Total Rehabilitation of the Edentulous Patient with the All-on-4® treatment concept
A fixed implant supported prosthesis is the ideal treatment option for the edentulous patient and those facing the imminent loss of their remaining dentition. Through innovation, along with continuous clinical and scientific research, it has become possible to treat virtually every edentulous case with a highly functional and esthetic fixed solution. The oral rehabilitation of these patients has two stages: surgical and prosthetic. The surgical protocol follows the All-on-4® treatment concept - an innovative technique developed in the early 90’s at the MALO CLINIC that allows for immediate function, full-arch, implant supported prosthetics.

Managing Risk and Complications in Anterior Mandible Implant Therapy
In this presentation, Dr. Imad Salloum describes the risks and complications that may arise in placing implants in the anterior mandible. General anatomy and associated risks are discussed along with the management of possible complications associated with surgery in this area. The emphasis of this presentation is that only through proper planning and understanding of relevant anatomy can implant placement in the anterior mandible be made to be safe and predictable.

Zygomatic Implants in the Treatment of Fully Edentulous Patients
This presentation aims to bring some possibilities in the treatment of edentulous patients with a severe atrophic maxilla. The major problem is that the absence of an appropriate bone bed, will compromise any approach with bone grafts and substitutes, as well as involving a greater morbidity and treatment time. In this way the oral rehabilitation with zygomatic implants is a current need for many patients, which will require a scientific knowledge of the dental care professional. Through this slide show and video demonstration you will be able to recognize and diagnose cases recommended for the therapy with zygomatic implants and its possible configurations supporting an oral rehabilitation.

Laser Microtextured Implant Abutments: Advantages of Connective Tissue Attachment
The science of laser microtexturing of implants and abutments is discussed. Clinical uses of this technology and benefits that it affords the clinician. Increased bone and soft tissue stability are described and documented with 14 year results.

Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis
The purpose of this study was to determine the relationship between patients with a history of periodontitis and development of cement-related peri-implant disease. Seventy-seven patients with 129 implants for this retrospective analysis were selected from completed implant cases that were scheduled for regular maintenance or had experienced mechanical or biological complications between years 2006 and 2011 in private practice. Implants with extracoronal residual cement and implants without cement remnants were analyzed.

The Dual-Zone Therapeutic Concept of Managing Immediate Implant Placement and Provisional Restoration in Anterior Extraction Sockets
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this case enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device.

Clinical Investigation on Axial versus Tilted Implants for Immediate Fixed Rehabilitation of Edentulous Arches: Preliminary Results of a Single Cohort Study
The aims of this study were to evaluate the clinical outcomes and patients’ satisfaction with immediately loaded full-arch fixed prostheses supported solely by axial or by a combination of axial and tilted implants in both jaws and to compare the outcome of tilted versus axial fixtures in the same patients up to 5 years. The null hypothesis was that no difference in survival rate and marginal bone level change would exist between axial and tilted implants and no difference in prosthetic survival between rehabilitation's supported only by axial implants or by a combination of axial and tilted implants.

Immediate Dentoalveolar Restoration - A New Technique for Compromised Extraction Sites
Immediate loading of implant in damaged fresh extraction socket with gingival architecture involvement, using bone sliver graft from maxillary tuberosity: a clinical case. <br> Immediate loading of implants in undamaged sockets following tooth extraction is very well established in the literature. In cases of tooth loss with socket structure loss, the esthetic risk increases, thus contraindicating immediate loading, such that the bone graft procedure needs to be prior to implant insertion. This paper describes an immediate loading procedure in a damaged fresh socket in the region of an upper central incisor that presented unevenness of gingival contour.

Total Rehabilitation of the Edentulous Patient with the All-on-4TM Concept
A fixed implant supported prosthesis is the ideal treatment option for the edentulous patient and those facing the imminent loss of their remaining dentition. Through innovation, along with continuous clinical and scientific research, it has become possible to treat virtually every edentulous case with a highly functional and esthetic fixed solution.This widely applicable surgical protocol allows for a simple and immediate rehabilitation with a provisional bridge fixed on 4 implants, with minimum cantilevers, 3-4 hours after the surgery. The final prosthodontic work is of extreme importance. The MALO CLINIC Ceramic Bridge is the epitome of biomedical engineering combined with NobelProceraTM CAD\CAM technology to provide patients with an extremely esthetic precision implant supported functional replication of the natural dentition.

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.

Zygomatic Implants in the Treatment of Fully Edentulous Patients
This presentation aims to bring some possibilities in the treatment of edentulous patients with a severe atrophic maxilla. The major problem is that the absence of an appropriate bone bed, will compromise any approach with bone grafts and substitutes, as well as involving a greater morbidity and treatment time. In this way the oral rehabilitation with zygomatic implants is a current need for many patients, which will require a scientific knowledge of the dental care professional. Through this slide show and video demonstration you will be able to recognize and diagnose cases recommended for the therapy with zygomatic implants and its possible configurations supporting an oral rehabilitation.

Digital Dentistry in the Management of Simple and Complex Cases: The Digital Intra-Scanner
The advent of new technologies has enabled the utilization of new materials and equipment that facilitate the production of restorations with an accuracy that has, up to now, been difficult to obtain reliably. This lecture utilizes patient presentations to help analyze and highlight new systematic clinical protocols that have been developed to optimize the evolving knowledge in digital dentistry and materials. These protocols have allowed us to modify work flow and operational techniques to shorten lead times, while maintaining optimal accuracy. Advantages and disadvantages of the methods outlined will be evaluated and analyzed on the basis of existing literature and personal experience.