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Stem Cells in Dentistry Premium Member Content

Stem Cells in Dentistry
Stem cells are undifferentiated cells, capable of renewing themselves, with the capacity to produce different cell types to regenerate missing tissues and treat diseases. Oral facial tissues have been identified as a source and therapeutic target for stem cells with clinical interest in dentistry. In this brief presentation, Dr Ana Paz presents stem cells and outlines the clinical applications of stem cells in dentistry. Although more clinical research in this topic is still needed, Dr Ana Paz believes that the main features of stem cells in the future of dentistry should be understood by clinicians.

Presented By:: Ana Paz, DDS, MS
Presentation Style: Video
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Venipuncture & Blood Drawing: Phlebotomy Step-by-Step Premium Member Content

Venipuncture & Blood Drawing: Phlebotomy Step-by-Step
The use of platelets concentrates is becoming unavoidable in our surgeries. To take full advantage of these techniques, the surgeon has to be familiar with the blood collection technique and capable to draw blood at any time. This presentation will show you how to manage simply the venipuncture according to a step by step protocol, with special attention for tricky situations & difficult patients.

Presented By:: Elisa Choukroun, DDS
Presentation Style: Video
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Surgical Management of Posterior Mandible Premium Member Content

Surgical Management of Posterior Mandible
Implant therapy is a recognized treatment for edentulous areas with long term success. Nevertheless in some critical situations we have to use complex techniques of advanced oral surgery and bone regeneration to permit the implant placement avoiding the damage of important anatomical structures, like the inferior alveolar nerve (IAN). In severe cases of posterior mandible atrophy we have to use very specific techniques to solve the problem. In these techniques we can consider the nerve transposition and the nerve lateralization. The techniques of nerve manipulation for implant placement are going to be explained in detail with some clinical cases. With this lecture we pretend to clear that oral neurosurgery is not a myth and can be a reality in specific extreme cases.

Presented By:: Raquel Zita Gomes, DMD, PG, MsC, PhD
Presentation Style: Video
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Real Time / Dynamic Guided Surgery in Fully Edentulous Patients Premium Member Content

Real Time / Dynamic Guided Surgery in Fully Edentulous Patients
Implant treatment is one of the most exciting areas of dental therapy. Within the last 30 years, we have been able to develop and discover new techniques, instruments, software and equipment that have made this therapy more secure and predictable, such as the CBCT and the guided surgery, today with the guided systems we are able to have our implants “in the right” place considering the bone, the prosthesis, the biomechanics, and the esthetics. This lecture will show you step-by-step how guided surgery has evolved in dentistry today and we can achieve more predictable results even with immediate extraction and immediate implant placement.

Presented By:: Alvaro Ordoñez, DDS
Presentation Style: Video
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Other Surgical Articles
The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol

The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol
Inadequate restorative space can result in mechanical, biologic, and esthetic complications with full-arch fixed implant-supported prosthetics. As such, clinicians often reduce bone to create clearance. The aim of this paper was to present a protocol using stacking computer-aided design/computerassisted manufacturing (CAD/CAM) guides to minimize and accurately obtain the desired bone reduction, immediately place prosthetically guided implants, and load a provisional that replicates predetermined tissue contour. This protocol can help clinicians minimize bone reduction and place the implants in an ideal position that allows them to emerge from the soft tissue interface with a natural, pink-free zirconia fixed dental prostheses.

Author(s): Maurice Salama, DMD;Prof. Dr. Alessandro Pozzi;Wendy AuClair-Clark, DDS, MS;Marko Tadros, DMD;Lars Hansson, CDT, FICOI;Pinhas Adar, MDT, CDT
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The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study

The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study
The “socket-shield technique” has shown its potential in preserving buccal tissues. However, front teeth often have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines. The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the remaining buccal root segment in two pieces before immediate implant placement.

Author(s): Markus B. Hürzeler, DMD, PhD;Daniel Bäumer, DDS; Otto Zuhr, DDS; Stephan Rebele, DDS; David Schneider, DDS, PhD; Peter Schupbach, PhD
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Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report

Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report
Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. This report describes the use of a mucosal coronally positioned flap for the management of a gummy smile associated with vertical maxillary excess and hypermobility of the upper lip. For patients desiring a less invasive alternative to orthognathic surgery, the mucosal coronally positioned flap is a viable alternative. We demonstrate short-term successful use of this technique for the management of excessive gingival display in the presence of slight vertical maxillary excess and hypermobility of the upper lip. Long-term follow-up studies are needed to determine stability of the results.

Author(s): Monish Bhola, DDS, MSD;Nomahn Humayun; Shilpa Kolhatkar; Jason Souiyas
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Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares.

Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares.
Cirurgia ortognática: uma alternativa possível e viável para o tratamento de problemas odontológicos interdisciplinares. Além de curar diversos sintomas dos problemas funcionais que incomodam os pacientes no seu dia-a-dia, proporciona ainda a elevação da autoestima e da autoconfiança, pois os resultados estéticos são surpreendentes

Author(s): Rogério Zambonato Freitas, DDS, MS
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Other Surgical Courses
Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability Premium Member Content

Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability
The main factor for soft and hard tissue healing is the speed and quality of new vascularization. This lecture will present all the positive and negative factors who control the angiogenesis, blood supply and bone metabolism: -Biological factors as vit. D and cholesterol have to be checked before the surgery -The management of the flaps with sutures is one the main factor for the bone and soft tissue maintenance.. -The soft brushing technique is a new technique which increases the flap without periosteal incision nor bleeding. -Careful Implant placement without too much torque, specially in cortical bone or grafted bone at the re-entry.. -The A-PRF liquid and i-PRF are solutions to reduce the mobility of the granules (sticky bone) with an improvement of angiogenesis The use of growth factors is a stimulation of angiogenesis. The prevention of the negative factors will allow us to achieve the long term stability.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry Premium Member Content

Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry
Knowledge of bone biology and physiology are crucial for successful dento-alveolar reconstruction. The presentation will review the natural healing process of the bone and the sequence of events needed for proper regeneration. This process will then be discussed and compare with the present materials and technologies available in the market including alloplastics and allogenic materials. The role of the Stem Cells and rh-BMP2 will be exposed as part of these new trends in alveolar reconstruction for modern implant dentistry. Multiple cases will be presented demonstrating the versatility and outcomes in different clinical situations based on biological, bio-mechanics, and implant aesthetic needs.

Presented By:: Alejandro Vivas-Rojo, DDS, MS;Jesus A. Gomez, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction Premium Member Content

Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
The need for an adequate alveolar ridge width has been a long-standing principle in pre-prosthetic surgery. Since the introduction of root-form endosseous dental implants, the necessity of proper alveolar ridge width has become essential. In this presentation, the author concentrated on the ridge-split procedure (RSP) as a form of a ridge modification (widening or augmentation), the technique that offers many possibilities and has many advantages in oral pre-prosthetic implant reconstruction. There are many modifications of the RSP. This presentation is a description of classical ridge-split procedure in maxilla and mandible that has been successfully employed for many years in author’s surgical practice.

Presented By:: Len Tolstunov, DDS, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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The Role of Digital Technologies & Materials for Full-Arch Implant Reconstruction Premium Member Content

The Role of Digital Technologies & Materials for Full-Arch Implant Reconstruction
In prosthetic rehabilitations, we used for many years codified and widely described protocols in literature, with results that met our expectations and well above those of our patients. It is true that the advent of new technologies has enabled the dental team to use new material and new equipment that facilitated the production of an adaptation and an accuracy of the prosthetic rehabilitation that has, up to now, been difficult to obtain. In this presentation, we will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new software's. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtained with these are systematic and significantly better in updated generations prior.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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