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Predictable Implant Aesthetics Utilizing A Custom Fabricated Provisional Abutment & Impression Coping Premium Member Content

Predictable Implant Aesthetics Utilizing A Custom Fabricated Provisional Abutment & Impression Coping
Mastering the art of predictable implant aesthetics can be challenging. One of the most stressful areas for most dentists is the process of creating a beautiful provisional that will guide tissue and predictably communicate the aesthetic outcome for the final restoration in the aesthetic zone. Combining the use of a custom fabricated provisional abutment, provisional restoration and a custom fabricated impression coping many of the aesthetics challenges can be addressed. This information can then be communicated to the laboratory to ensure the most predictable aesthetic outcome possible. This program is designed to simplify and streamline the entire process of implant provisionalization and impression. This program will provide a systematic, step by step approach to tissue management, provisionalization and impression of implant cases.

Presented By:: Jay M. Lerner, DDS;Gerard Lemongello, DMD
Presentation Style: Video
Community Rating:
 
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Modern Crown Lengthening: Classification and Clinical Application Premium Member Content

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

Presented By:: André P. Saadoun, DDS, MS
Presentation Style: Video
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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: Video
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Vertical or Shoulderless Preparations in Contemporary Prosthodontics Premium Member Content

Vertical or Shoulderless Preparations in Contemporary Prosthodontics
Tooth preparations without a defined finish line have been termed in several different ways, such as knife edge, feather edge, or shoulderless. From a biological standpoint, preserving a maximum amount of sound tooth structure, as it is done in vertical preparations, might also offer a more conservative alternative to a horizontal margin design in other clinical conditions such as endodontically treated teeth, vital teeth in young individual, teeth affected by caries at the cervical third. Vertical margins on zirconia crowns have been tested in vitro and clinical reports have been published. A re-evaluation of possible advantages and shortcomings of vertical preparation design in contemporary prosthodontics will be presented in light of recently published literature.

Presented By:: Carlo Poggio, DDS, MSD, PhD
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
The Role of Digital Technologies & Materials for Full-Arch Implant Reconstruction Premium Member Content

The Role of Digital Technologies & Materials for Full-Arch Implant Reconstruction
In prosthetic rehabilitations, we used for many years codified and widely described protocols in literature, with results that met our expectations and well above those of our patients. It is true that the advent of new technologies has enabled the dental team to use new material and new equipment that facilitated the production of an adaptation and an accuracy of the prosthetic rehabilitation that has, up to now, been difficult to obtain. In this presentation, we will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new software's. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtained with these are systematic and significantly better in updated generations prior.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Modern Crown Lengthening: Classification and Clinical Application Premium Member Content

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

Presented By:: André P. Saadoun, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Predictable Implant Aesthetics Utilizing A Custom Fabricated Provisional Abutment & Impression Coping Premium Member Content

Predictable Implant Aesthetics Utilizing A Custom Fabricated Provisional Abutment & Impression Coping
Mastering the art of predictable implant aesthetics can be challenging. One of the most stressful areas for most dentists is the process of creating a beautiful provisional that will guide tissue and predictably communicate the aesthetic outcome for the final restoration in the aesthetic zone. Combining the use of a custom fabricated provisional abutment, provisional restoration and a custom fabricated impression coping many of the aesthetics challenges can be addressed. This information can then be communicated to the laboratory to ensure the most predictable aesthetic outcome possible. This program is designed to simplify and streamline the entire process of implant provisionalization and impression. This program will provide a systematic, step by step approach to tissue management, provisionalization and impression of implant cases.

Presented By:: Jay M. Lerner, DDS;Gerard Lemongello, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
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)
Watch Now>>
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