Osseodensification: A Paradigm Shift in Implant Dentistry
This course aims to present Osseodensification techniques designed to maximize implant primary stability, implant insertion torque, and early loading of dental implants. Atraumatic Osseodensification techniques may also be used for alveolar ridge expansion, hydraulic maxillary sinus floor elevation with autografting.
The Digital Workflow in a Modern Clinical Practice
In prosthetic rehabilitations, we use for many years codified and widely described protocols in literature, with results that meet our expectations and well above those of our patients. It is true that the advent of new technologies has enabled us to use new material and new equipment that facilitate the production of an adaptation and an accuracy that has, up to now, been difficult to obtain. Today, intraoral mapping technology is one of the most exciting new areas in dentistry since three dimensional scanning of the mouth is required in a large number of procedures such as prosthodontics, implant dentistry and orthodontics.
7 Ways to Improve Patient Care with 3D Implant Dentistry and Guided Surgery
Whether you are learning something new, or comparing notes, I look forward to sharing with you in this new age of digital dentistry. Join me for a discussion on the world of digital patient care. I will give you the tools to navigate and speak confidently with patients and other providers about 3D implant dentistry and guided surgery.
Immediate Dentoalveolar Restoration - Labial Contour Grafting at the Time of Immediate Placement
Until recently, tooth replacement at compromised sites in the aesthetic zone, required long-term treatment with possible undesirable complications in the tissue architecture. The Immediate Dentoalveolar Restoration (IDR) is a technique established to broaden indications for immediate loading on individual teeth. In this way, tissue losses with varied extensions are reconstructed in the same surgical session of implant placement and provisional crown installation, reducing the number of interventions and keeping predictability on aesthetic aspects. The IDR, which advocates minimally invasive procedures, will be presented as a viable and reproducible alternative.
Long Term Follow-Up of Dental Implants Placed in Autologous Onlay Bone Graft
The aim of this study was to evaluate the efficacy of autologous intraoral onlay bone grafting (OBG) in correlation
with long-term survival rates of dental implants placed in the augmented bone. A retrospective study was conducted on 214 patients who received a total of 633 dental implants
placed in 224 autologous intraoral block OBG augmentations, combined with Bio-Oss – mixed with platelet-rich plasma
(PRP) and covered by platelet-poor plasma (PPP) – as scaffold, with a follow-up time up to 137 months. We suggest that augmentation of severely atrophied jaw bone through the placement of horizontal and/or vertical intraoral OBGs in combination with Bio-Oss saturated with PRP and covered by PPP should be considered a reliable, safe, and very effective surgical technique for obtaining high bone graft survival rate and high long-term implant
The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication,
especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts
supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete
failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication.
Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well
restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be
successful, as is presented hereafter.
Periosteal Pocket Flap for Horizontal Bone Regeneration: A Case Series
This article describes a buccal periosteal
pocket flap proposed to overcome these challenges. The flap design results
in a periosteal pocket, which allows filling of bone-grafting material while
facilitating primary, tension-free soft tissue closure by splitting of the mucosa.
The flap gives stability to the augmented volume within the pocket. Ridge
width changes of five patients consecutively treated with this technique were
recorded before and 24 weeks after augmentation.
Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series
After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth.
Digital Dentures: Revolutionizing Treatment for the Edentulous Patient
While the number of edentulous patients is increasing every year, the access to care is decreasing. In order to streamline the complete denture process, more companies are incorporating CAD/CAM. This lecture will review how digital technology is changing complete dentures, and how it can be incorporated into clinical practice.
The Proof is in the Laboratory; A Maxillary Full Arch Implant Supported Zirconia Prettau Comparison
The FP-3 “Implant Supported Hybrid" has proven to be an exceptional and highly specialized treatment option for patients with non restorable teeth or existing edentulism. The use of zirconia provides the ultimate outcome bringing with it a new standard of esthetics, function and, when done well, a long lasting prosthesis. This presentation will stress the importance of treatment planning, CAD CAM technology, and the all important need for the laboratory technician’s human touch. Surgical aspects, provisonalization during healing, and management of soft tissue are important components. The protocol for final fabrication of the FP-3 all zirconia prosthesis is detailed along with a description of this exciting new technology.
Crowns and Bridges