Interdisciplinary Dynamics of Complex Therapy: An Integrated Approach to Treatment Planning
This presentation challenges and guides clinicians to ask, and answer, fundamental questions that are required for designing successful treatment plans when facing complex cases. 1) What do I know (DIAGNOSIS), 2) Where do I apply it (EFFICACY), and 3) When do I apply it (SEQUENCE OF THERAPY). A special emphasis in this presentation will be placed on communication between team members, including clinicians, staff and laboratory. Methods of communications, such as digital design and mock-ups are also highlighted as part of an integrated approach to Treatment planning.
Management of Periodontal Complications: Science vs. Hype
The dental implant therapy has evolved both in implant surface and design. The reason for the initial crestal bone loss has been proven and the risks of having a peri-implantitis have increased due to the early exposure of roughened surface. The prevalence of peri-implantitis is at a range of 28 to 56%. The role of dental professionals nowadays is to know how to interpret the signs of inflammation and establish the diagnosis of peri-implantitis, which is the most challenging, and be able to treat it properly since this is becoming a more needed therapy.
Implant Overdentures: What You Need to Know
Implant Dentistry has evolved from the original concept of primarily treating the edentulous mandible with a retrievable fixed prosthesis. Today most dental implant cases involve partially edentulous situations treated with fixed prosthetic solutions. However the fully edentulous mandible and maxilla still comprise an important subset of our patients, and techniques for utilizing fixed and removable full arch prostheses have evolved to restore both arches. The relative pros and cons when comparing the fixed vs removable prosthetic treatment can be very significant. This presentation will rationalize the treatment options available and demonstrate the advantages of the unsplinted full maxillary arch overdenture design.
A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.
Loss of Accuracy to Torque Wrenches Due to Clinical Use and Cleaning Procedures: Short Communication
The aim of this study was to investigate the way intensive use and multiple cleanings of torque wrenches may interfere with accuracy over time. Three different brands were tested at baseline and after enduring mechanical testing and cleaning in a thermal disinfector. Torque wrenches were tested at a predetermined value of 30Ncm at given intervals, and true values were registered by means of a digital torque gauge. The spring-style torque wrench produced values that changed significantly after maltiple mechanical and multiple cleaning cycles. However, the differences were small and the measured values from all tested specimens were close to the predetermined value of 30Ncm.
New Surgical Protocol to Create Interimplant Papilla: The Preliminary Results of a Case Series
The aim of this study was to introduce a new surgical technique to regenerate the papilla adjacent to multiple or single implants using a novel instrument and a new incision design. A total of 10 consecutively treated patients with maxillary anterior implant-supported provisional restorations and missing interproximal papillae received a subepithelial connective tissue graft. The receipient site was prepared with a buccal incision apical to the mucoginigival unction and to the defective papilla, and a palatal incision, followed by buccolingual tunneling performed with a translingual curette. An average improvement in papilla index score from 0.8 to 2.4 was found after an average follow-up period of 16.3 months. This case series demonstrated that interimplant papilla regeneration can be successful over a period of 11-30 months postloading. Long-term prospective studies on tissue stability and esthetic outcomes are needed to corroborate the finding in this study.
Vertical Ridge Augmentation and Soft Tissue Reconstruction of the Anterior Atrophic Maxillae: A Case Series
Severe vertical ridge deficiency in the anterior maxilla represents one of the most challenging clinical scenarios in the bone regeneration arena. As such, a combination of vertical bone augmentation using various biomaterials and soft tissue manipulation is needed to obtain successful outcomes. The present case series described a novel approach to overcome vertical deficiencies in the anterior atrophied maxillae by using a mixture of autologous and anorganic bovine bone. Soft tissue manipulation including, but not limited to, free soft tissue graft was used to overcome the drawbacks of vertical bone augmentation (eg, loss of vestibular depth and keratinized mucosa). By combining soft and hard tissue grafts, optimum esthetic and long-term implant prosthesis stability can be achieved and sustained.
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.
Implant Overdentures: What You Need to Know
Implant Dentistry has evolved from the original concept of primarily treating the edentulous mandible with a retrievable fixed prosthesis. Today most dental implant cases involve partially edentulous situations treated with fixed prosthetic solutions. However the fully edentulous mandible and maxilla still comprise an important subset of our patients, and techniques for utilizing fixed and removable full arch prostheses have evolved to restore both arches. The relative pros and cons when comparing the fixed vs removable prosthetic treatment can be very significant. In particular when treating the fully edentulous maxilla, the challenges with a full arch fixed prosthesis can be formidable. This presentation will rationalize the treatment options available and demonstrate the advantages of the unsplinted full maxillary arch overdenture design.
The Dual Zone Approach to Tooth Replacement in the Esthetic Zone
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this presentation will enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. Long term follow up and evidence from scientific literature to support this concept will be described.
Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration. Tissue support, emergence profile and The provisional restoration phase of implant therapy has become one of the most critical steps in immediate or delayed placement for several reasons including the following...
Crowns and Bridges