A Defined Algorithm for Regenerative Success Part 2
These presentations will focus open the above concepts but prioritize the diagnostic phase and surgical common denominators required for a successful regenerative outcome. Flap design, space maintenance, bone and membrane selections and tension free closure provides the template for all the new age materials and technologies to be successful in clinical practice.
An Evidenced-Based Approach to Extraction Site Management
Once a decision is made to extract a tooth, clinicians have a decision to make; delayed management – i.e. extract and wait, immediate implant placement or a staged approach – i.e. graft and wait. This presentation discusses the evidenced based decision making process for this endeavor. Emphasis is placed on classification of extraction sites and risk assessment as a guide to customizing the treatment protocol for the clinician as well as the patient.
Total Rehabilitation of the Edentulous Patient with the All-on-4® treatment concept
A fixed implant supported prosthesis is the ideal treatment option for the edentulous patient and those facing the imminent loss of their remaining dentition. Through innovation, along with continuous clinical and scientific research, it has become possible to treat virtually every edentulous case with a highly functional and esthetic fixed solution. The oral rehabilitation of these patients has two stages: surgical and prosthetic.
Advances in Hard and Soft Tissue Management Using 3D Printing Technology
It is becoming rare today to come across simple cases in Periodontics; our specialty has come to face complex cases where hard and soft tissue deficiencies are quite common. These suggested protocols and schematic approaches were developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow. The utilization of 3-D printed CBCT studies of the treatment planned surgical sites was shown to be integral in patient care and clinical outcomes. Every step is dictated by biology; all incision designs, flap management techniques, and biomaterials used have been selected to maximize the blood supply in the area and minimize trauma to the vascular network that nourishes our surgical site.
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
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.
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.
The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study
The “socket-shield technique” has shown its potential in preserving buccal tissues. However, front teeth often
have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield
technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines.
The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the
remaining buccal root segment in two pieces before immediate implant placement.
Interdisciplinary Team Dentistry for Total Dentofacial Esthetics
Orthodontics sets up the foundation for future prosthetics in cases with periodontal, surgical and restorative dentistry requirements. Adult orthodontics simplifies complex clinical situations. Making it easier for restorative dentist to achieve better esthetic & functional results. Orthognatic surgery combined with orthodontics corrects skeletal discrepancies in order to have the patient ready for prosthodontic replacement of multiple missing teeth. Cases combined with implants to restore form & function will further illustrate the importance of multidisciplinary dentistry. Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results.
Multitasking Digital Dentistry - Part 1 of 2
The "Digital Smile Design" is a technique codified and published in 2011 by Christian Coachman and Marcelo Calamita. This approach has radically changed the way we analyze the aesthetics of our patients and at the same time gave the clinician a great tool of communication with the laboratory and with the patient. In recent years, software's and applications have been introduced on the market in order to simplify the workflow and make more predictable the outcome. The purpose of the lecture is to resume the current concepts about digital aesthetic preview, and to show new trends.
Crowns and Bridges