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Implant Videos
From Oral to Facial:Impact of Oral Surgery on Facial Esthetics - Part 2 of 2 Premium Member Content

From Oral to Facial:Impact of Oral Surgery on Facial Esthetics - Part 2 of 2
The treatment concept in patients with edentulous maxilla will be discussed: Phase A: Augmentation procedures and implant placement (part I). Phase B: Le Fort I maxillary osteotomy for the correction of acquired class III (part II of the lecture). Clinical cases of moderate to severe edentulous maxillary atrophy are described: A combination of sub-nasal procedure, sinus elevation procedure and intra-oral autogenous bone blocks were used for ridge augmentation simultaneously with dental implant placement combined with scaffold mixed with platelets-rich-plasma (PRP) or bone-marrow aspirate (BMA) and covered with platelets-poor-plasma (PPP) as a biological membrane.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
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Implants in the Esthetic Zone: How to Get Predictable Results Premium Member Content

Implants in the Esthetic Zone: How to Get Predictable Results
Placings implants in the anterior maxilla can be a challenging treatment, since these are esthetically demanding cases. To achieve esthetic results which are similar to the natural tooth, first an understanding of the resorption process must be understood. Secondly with the help of three-dimensional planning on CBCT images, a protocol can be made at which timepoint an implant should be placed: immediate, early or delayed. Also, when is it a good option to preserve the socket rather than to wait for spontaneous healing. The final esthetics are not only the white esthetics, but the pink esthetics should be restored as well by means of a transitional temporary crown to create a cervical and emergence profile.

Presented By:: Irfan Abas, DDS, MSc
Presentation Style: Video
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4 Steps to a Predictable Full Arch Rehabilitation Premium Member Content

4 Steps to a Predictable Full Arch Rehabilitation
We live in an era where technology surround us. In Dentistry, there has been a progressive development in digital technology and workflows. In this lecture, we will discuss the data acquisition, diagnosis and treatment plan for a full arch rehabilitation. Which obstacles may we find and how to overcome them?

Presented By:: Dárcio Fonseca, DDS;Gustavo Peres Alves, DDS
Presentation Style: Video
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CadCam Customized 3D-Printed Subperiosteal Implant Premium Member Content

CadCam Customized 3D-Printed Subperiosteal Implant
The “classical” subperiosteal implant does not enjoy a good reputation; the causes of failure were myriad, as evidenced in the literature. When considering the future of implants, it appears justified to reconsider the old concepts in light of the availability of contemporary technologies, such as computer-aided design, softwares and programs design, virtual stress– strain testing, and 3D printing of titanium alloy. With the employment of these modern technologies, the concept of a “high-tech” subperiosteal implant has gradually emerged. This new era of a “high-tech” customized 3D printed subperiosteal implant leads us to consider this technique a valuable treatment option for atrophic jaws, avoiding more invasive procedures and giving the possibility of immediate loading, improving the patient’s quality of life.

Presented By:: Vladimir Garcia Lozada, DDS, MS, PhD
Presentation Style: Video
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Implant Articles
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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Clinical Investigation of an Immediate Load Protocol Using Axial & Tilted Implants to Treat Patients with Failing Dentition or Complete Edentulism

Clinical Investigation of an Immediate Load Protocol Using Axial & Tilted Implants to Treat Patients with Failing Dentition or Complete Edentulism
The clinical investigation evaluated a specific surgical/prosthetic protocol for full-arch fixed dental restorations supported by immediate loaded axial & axial tilted implants, as well as the verall prosthetic survival rate. Mid-study results confirmed that immediate loading of axial & tilted implants following the studied protocol provides a viable treatment modality for the rehabilitation of edentulous arches & terminal dentition.

Author(s): Andrea Mastrorosa Agnini, DDS;Alessandro Agnini, DMD;Richard Martin, DDS;Roberto Apponi, DDS
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Implant Courses
Implants in the Esthetic Zone: How to Get Predictable Results Premium Member Content

Implants in the Esthetic Zone: How to Get Predictable Results
Placings implants in the anterior maxilla can be a challenging treatment, since these are esthetically demanding cases. To achieve esthetic results which are similar to the natural tooth, first an understanding of the resorption process must be understood. Secondly with the help of three-dimensional planning on CBCT images, a protocol can be made at which timepoint an implant should be placed: immediate, early or delayed. Also, when is it a good option to preserve the socket rather than to wait for spontaneous healing. The final esthetics are not only the white esthetics, but the pink esthetics should be restored as well by means of a transitional temporary crown to create a cervical and emergence profile.

Presented By:: Irfan Abas, DDS, MSc
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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4 Steps to a Predictable Full Arch Rehabilitation Premium Member Content

4 Steps to a Predictable Full Arch Rehabilitation
We live in an era where technology surround us. In Dentistry, there has been a progressive development in digital technology and workflows. In this lecture, we will discuss the data acquisition, diagnosis and treatment plan for a full arch rehabilitation. Which obstacles may we find and how to overcome them? Also, in this clinical case presented, we will highlight the potential of Digital Smile Design & virtual implant planning and their critical role to achieve a predictable outcome Implementing new workflows on a daily practice requires a well organized step-by-step process, and our goal is to show you our 4 step digital protocol to achieve the same results we planned.

Presented By:: Dárcio Fonseca, DDS;Gustavo Peres Alves, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Esthetic Principles & Top Secrets for Longterm Success in Immediate Implants Premium Member Content

Esthetic Principles & Top Secrets for Longterm Success in Immediate Implants
Esthetic in implant dentistry is the main goal and in order to achieve successful outcome of the treatment its important to have a comprehensive knowledge and be able to execute them perfectly. In this presentation 10 key elements for predictable and longterm stable results in immediate implantation including importance of buccal plate, gap management, soft tissue thickness, three dimensional implant positioning and importance of provisional restorations will be discussed and the literature behind each factor will be reviewed

Presented By:: Omid Moghaddas, DMD, MSD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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CadCam Customized 3D-Printed Subperiosteal Implant Premium Member Content

CadCam Customized 3D-Printed Subperiosteal Implant
When considering the future of implants, it appears justified to reconsider the old concepts in light of the availability of contemporary technologies, such as computer-aided design, softwares and programs design, virtual stress– strain testing, and 3D printing of titanium alloy. With the employment of these modern technologies, the concept of a “high-tech” subperiosteal implant has gradually emerged. Biological design of subperiosteal implant is mandatory for the success of the treatment, guidelines on architectural changes, topological optimization, and biofunctionalization will be explained. This new era of a “high-tech” customized 3D printed subperiosteal implant leads us to consider this technique s a valuable treatment option for atrophic jaws, avoiding more invasive procedures and giving the possibility of immediate loading, improving the patient’s quality of life.

Presented By:: Vladimir Garcia Lozada, DDS, MS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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