Team Expectations When Restoring the Full Arch: Technology and Clinical Challenges
Full Arch restorations has always presented it self with clinical and technical
challenges, from working in the clinic with the patient to the laboratory bench and to the
need for improved communication between the involved team members . With the
speed that the technology has improved so has the way we diagnose, treatment plan
and restore the the full arch patient, what hasn’t changed is the sound prosthodontic
principals. This lecture will highlight some of the clinical challenges, materials and the
protocols needed to meet the expectations of the TEAM to deliver a successful
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.
Novel Technique for Alveolar Bone Augmentation; Introducing The "Bio-Bone-Block" Concept
This presentation will discuss the use of autologous onlay block bone grafting for reconstruction of moderate to severe maxillary and mandibular alveolar ridge deficiencies. In particular, emphasis on the “Bio-Bone-Block” concept and re-entry to the original donor site for a second block harvest, if necessary. We will also covers the use of progenitor cells (bone marrow aspirating concentrated) along with PRP and PPP for accelerated healing.
Selection of Biomaterials, Bone Grafts and Growth Factors in Implant Therapy
In this highly evidence based and detailed technique presentation, Dr. Daniel Buser discusses decision making and surgical protocols in the placement of implants in compromised anterior sites. A focus is also placed on selection of biomaterials, bone grafts and growth factors.
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.
The BARI Technique: A New Approach To Immediate Loading
When dealing with full-arch rehabilitation,
the provisional phase is important
in order to define the correct occlusal,
intermaxillary, and esthetic relationships
for each individual patient. In
these cases, it is difficult to transfer this
information to the final restorations. Several
techniques have been developed
to transfer the information from tooth- or
implant-supported fixed provisionals to
the definitive rehabilitations. The present
article describes a technique proposed
by the authors to transfer the information
from a removable prosthesis to an
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.
Advanced Bone Grafting Techniques: Part 2 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Maxillary Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic maxillary alveolar ridge. This will include a discussion of the various options to this form of grafting, such as short implants, maxillary sinus augmentation, sub-nasal elevation procedure, connective tissue grafting and soft tissue manipulation, Le-Fort I down fracture/osteotomy and the use of progenitor cells: bone marrow aspirating concentrated.
A description of surgical donor harvest sites in the mandible will also be performed as well as post-op healing of these sites. Additional time will be spent reviewing causes of failure with bone blocks and implants placed into these sites.
Current Concepts in Immediate Implants
Immediate implants have several advantages over traditional phased implant placement. Shortened treatment time and a single surgical procedure are among some of these benefits. Although the surgical techniques can be more challenging, immediate implants can be a predictable treatment modality in both the esthetic zone and molar sites.
This presentation will discuss immediate implant placement and temporization in the esthetic zone as well as immediate replacement of molar sites using regular platform implants. More advanced technical procedures, including simultaneous sinus augmentation and guided bone regeneration will also be discussed.
The Interdisciplinary Software Platform. The Key For Modern Digital Dentistry
The starting point of a facially driven interdisciplinary dental treatment plan is "The Smile Frame". A few crucial photos and steps will come together to create the ultimate template you need to communicate to your dental team, colleagues, and the patient to ultimately increase case acceptance and create the most aesthetic and functional method of rehabilitation to your patient. We will discuss how this paradigm shift of regular analog dentistry has shifted to this modern digital world and the benefits it provides.
The protocol proposed will improve the diagnosis, communication and predictability of esthetic rehabilitation, from simple implant or restorative cases to complex cases, combining perio, ortho, and othognathic surgery. Emphasis will be given to the utilization of digital tools to enhance and facilitate the Dentist/Technician interaction and communication with the patient.
Crowns and Bridges