A Full Mouth Rehabilitation in Four Major Visits
Modern technology can dramatically cut the time and number of visits for a complex implant case while greatly improving the precision of the final result. The great advantage of the processes shown in this presentation is that the clinician retains full control of precision implant placement, emergence profile development and the construction and aesthetics of the final rehabilitation.
Peri-implantitis: Management and Preventative Strategies
This presentation reviews the definition, diagnosis and some current treatment modalities of peri-implant mucositis and peri-implantitis today. We will discuss protocols that should be implemented into your office to help establish an early diagnosis of the hard and soft tissue as well as treatment options, preventative strategies, risk management and maintenance to limit future errors.
Minimally Invasive Tooth Replacement Strategies in the Esthetic Zone: The Evolution of New Age Concepts
Modern Tooth Replacement Strategies are more concerned about Eshtetics than ever before especially in light of recent research that clearly defines the risk of resorption, ridge constriction, tissue recession and color changes that often occur following extraction and implant replacement. This presentation will describe the Dual Zone concepts recently published to address these issues as well partial extraction therapies which may play an expanding and more critical role in the future.
Brilliant Implant Esthetics - Innovative Soft-Tissue Shaping and Prosthetic Socket Preservation
A great challenge in implantology today is a predictable, long lasting pink esthetic result. However, constant removing and replacement of multiple prosthetic components has been proven to initiate vertical soft tissue loss.
Flapless Postextraction Socket Implant Placement, Part 2. The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height & Thickness - A Retrospective Study
This article presents the results of evaluating the changes in peri-implant soft tissue dimensions associated with immediate implant placement into anterior post-extraction sockets for four treatment groups: no BGPR(bone graft, no provisional restoration), PR (no bone graft, provisional restoration), BG (bone graft, no provisional restoration), and BGPR (bone graft, provisional restoration). The vertical distance of the peri-implant soft tissue was greater for grafted sites than for non-grafted ones. The facial soft tissue thickness at the gingival third was greater for grafted than for non-grafted sites and for sites with provisional restorations compared to sites without them, respectively. The net gain in soft tissue height and thickness was about 1mm. The increases in vertical and horizontal dimensions for grafted sites were between 0.5 and 1.0mm, as compared to sites with no bone graft and no provisional restoration.
Crestal Bone Stability around Implants with Horizontally Matching Connection after Soft Tissue Thickening: A Prospective Clinical Trial
It has been shown that thin mucosal tissues may be an important factor in crestal bone loss etiology. Thus,
it is possible that mucosal tissue thickening with allogenic membrane might reduce crestal bone loss.
Purpose: The purpose of this study was to evaluate how implants with traditional connection maintain crestal bone level
after soft tissue thickening with allogenic membrane.
After 1-year follow-up, implants in group A had 1.65 1 0.08-mm bone loss mesially and 1.81 1 0.06 mm distally.
Group B had 0.31 1 0.05 mm mesially and 0.34 1 0.05 mm distally. C group implants experienced bone loss of 0.44 1
0.06 mm mesially and 0.47 1 0.07 mm distally. Differences between A and B, and A and C were significant both
mesially and distally, whereas differences between B and C were not significant mesially and distally
Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation
Osseointegrated dental implants have enjoyed long-term success in the rehabilitation of totally edentulous patients. Every aspect of traditional treatment planning protocols continues to be re-evaluated and updated to better incorporate the benefits of osseointegration into clinical practice. This is particularly evident as dentistry has committed to fully integrating this approach into the more varied and demanding environment of the partially edentulous patient. Along with the many benefits of added predictability and enhanced options, the ever-evolving role of osseointegrated implants in the treatment pf the partially edentulous jaw has also created new challenged. Unlike the fully edentulous individual who maintains the implant-restorative interface beyond the lip perimeter, many partially edentulous patients undergo the transition within the esthetic zone.
Effectiveness of a Super-Pulsed CO2 Laser For Removal of Biofilm From Three Different Types of Implant Surfaces: An In Vitro Study
As dental implants become
a routine part of dental practice, so too will the
prevalence of peri-implant diseases. Inherent
to the treatment of peri-implant disease is the
removal of microbial biofilms from the implant
surface. Currently, there is no standardized
protocol for application of any treatment
modality directed at implant surface decontamination.
In this in vitro study, we report
on the effectiveness of a super-pulsed CO2
laser, delivering an
average fluence of 6.3 to 113 J/cm2, to
remove biofilm from three different types of
implant surface topographies.
Biofilms ranged in thickness from
5 to 15 μm. An average fluence of 19 J/cm2
was sufficient to achieve 100% ablation of the
biofilm on hydrophilic sandblasted and acidetched
surface specimens (SA). However, to
achieve 100% ablation of biofilm on HA and
highly crystalline, phosphate enriched titanium
oxide (PTO) surfaced implants required an
average fluence of 38 J/cm2.
Brilliant Implant Esthetics - Innovative Soft Tissue Shaping and Prosthetic Socket Preservation
This presentation will demonstrate a workflow for oral surgeons, prosthodontists and dental technicians to achieve a predictable midfacial soft tissue level by an effective and atraumatic protocol.
The Milled PMMA Prototype: The Key, To A Successful Milled Zirconia Implant Bridge
This presentation will demonstrate design and creation steps leading to a milled PMMA Prototype Bridge which is the key to the success of the final Milled Zirconia Implant Bridge. Full Arch Implant prosthesis vary from bars wrapped in acrylic to milled zirconia. All the types of prosthesis have a unique set of procedures to achieve the end result. With the advent of digital technology, and new high strength materials amazing results can be achieved. New challenges for the Restorative Dentist and Ceramist involve design of the smile, capturing an accurate replica of what is in the mouth, and creating a prosthesis that is functional and aesthetic with a goal to mimic nature in terms of the “Pink and the White”. Facial Aesthetics, Smile Design, Removable ,Fixed and Implant Prosthetics are all disciplines that require their respective skill sets to be merged to reach the final result.
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. The three-dimensional reconstruction of the implant receptor site comprises two distinct phases: Regeneration and Bioengineering of the Hard Tissues Reconstruction and Development of the Soft Tissues This program will cover Site Development and Optimal Regenerative Technologies and Techniques in Implant Dentistry both prior to and at the time of implant placement.
Crowns and Bridges