Ridge Split Procedure with Simultaneous Implant Placement
A ridge split procedure has been suggested in literature for increasing the bucco-lingual width of the alveolar ridge prior to implant placement. The procedure can be performed in one or two surgical appointments. It is usually combined with additional augmentation utilizing a bone substitute material and a collagen membrane. In this video Dr Kher demonstrates a ridge split procedure that has been facilitated using a piezo surgical device. Following that he places 2 implants for the proposed restoration of a missing maxillary canine and first bicuspid after preparing the ossteotomy site using expansion screws. Thereafter he uses a CPS putty to graft the gap between the implants to fill all voids and achieves a satisfactory tension free closure.
Implant Esthetics: Current Science and Forward Thinking to Reduce Complications
Success in implant dentistry should ideally evaluate the long‐term
primary outcome of an implant‐prosthetic complex as a whole. During
this lecture, clinical considerations for dental implants will be analyzed in the context of their application to esthetic implant rehabilitations.
3D Immediate Transformation of The Fully Edentulous Patient
Immediate loading of threaded dental implants with fixed restorations has been a documented treatment modality for more than 20 years. In that time, materials, surgical protocols, treatment methods and restorative options have evolved so that these procedures can be now be considered routine and predictable. The original protocols required an abundant number of implants in large volumes of dense bone, laborious provisional restorations and expensive precious metal based final prosthesis. Current methods permit treatment of patients with limited bone, streamlined provisionalization methods, and new materials and technology to provide predictable and efficient solutions.
This presentation will provide an overview of some of the key principles required for successful immediate loading of fully edentulous patients. It will also demonstrate some of the newer concepts and materials and options for efficient and routine treatment.
Insights, Trends & Controversies in Implant Dentistry - Part 3 of 4
In this third of a 4 part series, Dr. Dennis Tarnow shares insights into new trends, developments and controversies in implant dentsitry. In this section, Dr. Tarnow discusses important topics related to implantitis, the gap, one-abutment/one-time, implant surfaces and design to name just a few.
The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla
Following tooth extraction the implant surgeon may select between various implant placement timing and loading protocols. Ideally these are to be determined prior to extraction, be it immediate, early, or late placement. Immediate implant placement even in the aesthetic zone is a literature supported treatment modality with success comparable to alternative placement protocols. Meticulous restorative treatment planning of a tooth destined
for extraction is essential. Selecting the appropriate implant and techniques may preserve and ensure natural aesthetics. Utilizing the patient’s own tooth crown can better provisionalize the implant with a ‘walk out as you walk in’
Immediate Placement of Dental Implants in the Esthetic Zone: A Systematic Review and Pooled Analysis
Research interest on immediate placement
of dental implants has shifted from implant survival toward
optimal preservation of soft and hard tissues. The aim of
this study is to systematically assess the condition of implant survival, peri-implant hard and soft tissue changes, esthetic outcome, and patient satisfaction of immediately placed single- tooth implants in the esthetic zone. A pooled analysis was performed to identify factors associated with survival and peri-implant tissue changes after immediate implant placement. Immediate placement with immediate provisionalization of dental implants in the esthetic zone results in excellent short-term treatment outcome in terms of implant survival and minimal change of peri-implant soft and
hard tissue dimensions.
Diameter Selection of Implants Placed in Extraction Sockets: A New Approach
Implant placement in extraction sockets is considered a daunting challenge
due to offering risks of bone remodeling and consequent gingival alterations. Objective: This
study aims at proposing a protocol for selecting the diameter of upper anterior osseointegrated
implants placed in extraction sockets. This protocol was based on the bucco-palatal dimension of
the socket and allows a 3-mm gap to form between the implant and the outer surface of the buccal
bone wall. Such gap must be filled with biomaterial or autograft so as to increase the predictability
of long-term results.
Sinus Floor Elevation Via the Maxillary Premolar Extraction Socket With Immediate Implant Placement: A Case Series
When immediate implant placement is considered
for teeth with close proximity to the sinus floor, apical
extension of the osteotomy is significantly limited, and often
a staged approach is used. Implant placement into fresh extraction sockets and sinus floor manipulation using bone-added osteotome sinus floor elevation with implant placement
are techniques most often used independently or sequentially.
In this care report, immediate implant placement with simultaneous osteotome sinus floor elevation is an advantageous
combination of two successfully used techniques. This combined
approach can significantly reduce the treatment time
for implant therapy in teeth with close sinus proximity and provide the operator with the ability to place implants of desired length.
Complete Dentures - A Dying Art? - Part 1 of 2
This webinar is by the World’s leading authority on full denture prosthodontics as he shares his philosophy and step-by-step techniques for both complex and routine patient problems.
CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
This presentation will discuss and demonstrate the utilization of CBCT imaging from the perspective and scope of a periodontist and an oral and maxillofacial surgeon. Treatment planning, critical thinking skills and surgical execution of cases demonstrating complex dentoalveolar bone reconstruction and craniofacial deformities will be presented demonstrating how this paradigm shift has expanded capabilities and predictability to treat demanding cases.
Insights, Trends & Controversies in Implant Dentistry - Part 3 of 4
In this third of a 4 part series, Dr. Dennis Tarnow shares insights into new trends, developments and controversies in implant dentistry. In this section, Dr. Tarnow discusses important topics related to implantitis, the gap, one-abutment/one-time, implant surfaces and design to name just a few.
Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting
The loss of alveolar ridge contour in the esthetic zone compromises both esthetics and function. This clinical presentation will focus on the application of both hard and soft tissue grafting in the esthetic zone implementing state of the art interactive CT diagnosis and treatment planning for optimal esthetic implant reconstruction.
Emphasis will be on indications, graft and harvest site assessment, timing, and use of bioactive modifiers including BMP, PRGF and PDGF. The surgical protocol utilizing allogeneic and autogenous grafts in conjunction with connective tissue grafts, acellular dermis matrix, and related soft tissue procedures to avoid functional and esthetic pitfalls will be featured. Pre and post-grafting prosthetic workup, interactive CT graft assessment and perio prosthetic driven implant planning, stent driven implant placement, and computer milled abutment fabrication including guided surgery will be included.
Crowns and Bridges