromised tooth and, on the other hand, involve a very low biologic price. New technologies for the enamel-dentinal adhesion and the continuous evolution of more sophisticated esthetic materials as composite and porcelains allow the effective reaching of verifiable and predictable results. This lecture aims to point out the relevant guidelines in both direct and indirect techniques for esthetic restorations through the evaluation of techniques and materials in order to reach correct, standardized and long lasting evidence based clinical results.

Presented By:: Prof. Francesco M. Mangani, MD, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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The Surgical-Restorative Digital Work Flow In Comprehensive Therapy Premium Member Content

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.

Presented By:: Karim Dada, DDS, MS;Leon Pariente, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Bonding and Cementing Zirconia Restorations: Current Clinical and Scientific Information Premium Member Content

Bonding and Cementing Zirconia Restorations: Current Clinical and Scientific Information
Zirconia continues to play a significant role in modern restorative dentistry. From Implants to abutments all the way to frameworks and monolithic crowns. How we manage the process of bonding and cementing these restorations is extremely important to their long term retention and success. This presentation highlights the different approaches available today and specifically defines protocols with clinically relevant research.

Presented By:: Nasser Barghi, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Merging Orthodontics & Esthetic Dentistry for the Anterior Zone. A Complete Clinical & Laboratory Perspective - Part 2 of 2 Premium Member Content

Merging Orthodontics & Esthetic Dentistry for the Anterior Zone. A Complete Clinical & Laboratory Perspective - Part 2 of 2
Anterior zone represents a clinical challenge in dentofacial esthetics. This presentation is unique since we will illustrate multidisciplinary treatment for the anterior zone from A to Z. Through the perspective of a Master Dental Ceramist & Restorative Dentist combined with the input of the Orthodontist we will illustrate with clinical cases the management of anterior esthetic challenges. Skeletal & dental problems are treated through orthodontics & orthognatic surgery prior to periodontal plastic surgery & finally high quality restorative dentistry gives the final touch to our cases. Extensive details of the ceramic laboratory work will be explained & illustrated for preserving as much as possible tooth structure. The complete management of anterior veneers & metal free crowns will be explained in detail. Color & shapes are an integral part of this webinar.

Presented By:: Miguel Hirschhaut, DDS;Anabell E Bologna, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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