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Implant Videos
Minimally Invasive Approaches for Managing Deficient Sites in Esthetic Implant Dentistry Premium Member Content

Minimally Invasive Approaches for Managing Deficient Sites in Esthetic Implant Dentistry
When considering esthetic dental implant therapy, preservation or further enhancement of the available tissue support may provide an improved esthetic outcome with less associated morbidity and treatment duration. Nevertheless, reconstruction of compromised sites due to lost hard and soft tissue volume is often inevitable in the anterior zone. Substantial ridge deficiencies demand more complex grafting procedures with an increased level of invasiveness and subsequent tissue alterations.

Presented By:: Sherif Yousri Said, BDS
Presentation Style: Video
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Modern Day Esthetic Challenges with Implants in the Esthetic Zone Premium Member Content

Modern Day Esthetic Challenges with Implants in the Esthetic Zone
Current trends in implant therapy advocate clinical techniques thereby allowing treatment efficiency consisting of condensed clinical procedures, fewer patient appointments, and shortened overall treatment time. Even though there is overwhelming literature to support positive outcomes in regards to implant survival through immediate implant therapy and tooth replacement strategies, esthetics questions still loom, specifically how to handle multiple tooth sites in the esthetic zone. This presentation will address treatment planning strategies with multiple tooth sites incorporating teeth, immediate implants with tooth replacement, and pontics in the esthetic zone. Innovations in implant macro design, to achieve more consistent screw-retained definitive restorations, and devices / strategies in provisional restoration fabrication to save time will be presented.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
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Esthetic Tissue Reconstruction Around Implants - Part 2 of 2 Premium Member Content

Esthetic Tissue Reconstruction Around Implants - Part 2 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Video
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Hydraulics and Densification in Sinus & Ridge Management Premium Member Content

Hydraulics and Densification in Sinus & Ridge Management
Majority of the cases in the maxilla require some form of sinus grafting or procedures to increase ridge width. Innovations in the field of site preparation using Osseodensification principles and use of Hydraulics for sinus elevations have simplified the procedure of gaining bone volume in such clinical situations. Newer tools and materials have enabled clinicians to offer a minimally invasive transalveolar approach to sinus grafting compared to the lateral window approach. Densification drills have provided the clinicians a solution to optimize and expand the site for implant placement. This presentation will analyze various clinical situations needing ridge and sinus augmentation and provide predictable solutions to achieve high success rates.

Presented By:: Udatta Kher, BDS, MDS
Presentation Style: Video
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Implant Articles
Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement

Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore be cognizant of circumstances with a predisposition toward esthetic outcomes and treatment plan accordingly. Preservation of the surrounding hard and soft tissues associated with an immediate postextraction socket implant to replace a nonrestorable tooth in the esthetic zone is one of the greatest challenges facing the dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological, and esthetic parameters were recorded to evaluate primary treatment outcomes.

Author(s): Alessandro Agnini, DMD;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Andrea Mastrorosa Agnini, DDS
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Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft

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 restoration.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit, BChD
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The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry

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.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD, Dipl Implantol, Dipl Oral Surg, MSc Dent
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Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

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.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
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Implant Courses
Modern Day Challenges with Implants in the Esthetic Zone Premium Member Content

Modern Day Challenges with Implants in the Esthetic Zone
This presentation will address treatment planning strategies with multiple tooth sites incorporating teeth, immediate implants with tooth replacement, and pontics in the esthetic zone. Innovations in implant macro design, to achieve more consistent screw-retained definitive restorations, and devices / strategies in provisional restoration fabrication to save time will be presented.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Current Concepts in Bioactivity and Regeneration Premium Member Content

Current Concepts in Bioactivity and Regeneration
In this lecture, tips on how to deal with the different types of extraction socket, mostly infected, will be presented. The use of plasma rich in growth factors and the Endoret® (PRGF®) fibrin membrane is a key factor to enhance socket regeneration, post-operative recovery and minimize/treat complications.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Esthetic Tissue Reconstruction Around Implants - Part 2 of 2 Premium Member Content

Esthetic Tissue Reconstruction Around Implants - Part 2 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Immediate Dental Implants; Are They a Good Option? Premium Member Content

Immediate Dental Implants; Are They a Good Option?
The aim of this presentation is to clarify which parameters and how can they influence a successful outcome in immediate implant placement. Several documented clinical cases and supporting literature will be presented to guide through diagnosis, treatment options and improvement of final outcome.

Presented By:: Dárcio Fonseca, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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