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Implant Videos
Tooth Replacement in the Anterior Zone - High Esthetic Risk Profile Case Premium Member Content

Tooth Replacement in the Anterior Zone - High Esthetic Risk Profile Case
There are many approaches to replace a tooth by an implant in the esthetic zone; but the difficulty remains a predictable technique for an esthetic outcome longterm. Since the introduction of the Sockeshield Technique (SST) in 2010, Dr. Haakon Kuit is using this technique especially in high-esthetic risk profile cases. He documented cases up to 9 years after placing the implant. In this case presentation, no visible changes in hard and soft tissue architecture occur if this SS technique is used.

Presented By:: Haakon Kuit, DDS
Presentation Style: Video
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Digital Dynamic & Static Solutions in Partial Extraction Therapy Premium Member Content

Digital Dynamic & Static Solutions in Partial Extraction Therapy
Partial Extraction Therapy has changed the methods of implant planning and execution. Preserving both hard and soft tissue has propelled these concepts to innovative. Until recently the use of dynamic and static guidance has been delayed. The objective of this presentation is to understand the need for digital guidance and explores avenues to accomplish a digitally based workflow and execution fr the subsequent procedures.

Presented By:: Isaac D Tawil, DDS
Presentation Style: Video
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Case Selection & Contraindications for Partial Extraction Therapy Premium Member Content

Case Selection & Contraindications for Partial Extraction Therapy
Partial extraction therapy is a contemporary technique in which a portion of the patients own tooth is retained in the socket to prevent labial bone resorption. For the success of these procedures case selection is of utmost importance. In this presentation we delve into the indications and more importantly the contraindications of partial extraction therapy. It will enable the clinician to choose cases wisely, thereby enhancing the chances of success

Presented By:: Ali Tunkiwala, MDS
Presentation Style: Video
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Partial Extraction Therapies: Science & Research Behind The Concept Premium Member Content

Partial Extraction Therapies: Science & Research Behind The Concept
The partial extraction therapies (PET) date all the way back to the 1970’s when the submerging of tooth roots aimed to preserve the alveolar ridge beneath full dentures. Today, the full scope of PET includes several, evidence-based techniques, that use the patient’s own tissues to prevent post-extraction ridge resorption. This lecture outlines a timeline of the research milestones that have occurred, past to present, that have established PET in our treatment milieu as we know it today.

Presented By:: Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP
Presentation Style: Video
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Implant Articles
A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol

A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol
Ten years have passed since Hürzeler and coworkers first introduced the socket-shield technique. Much has developed and evolved with regard to partial extraction therapy, a collective concept of utilizing the patient’s own tooth root to preserve the periodontium and peri-implant tissue. The specifications, steps, instrumentation, and procedures discussed in this article are the result of extensive experience in refining the socket-shield technique as we know it today. A repeatable, predictable protocol is requisite to providing tooth replacement in esthetic dentistry. Moreover, a standardized protocol provides a better framework for clinicians to report data relating to the technique with procedural consistency. This article aims to illustrate a reproducible, step-by-step protocol for the socket- shield technique at immediate implant placement and provisionalization for single-rooted teeth.

Author(s): Howard Gluckman, BDS, MChD, PhD;Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP;Maurice Salama, DMD;Katalin Nagy, DDS, DSc, PhD;Michel Dard, DDS, MS, PhD
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Modified IVAN Technique: Long-Term Follow-Up of 20 Cases Over 2 to 11 Years

Modified IVAN Technique: Long-Term Follow-Up of 20 Cases Over 2 to 11 Years
When natural teeth fail, frequently there is a loss of hard and soft tissue. This may complicate subsequent dental implant placement by creating insufficient bone to house the implant. This also occurs when the tooth has been missing for an extended period, especially in the premaxilla, where the bone is less dense and often lacks sufficient volume of facial bone. Site reconstruction to accommodate implant placement often requires both hard and soft tissue augmentation. The modified interpositional vascularized augmentation neogenesis (mIVAN) technique achieves the desired treatment goals in both delayed and immediate placement scenarios. The technique will be discussed as well as the long-term follow-up on 20 cases.

Author(s): Snježana Pohl, MD, DMD;Gregori M. Kurtzman, DDS
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The Modified IVAN Technique: Hard and Soft Tissue Augmentation at Extraction for Delayed Implant Placement

The Modified IVAN Technique: Hard and Soft Tissue Augmentation at Extraction for Delayed Implant Placement
Failure of a natural tooth may not permit placement of an implant at the time of extraction due to insufficiency in available bone to house the implant. Reconstruction of the extraction socket frequently involves both hard and soft tissue augmentation to provide a site that can house the implant and ridge contours that mimic the adjacent natural anatomy. This situation becomes more problematic in the maxillary anterior due to the anatomy and the lower density of the bone of the premaxilla. The solution is the interpositional vascularized augmentation neogenesis (IVAN), which consists of hard tissue grafts, various barrier membranes, and closure with the pediculated connective tissue graft (PCTG). The modified IVAN (mIVAN) technique achieves the necessary goals and may be used in both delayed and immediate placement situations.

Author(s): Snježana Pohl, MD, DMD;Gregori M. Kurtzman, DDS
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Maintenance of Alveolar Ridge Dimensions Utilizing an Extracted Tooth Dentin Particulate Autograft and Platelet-Rich Fibrin: A Retrospective Radiographic Cone-Beam Computed Tomography Study

Maintenance of Alveolar Ridge Dimensions Utilizing an Extracted Tooth Dentin Particulate Autograft and Platelet-Rich Fibrin: A Retrospective Radiographic Cone-Beam Computed Tomography Study
This study utilized radiographic comparative analysis in order to evaluate dimensional ridge changes four months after tooth extraction and immediate grafting with mineralized dentin particulate autograft and chopped platelet-rich fibrin. Fifty-eight extraction sockets with up to 2mm of missing buccal bone in the coronal aspect compared to the lingual bone were included. Graft material was covered with either a platelet-rich fibrin membrane or collagen sponge with no effort to achieve primary closure.

Author(s): Snježana Pohl, MD, DMD;Itzhak Binderman; Jelena Tomac
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Implant Courses
Esthetic Management for Compromised Extraction Sites - Part 1 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 1 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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A GRAFT-LESS Approach to Implant Dentistry Premium Member Content

A GRAFT-LESS Approach to Implant Dentistry
Vertical bone augmentation techniques are more invasive and success rates often vary according to the surgical expertise of the clinician. There has been a trend over time towards minimally invasive treatment options in implant dentistry. This approach attempts to avoid more complicated procedures involving bone augmentation for implant placement. This presentation discusses a “graft less” treatment philosophy that emphasizes the use of less demanding augmentation techniques for the purpose of placing short implants in atrophic posterior sites.

Presented By:: Craig M Misch, DDS, MDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Digital Dynamic & Static Solutions Premium Member Content

Digital Dynamic & Static Solutions
Partial Extraction Therapy and crestal sinus augmentation have changed the methods of implant planning and execution. Preserving both hard and soft tissue has propelled these concepts to innovative. Until recently the use of dynamic and static guidance has been delayed. The objective of this presentation is to understand the need for digital guidance and explores avenues to accomplish a digitally based workflow and execution fr the subsequent procedures.

Presented By:: Isaac D Tawil, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Sequential Extraction Protocol Premium Member Content

Sequential Extraction Protocol
This presentation will give you just a piece of our thought process and protocol utilizing the digital workflow and natural teeth to sequence staged treatment planning for full arch therapy. We hope you find this valuable and inspirational to look at your patients differently the next time you sit down for full mouth treatment planning. Come learn with us and XP Nation which has all of the wonderful technology available for us including: Digital Smile Design, Advanced Tissue Engineering, and new Full Arch Impressions Techniques with PIC.

Presented By:: E. Todd Scheyer, DDS, MS;Giancarlo Romero, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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