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Periodontic Surgery Videos
From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone Premium Member Content

From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone
This webinar will highlight surgical and restorative techniques to accomplish predictable outcomes in the esthetic zone with implant therapy. Treatment modalities will be demonstrated with high quality photography and case series discussion. Surgical modalities presented will include ridge preservation, the current evidence on the use of growth factors such as PRP and hr-PDGF bb. Also timing of implant placement as well as soft and hard tissue augmentation will be discussed. Special emphasis will be placed on immediate provisionalization of implants to accomplish optimal peri-implant mucosa architecture. Techniques to transfer provisional emergence profile to the final restoration will be presented.

Presented By:: Thanos Ntounis, DDS, MS
Presentation Style: Video
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Contemporary Bio-Materials and Combined Techniques for Esthetic Reconstruction Premium Member Content

Contemporary Bio-Materials and Combined Techniques for Esthetic Reconstruction
State-of-the-art technology offers conservative and esthetic alternatives to re-establish the shape and color of anterior teeth as well as the white and pink harmony. Tooth reduction for any restorative technique obliges us to be as conservative as possible. In this presentation we will share a short description of different material options developed in esthetic dentistry. We will present a case managed with a combination of techniques including: monolithic lithium-silicate ceramic veneers and cut-back/layering.

Presented By:: Kenneth P. Valladares, DDS, CDT
Presentation Style: Video
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A Novel Surgical-Prosthetic Approach to Optimize Peri-Implant Tissue Esthetics Premium Member Content

A Novel Surgical-Prosthetic Approach to Optimize Peri-Implant Tissue Esthetics
The achievement of an aesthetic implant-supported restoration is a constant challenge to the restorative dentist. Due to the circular shape of the implant and its smaller diameter, when compared to the root of a natural tooth, a dilemma inevitably occurs of how to construct an artificial crown that will imitate the natural tooth crown form. The appearance of the surrounding soft tissue is of major importance, and various techniques have been developed to guide its topography. The Marginal Migration Concept is a technique that helps the clinician in order to achieve a long-term predictable outcome in the Aesthetic zone by enhancing the surrounding tissues. The lecture will show step-by-step clinical procedures from diagnostic models through surgery with immediate provisional restoration therapy to the definitive restorations.

Presented By:: Konstantinos D Valavanis, DDS
Presentation Style: Video
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Diagnosis, Planning, & Treatment of Altered Passive Eruption; From a Periodontists Perspective Premium Member Content

Diagnosis, Planning, & Treatment of Altered Passive Eruption; From a Periodontists Perspective
This presentation will teach how to diagnose cases of altered passive eruption based on the radiographic evaluation (with periapical rx and CBCT) and how to plan and document a surgical procedure aimed to ‘uncover’ the beautiful and natural hidden enamel. In a world where esthetics is becoming more and more a concern a simple periodontal plastic surgical procedure can re-establish esthetic and balance to the patients affected by this condition.

Presented By:: Roberto Rossi, DDS
Presentation Style: Video
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Periodontic Surgery Articles
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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The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement

The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues buccofacial to an immediately placed implant. The socket-shield technique is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the procedure in clinical practice with a 1-year follow up.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD
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Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series

Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series
After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth.

Author(s): Markus Glocker, Dr. Med. dent ; Thomas Attin; Patrick R. Schmidlin
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Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up

Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.

Author(s): José Carlos Martins da Rosa, DDS, MS;Ariadene Cristina Pertile de Oliveira Rosa, DDS, MSc; Carlos Eduardo Francishone, DDS, MSc, PhD; Mauricio de Almeida Cardoso, DDS, MSc, PhD; Ana Carolina Alonso, DDS; Leopoldino Capelozza Filho, DDS, MSc, PhD
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Periodontic Surgery Courses
Diagnosis, Planning, & Treatment of Altered Passive Eruption; From a Periodontists Perspective Premium Member Content

Diagnosis, Planning, & Treatment of Altered Passive Eruption; From a Periodontists Perspective
This presentation will teach how to diagnose cases of altered passive eruption based on the radiographic evaluation (with peri-apical rx and CBCT) and how to plan and document a surgical procedure aimed to ‘uncover’ the beautiful and natural hidden enamel. In a world where esthetics is becoming more and more a concern a simple periodontal plastic surgical procedure can re-establish esthetic and balance to the patients affected by this condition.

Presented By:: Roberto Rossi, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Non-Surgical Periodontal Therapy: Decision Making in the 21st Century Premium Member Content

Non-Surgical Periodontal Therapy: Decision Making in the 21st Century
Non-surgical periodontal therapy is a vital part of everyday dental practice. Since the majority of periodontal therapy is performed by general dentists and dental hygienists, it is critical that clinicians have all of the requisite skills and information needed to perform these services at the highest level possible. The purpose of this presentation is to provide the latest evidence- and practice- based information on periodontal debridement and adjunctive therapies that can improve patient outcomes. Though surgical procedures may still need to be performed in some sites, the majority of inflammatory periodontal disease can be eliminated or reduced significantly using the techniques and protocols discussed in this educational segment on non-surgical periodontal therapy.

Presented By:: Connie L. Drisko, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials Premium Member Content

Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials
Soft tissue root coverage microsurgery and pontic site enhancement are frequently utilized periodontal plastic surgery techniques to create an ideal restorative frame for teeth, pontics and implants.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Managing Esthetic Implant Complications Premium Member Content

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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