The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions
This program is a perspective into how cross- disciplinary interface planning has become and integral part of clinical esthetic dentistry, in particular implant diagnostics. Today it is essential to combine “white” tooth esthetics with “pink” gingival aspects. Understanding the individual prosthetic, surgical, and biologic limitations is part of innovative treatment-planning protocols developed in an approach to provide, simplify, and expedite minimally invasive limited therapy. Preemptive CBCT and 3D CAD/CAM planning of soft and hard tissue procedures, implant placement, ridge reduction, and restorative design now utilize new innovative protocols for the entire restoration from top to bottom - implant, abutment, and restoration - and the interfaces in between.
Prevention and Management of Broken Endodontic Instruments
he separation of endodontic instruments is a procedural accident that results in major treatment challenges and medico legal considerations in endodontics. With the advent of rotary nickel-titanium (Ni Ti) instrumentation the issue became extremely prominent. Extensive research has been conducted to understand the mechanics of instrument separation. This has led to changes in the manufacturing methods, instrument design and instrumentation protocols. Most recently, reciprocation is challenging rotary instrumentation in terms of speed and safety from fracture. Although the incidence of file breakage can be drastically decreased, it cannot yet be eliminated. No matter what instruments you are using inside the root canal system, the prevention and management of broken endodontic instruments still remains a hot topic.
“My First Implant” - Staged Approach to Posterior Mandible
In this video case report, “conservative” management of the posterior mandible is managed by a Dentist beginner placing their first dental implants at a course at the DentalXP Center in Atlanta. Extraction Site Grafting was followed 6 months later with a Staged Implant Placement Surgery. Flap Reflection, Drilling sequence, 3D placement of the implant, simple surgical-restorative guide and suturing is highlighted. Dense vs. Soft bone drilling protocols are discussed as well as the ability to place healing abutments simultaneously at the time of placement.
NEW PRGF-Endoret Protocol (Platelet Rich in Growth Factors)
PRGF®-Endoret Technology is based on the activation of the patient's own platelets for the stimulation and acceleration of tissue healing and regeneration. It is a technology that allows the use of the organism's own resources with extraordinary results in many pathologies, effectively regenerating tissues without side effects and notably reducing the recovery period of fractures, muscular and tendinous injuries, and surgical interventions. Dr. Maurice Salama’s assistant, Charlene Bennett, will elaborate in detail describing the step-by step PRGF preparation and how it can be utilized clinically.
A Clinical Update in Bone Regeneration: Autogenous Bone vs. BMP-2
For historical and biological reasons autogenous bone has long been considered the gold standard of bone graft materials. For bone augmentation procedures autogenous grafts provided predictable volume gains, favorable bone quality with short healing periods. However, the need to harvest the graft and associated morbidity are inherent disadvantages. The choice of a technique for bone augmentation is dependent on a number of factors including the use of bone substitutes. More recently recombinant human bone morphogenetic protein (rhBMP-2) has been shown to be effective in repairing buccal wall defects from extractions and in sinus bone grafting. The use of rhBMP-2 is currently under clinical investigation as a replacement for autograft in ridge augmentation process.
Crowns and Bridges