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3D Integration: Sophisticated Digital Dentistry Simplified. Premium Member Content

3D Integration: Sophisticated Digital Dentistry Simplified.
Advanced insight into a pure Digital Workflow using an integrated approach with CAD/CAM, CBCT, and 3D printing. Learn how to integrate digital technologies for comprehensive 3D implantology including the diagnostic scan, implant planning, surgical guide design and fabrication, and the digital restoration.

Presented By:: Neal Patel, DDS
Presentation Style: Video
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Implant Dentistry: The Team Approach Premium Member Content

Implant Dentistry: The Team Approach
In this lecture Dr Stanley will present his "No Half Smiles” Philosophy and how an effective treatment plan and its correct team approach can help save time and stress. For over a decade Dr Stanley and is interdisciplinary team have been working together as a tight unit on complex cases. From the old school approach to the latest DSD surgical planning, with combined Endodontics, Orthodontics and cosmetic implant dentistry, the cases presented will show how his team approaches each individual case for optimal outcome. In this lecture a lot of “behind the scenes” explanations will be given on the why, how and what his team do to get consistent excellent results and manage a stress free environment in his practice.

Presented By:: Miguel Stanley, DDS
Presentation Style: Video
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Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry Premium Member Content

Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry
Knowledge of bone biology and physiology are crucial for successful dento-alveolar reconstruction. The presentation will review the natural healing process of the bone and the sequence of events needed for proper regeneration. This process will then be discussed and compare with the present materials and technologies available in the market including alloplastics and allogenic materials. The role of the Stem Cells and rh-BMP2 will be exposed as part of these new trends in alveolar reconstruction for modern implant dentistry. Multiple cases will be presented demonstrating the versatility and outcomes in different clinical situations based on biological, bio-mechanics, and implant aesthetic needs.

Presented By:: Alejandro Vivas-Rojo, DDS, MS;Jesus A. Gomez, DDS
Presentation Style: Video
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The Esthetic Reconstructive TRIAD: "GBR, GTR and Tissue Molding" Premium Member Content

The Esthetic Reconstructive TRIAD: "GBR, GTR and Tissue Molding"
Implant dentistry in the esthetic zone is highly challenging. In recent years there are several studies, well defined approaches available on how to achieve pleasing outcomes. We must understand the biology of extraction sites and different treatment options for preserving or even reconstructing bony structures for predictable implant placement. This clinical and evidence based presentation will emphasize the importance of proper 3-dimensional implant placement, show different bone preservation techniques i.e P.E.T. (Partial Extraction Therapy) and how soft tissue grafting can effect the final end result. However we must admit that not only surgery but prosthetic skills have a major influence on our work. Implant placement must be determined with the prosthetic plan in mind! On the other hand abutment design, platform shifting concept as tissue molding “tools” and screw retained solutions will be high-lighted with lots of case presentations.

Presented By:: Attila Bodrogi, DDS
Presentation Style: Video
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Implant 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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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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The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry

The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry
Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone-periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD, Dipl Implantol, Dipl Oral Surg, MSc Dent
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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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Implant Courses
Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry Premium Member Content

Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry
Knowledge of bone biology and physiology are crucial for successful dento-alveolar reconstruction. The presentation will review the natural healing process of the bone and the sequence of events needed for proper regeneration. This process will then be discussed and compare with the present materials and technologies available in the market including alloplastics and allogenic materials. The role of the Stem Cells and rh-BMP2 will be exposed as part of these new trends in alveolar reconstruction for modern implant dentistry. Multiple cases will be presented demonstrating the versatility and outcomes in different clinical situations based on biological, bio-mechanics, and implant aesthetic needs.

Presented By:: Alejandro Vivas-Rojo, DDS, MS;Jesus A. Gomez, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction Premium Member Content

Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
The need for an adequate alveolar ridge width has been a long-standing principle in pre-prosthetic surgery. Since the introduction of root-form endosseous dental implants, the necessity of proper alveolar ridge width has become essential. In this presentation, the author concentrated on the ridge-split procedure (RSP) as a form of a ridge modification (widening or augmentation), the technique that offers many possibilities and has many advantages in oral pre-prosthetic implant reconstruction. There are many modifications of the RSP. This presentation is a description of classical ridge-split procedure in maxilla and mandible that has been successfully employed for many years in author’s surgical practice.

Presented By:: Len Tolstunov, DDS, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Digital Smile Design and 3D Printing of Treatment Provisionals in Modern Dental Practice Premium Member Content

Digital Smile Design and 3D Printing of Treatment Provisionals in Modern Dental Practice
The DSD Concept 2D is the portal to Digital Dentistry and Digital Workflow. Utilizing Facial Aesthetics as a starting point and ending with a functional, aesthetic and emotionally fulfilling Smile designed with Natural Algorithms via Keynote and translated via a DSD Planning Center into a 3D printed Wax-Up, or Full Arch Implant Guides and Conversion Smile. DSD protocol is special in that it fosters True “Team Synergy” between the Restorative Dentist to Laboratory and Specialist. This results in more predictable treatment outcomes from simple Smile Cases to Full Mouth Rehabilitations involving natural teeth to dental implants. Finally, by learning DSD’s unique connection to the Emotional component of Dentistry, you will gain skills on how to Consult, Present, and Gain High Levels of Case Acceptance.

Presented By:: John Heimke, DMD, MPH, FAGD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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