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Digital Full Arch Implant Dentistry: Do We Really Need to Make Hybrid Restorations? Premium Member Content

Digital Full Arch Implant Dentistry: Do We Really Need to Make Hybrid Restorations?
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.

Presented By:: Prof. Dr. Alessandro Pozzi
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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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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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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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: Video
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The Next Challenge in Implant Dentistry: The Rise in Peri-implantitis and What Can We do About It? Premium Member Content

The Next Challenge in Implant Dentistry: The Rise in Peri-implantitis and What Can We do About It?
In this presentation, Dr. H. Ryan Kazemi will discuss etiologies for implant failure due to peri-implantitis, its preventive measures, and what treatment modalities work best. He will also describe a new classification to help clinicians choose the optimal treatment approach.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
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Combination Therapy for Soft Tissue Grafting Procedures Premium Member Content

Combination Therapy for Soft Tissue Grafting Procedures
Realization of predictable outcomes with shape, shade and unique characteristics of dental restorations has proven to be attainable and maintainable due to the static nature of a carefully prepared foundation and the overlying superstructures. On the other hand, the supporting soft tissue frame, which in turn is controlled by the three-dimensional anatomical characteristics of its surrounding environment, is further complicated by an inherent dynamic nature that is also dependent on a host of biological factors for long-term maintenance of ideal surgical outcomes. Realities and facts vs. hype will be discussed in this presentation based on a review of clinical results achieved and maintained utilizing combined soft tissue grafting approaches with up to 22 years of post-operative follow-up.

Presented By:: Hisham F. Nasr, DDS, MScD, PhDc
Presentation Style: Video
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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. Tunnel, Semilunar, VISTA etc. are among the new age techniques highlighted in this growing area of periodontal microsurgery. New autologous tissue harvest techniques, Allograft ACDM and Bioactive Modifiers have all changed the way we are capable of managing soft tissue deficiencies and have assisted the clinician in improving the healing qualities of these minimally invasive techniques. This lecture will cover site preparation techniques for conventional dentistry as well as prior to and after implant placement.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
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Socket Shield; What Do We Know, What´s New? Premium Member Content

Socket Shield; What Do We Know, What´s New?
The Socket Shield technique is a “new” procedure with 10 years of documented successful cases worldwide. Lately we have done some new proposals like the way we extract the lingual slice, the relation of the shield level to the bone, the use of miniflaps, the distance between implant and shield just to mention some. On the other hand, the only minor “problem” with this technique is the “external shield exposure” and here I propose the method of successful treatment. We will see the convenience of applying SS to molars also on the light of the paper of Dr. Mataraso from 2009. The molar SS is a viable alternative rather than ridge preservation techniques.

Presented By:: Jorge Campos Aliaga, DDS, PhD
Presentation Style: Video
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Cirugía plástica periodontal para aumento de tejido blando alrededor de implantes Premium Member Content

Cirugía plástica periodontal para aumento de tejido blando alrededor de implantes
En la actualidad, los objetivos de la odontología han ido evolucionado a partir de las necesidades y las demandas de los procesos quirúrgicos, así como por los defectos o lesiones del periodonto, sobretodo cuando intervienen factores estéticos, donde se requieren restauraciones prostodónticas con aspectos naturales, que busquen un equilibrio armónico entre la arquitectura gingival y el rostro en sí del paciente, aún más en los casos donde se presenta sonrisa gingival. Es por esto que se han estudiado varias técnicas mucogingivales para recubrimientos de recesiones, cambios de color por biótopo muy fino, aumento de volumen por pérdida del contorno gingival y colapso de los tejidos duros y blandos; siendo la más estudiada el injerto de tejido conectivo, como mecanismo de compensación y estabilidad para contribuir a una sonrisa más armónica y bella a la hora de la rehabilitación con implantes en el área anterior.

Presented By:: Emilio Mateo, DDS
Presentation Style: Video
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Periodontal-Prosthesis in Modern Dentistry – Part 2 of 2 Premium Member Content

Periodontal-Prosthesis in Modern Dentistry – Part 2 of 2
Clinicians must be aware of patient expectations when planning dental treatment. When full mouth reconstruction is planned, it is very important to satisfy such expectations in order to provide successful treatment. Patients are often concerned about the cost and duration of treatment, and the pain, esthetics, comfort, and function after treatment. However, we cannot assure longevity unless the treatment has a scientific basis.

Presented By:: Yoshihiro Kida, DDS, PhD
Presentation Style: Video
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Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 2 of 2 Premium Member Content

Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 2 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa. The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.

Presented By:: Daniel Buser, DDS
Presentation Style: Video
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Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2 Premium Member Content

Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa. The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.

Presented By:: Daniel Buser, DDS
Presentation Style: Video
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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: Video
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The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem Premium Member Content

The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem
The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem

Presented By:: Paul Fletcher, DDS
Presentation Style: Video
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Controversies in Modern Implant Therapy; Lasers and Immediate Loading Premium Member Content

Controversies in Modern Implant Therapy; Lasers and Immediate Loading
The biological basis for clinical applications of Lasers and Immediate Loading will be discussed and and protocols for clinical applications will be demonstrated. Protocols for soft tissue management, treatment of peri-implantitis with lasers and the positive effects of the loading forces on the bone will be used in order to accelerate treatment in Implant dentistry.

Presented By:: Georgios E. Romanos, DDS, PhD, Prof. Dr. med. dent.
Presentation Style: Video
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Modern Crown Lengthening: Classification and Clinical Application Premium Member Content

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

Presented By:: André P. Saadoun, DDS, MS
Presentation Style: Video
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Periodontal-Prosthesis in Modern Dentistry – Part 1 of 2 Premium Member Content

Periodontal-Prosthesis in Modern Dentistry – Part 1 of 2
Clinicians must be aware of patient expectations when planning dental treatment. When full mouth reconstruction is planned, it is very important to satisfy such expectations in order to provide successful treatment. Patients are often concerned about the cost and duration of treatment, and the pain, esthetics, comfort, and function after treatment. However, we cannot assure longevity unless the treatment has a scientific basis. During reconstruction or restoration, we generally remove and replace the existing crowns. Secondary caries are mostly detected on removal of these. Due to the caries, the ferrule and tooth thickness are not adequate; and frequently, the condition may not be suitable for prosthetic treatment. In such cases, we choose to extract the tooth or perform crown lengthening to retain the tooth.Thse days many teeth that we could retain by crown lengthening procedure are replaced by implants. In this presentation, we describe some cases in which a crown lengthening proce

Presented By:: Eiji Furuichi, DDS, PhD
Presentation Style: Video
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Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z Premium Member Content

Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z
In this complete surgical video, Dr. David Wong performs an esthetic crown lengthening procedure to address a "gummy smile" as part of comprehensive therapy and smile enhancement. Dr. Wong will outline the indications for crown lengthening surgery as opposed to orthognathic correction. The surgical video will demonstrate the complete crown lengthening surgery, including incision design, flap management and instrumentation. In addition, suturing and post-operative care will also be outlined in detail.

Presented By:: David Wong, DDS
Presentation Style: Video
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Coronally Advanced Envelope Flap - A Step-by-Step Video Premium Member Content

Coronally Advanced Envelope Flap - A Step-by-Step Video
In this step-by-step surgical video, Dr. Moura illustrates every aspect of the technique described by Zucchelli and De Sanctis known as the coronally advanced envelope flap. This procedure is utilized for treatment of multiple recession type defects in esthetically demanding patients. After a short technical overview, we will see a clinical case and discuss every detail of the treatment.

Presented By:: Pedro Moura, DDS
Presentation Style: Video
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Innovative Sequencing for Interdisciplinary Aesthetic Treatment Premium Member Content

Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team. This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.

Presented By:: Michael A. Apa, DDS, PC;Brian Chadroff, DDS
Presentation Style: Video
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Preservation of the Bundle Bone: Reality or Myth Premium Member Content

Preservation of the Bundle Bone: Reality or Myth
The loss of teeth will lead to resorption of the buccal plate with its resultant need for extensive augmentative procedures (both bone and soft tissue) as well as the risk of poor long term aesthetic stability. Partial Extraction Therapies (PET) are techniques that allow us to maintain the buccal bone plate and hence prevent the collapse of the alveolar bone creating a platform for ideal soft tissue and bone which is stable in the long term. This is a greater problem in the aesthetic areas. This lecture will take you through the different options with regards to immediate implant placement as well as the most cutting edge PET in a step by step fashion.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Video
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Prevention and Management of Peri-implant Soft Tissue Complications Premium Member Content

Prevention and Management of Peri-implant Soft Tissue Complications
A variety of soft tissue procedures have been employed for treatment of soft tissue and ridge defects around implant sites. Some of the limitations of current techniques include scar formation at recipient sites due to surface incisions, relapse of recession due to muscle pull during healing, wound dehiscence and graft exposure. This presentation will discuss the myriad flap and incision designs, tunnel techniques as well as grafting options and suturing.

Presented By:: Homa Zadeh, DDS, PhD
Presentation Style: Video
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Management of Periodontal Complications: Science vs. Hype Premium Member Content

Management of Periodontal Complications: Science vs. Hype
The dental implant therapy has evolved both in implant surface and design. The reason for the initial crestal bone loss has been proven and the risks of having a peri-implantitis have increased due to the early exposure of roughened surface. The prevalence of peri-implantitis is at a range of 28 to 56%. The role of dental professionals nowadays is to know how to interpret the signs of inflammation and establish the diagnosis of peri-implantitis, which is the most challenging, and be able to treat it properly since this is becoming a more needed therapy.

Presented By:: Edgard El Chaar, DDS, MS
Presentation Style: Video
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Connective Tissue Graft Harvesting Techniques - Part 1 Premium Member Content

Connective Tissue Graft Harvesting Techniques - Part 1
In this presentation, Prof. Giovanni Zucchelli develops a critical comparison between the different CTG harvesting techniques, and shows the correct management of this kind of graft as well as its use in coronally advanced flap surgical technique for the treatment of gingival recessions.

Presented By:: Prof. Giovanni Zucchelli, DDS, PhD
Presentation Style: Video
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The Biomimetic Approach to Saving Teeth: Minimally Invasive Restorations and Periodontal Surgery Premium Member Content

The Biomimetic Approach to Saving Teeth: Minimally Invasive Restorations and Periodontal Surgery
Stress reduced composite restorations now play a significant role in minimally invasive restorative dentistry. When combined with micro-periodontal surgical grafting techniques to alter gingival levels these procedures save teeth and warrant further consideration in our daily treatment. Our ability to minimize tooth reduction during tooth preparation and still maintain a strength of material and of bonding on previously exposed root surfaces as well as endodontically treated teeth is the future of a truly biomimetic approach. This presentation highlights this biomimetic approach to treatment and showcases the clinicians ability to provide long term management of both function and esthetics. It should open our eyes to the potential of maintaining the dentition of our patients rather than crown or implant replacement.

Presented By:: Simone Deliperi, DDS
Presentation Style: Video
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"The Root Membrane Technique” / Socket Shield: Long-Term Results Premium Member Content

"The Root Membrane Technique” / Socket Shield: Long-Term Results
"The Root Membrane Technique” / Socket Shield: Long-Term Results

Presented By:: Mitsias E. Miltiadis, DDS, MSc, PhD
Presentation Style: Video
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Novel Surgical BioSealing & Original BioProfiling Techniques - Part 1 of 2 Premium Member Content

Novel Surgical BioSealing & Original BioProfiling Techniques - Part 1 of 2
Biphosphonates Related Osteonecrosis of the Jaw is one of the tragedies affecting our patients each time more often representing a new challenge in what we like to call human dentistry. This severe and unpredictable outcome can evolve from something as simple as a tooth extraction or simply an implant placement. In this presentation the authors display one of the first BRONJ cases in the world treated with the surgical biosealing technique using the PRGF ENDORET graft. Understanding the BIOlogy behind the healing process has been as much surprising as useful in trying to alleviate our patients pain and improve their quality of life. This video presents a novel technique to the post-extraction site based upon taking care of the overall tissue support from the bone level and we will discuss treatment planning, options and limitations with this technique/protocol.

Presented By:: Filipe Lopes, DDS, DMD;Bernardo de Mira Corrêa, DDS, DMD
Presentation Style: Video
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The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy? Premium Member Content

The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy?
Implant therapy is in the age of being increasingly aesthetically driven, not merely restorative. With the increasing popularity of immediate implants, particularly with anterior tooth extraction, the relevance of socket changes following extraction has come to the fore. Contrary to what was originally believed, the installation of an immediate implant does not arrest bone loss, and immediate implants in the aesthetic zone are prone to recession of bone and soft tissue as a result of bundle bone resorption which is obligatory with tooth extraction.

Presented By:: T.V. Narayan, DDS
Presentation Style: Video
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The Potential of Lasers in Advanced Periodontal and Implant Therapy Premium Member Content

The Potential of Lasers in Advanced Periodontal and Implant Therapy
Periodontal Disease continues to be the single most significant issue in dentistry. It effects the teeth, Implants and overall systemic health of our patients. This presentation describes the utilization of a specific laser energy in the treatment of periodontal bone loss around teeth and implants. The comparison of conventional techniques to laser therapy will also be discussed.

Presented By:: I. Stephen Brown, DDS, FACD
Presentation Style: Video
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Minimally Invasive Tooth Replacement Strategies in the Esthetic Zone: The Evolution of New Age Concepts  Premium Member Content

Minimally Invasive Tooth Replacement Strategies in the Esthetic Zone: The Evolution of New Age Concepts
Modern Tooth Replacement Strategies are more concerned about esthetics 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.

Presented By:: Maurice Salama, DMD;Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
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Peri-implantitis: Management and Preventative Strategies Premium Member Content

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.

Presented By:: Anastasia Cholakis, BA, DMD, Dip. Perio
Presentation Style: Video
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"XP Treatment Planning Challenge - Phase I" - Parameters for Integration of Aesthetics and Function in Implant Dentistry Premium Member Content

"XP Treatment Planning Challenge - Phase I" - Parameters for Integration of Aesthetics and Function in Implant Dentistry
This Case report presentation will be in 2 Parts. Part 1 will feature the diagnostic cascade and ask you to consider different treatment approaches to the case. Please place your comments and treatment suggestions in the comment section. Part 2 next week will showcase the actual treatment performed.

Presented By:: Sergio Rubinstein, DDS
Presentation Style: Video
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"XP Treatment Planning Challenge - Phase II" - Parameters for Integration of Aesthetics and Function in Implant Dentistry Premium Member Content

"XP Treatment Planning Challenge - Phase II" - Parameters for Integration of Aesthetics and Function in Implant Dentistry
This is Part 2 of Case report. Part 1 featured the diagnostic cascade and ask you to consider different treatment approaches to the case.. This Second Part showcases the actual treatment performed. Please place your comments and treatment suggestions in the comment section.

Presented By:: Sergio Rubinstein, DDS
Presentation Style: Video
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Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities Premium Member Content

Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities
In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today.

Presented By:: David Wong, DDS
Presentation Style: Video
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Excessive Gingival Display Managed by Surgical Lip Reposition, Aesthetic Crown Lengthening and Veneers Premium Member Content

Excessive Gingival Display Managed by Surgical Lip Reposition, Aesthetic Crown Lengthening and Veneers
Excessive gingival display can be managed by a variety of treatment modalities, depending on the etiology. Mild and moderate gummy smiles can be successfully treated by periodontal plastic surgery, however for excessive gingival display as in cases of VME II or III with 5 to 8 mm or more of gingival exposure this procedure is not enough. Many patients decline the more invasive Le Fort osteotomy and opt for a less invasive surgical lip repositioning procedure. Currently Botox is used as alternative, but this is only a temporary treatment with very short effectiveness. That is why we suggest surgical lip repositioning as an effective procedure to reduce gingival display by positioning the upper lip in a more coronal location. The long-term stability of the results remains to be seen, but it holds promise as an alternative treatment to more invasive procedures.

Presented By:: Kenneth P. Valladares, DDS, CDT
Presentation Style: Video
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A Microsurgical Approach in the Esthetic Zone: Recession Coverage Utilizing a Modified Tunneling Technique Premium Member Content

A Microsurgical Approach in the Esthetic Zone: Recession Coverage Utilizing a Modified Tunneling Technique
This surgical video is intended to present a predictable technique for recession coverage. Using micro surgical instruments in a minimal invasive manner, we can avoid tissue damage and we can enhance the healing of the surrounding structures.

Presented By:: Mihnea Cafadaru, DDS
Presentation Style: Video
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Peri-Implantitis: Diagnosis, Etiology and Treatment Premium Member Content

Peri-Implantitis: Diagnosis, Etiology and Treatment
The dental implant therapy has evolved both in implant surface and design. The reason for the initial crestal bone loss has been proven and the risks of having a peri-implantitis have increased due to the early exposure of roughened surface. The prevalence of peri-implantitis is at a range of 28 to 56%.

Presented By:: Edgard El Chaar, DDS, MS
Presentation Style: Video
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Developing White and Pink Esthetics through Reconstructive Surgery Premium Member Content

Developing White and Pink Esthetics through Reconstructive Surgery
This lecture/video presentation describes the comprehensive treatment of a case in which we needed to reconstruct the hard and the soft tissue after the extraction of a central incisor. The video demonstrates on of several possible surgical procedures for the reconstruction of tissue defects within the esthetic zone. Specifically, a non-resorbable membrane was utilized and combined with a modification of the pedicle connective tissue graft at the same time of the extraction.

Presented By:: Juan Arias Romero, DDS
Presentation Style: Video
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Socket -Shielded Implant for Externally Resorbing Canine Premium Member Content

Socket -Shielded Implant for Externally Resorbing Canine
This 50yr.+ female showed external/internal resorption of tooth #11. Socket Shield technique was used saving the facial and interproximal of the tooth. Remainder of tooth was removed by vertically sectioning the tooth with surgical burs in 45 degree high-speed handpiece. Implant placed was a 4.6 x 15mm Tapered Plus Biohorizon implant. Mineross was mixed with saved bone and placed in gap areas. An Emax bonded Maryland bridge was then bonded to adjacent teeth for a temporary replacement. The implant, healing collar and graft were covered with PRF. Nine day post op is shown. This case will be closely followed and posted on XP.

Presented By:: Paul S Kozy, DDS
Presentation Style: Video
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Restoration of Optimal Esthetics in Complex Clinical Situations Premium Member Content

Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Preexisting malocclusion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases. The authors emphasize the importance of carefully planning the timing and sequence of performing periodontal, orthodontic, and implant therapies. The advanced techniques and technologies successfully implemented in this case report include the growth factor and titanium mesh (Ti mesh)-assisted bone augmentation; ovate pontic-mediated, noninvasive soft tissue contouring; and photofunctionalization

Presented By:: Tomohiro Ishikawa, DDS
Presentation Style: Video
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CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool Premium Member Content

CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
The era of in-office Cone Beam Computed Tomography (CBCT) has unequivocally transformed interdisciplinary dentofacial therapy (IDT). While in-office CBCT imaging may be the latest technological breakthrough enhancing opportunities for treatment planning, it is diagnosis that has remained the constant variable critical for predictable patient outcomes.

Presented By:: Daniel B. Spagnoli, DDS, PhD;George A. Mandelaris, DDS, MS
Presentation Style: Video
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 The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions Premium Member Content

The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions
This program is a perspective into how cross- disciplinary interface planning has become and integral part of clinical esthetic dentistry, in particular implant diagnostics. Today it is essential to combine “white” tooth esthetics with “pink” gingival aspects. Understanding the individual prosthetic, surgical, and biologic limitations is part of innovative treatment-planning protocols developed in an approach to provide, simplify, and expedite minimally invasive limited therapy. Preemptive CBCT and 3D CAD/CAM planning of soft and hard tissue procedures, implant placement, ridge reduction, and restorative design now utilize new innovative protocols for the entire restoration from top to bottom - implant, abutment, and restoration - and the interfaces in between.

Presented By:: David Garber, DMD
Presentation Style: Video
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"The Soft Block": Treating Severe Recessions Around Dental Implants - Part 1 of 2 Premium Member Content

"The Soft Block": Treating Severe Recessions Around Dental Implants - Part 1 of 2
Severe recessions around implants is a common issue. Filipe Lopes & Bernardo Mira Correa will try to present simple algorithms and biological ways for trying to solve this kind of clinical challenge, other than implant explantation that must be also, and so many times, considered as the first choice. This is intended to be the first of a series of posts on the subject. We will feature different soft tissue management strategies, including autologous grafts and alloderm. We will underline the importance of: diagnosis,PRGF ENDORET® graft, type of implant, grafting technique to use and allografts that can possibly help us on some challenging situations. At the end we will try to provide for a simpler treatment algorithm, that has been of good service for us, for some years now.

Presented By:: Filipe Lopes, DDS, DMD;Bernardo de Mira Corrêa, DDS, DMD
Presentation Style: Video
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Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization Premium Member Content

Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization
A unique presentation of a combined surgical techniques and implants provisionalization, simultaneously performed, in the anterior maxilla. With the aid of computerized assisted guides, a surgical template and a temporary bridge for immediate temporization was prepared.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
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Integrative Management of the Gummy Smile: Lip repositioning, Crown Lengthening & Restorative Nuances Premium Member Content

Integrative Management of the Gummy Smile: Lip repositioning, Crown Lengthening & Restorative Nuances
The gingival smiles can be mild, moderate and severe , according to the degree of gingival exposure while smiling . Depending on the etiology of the problem , mild and moderate gummy smiles can be treated with moderate periodontal plastic surgery , however for severe , this procedure is not enough .

Presented By:: Kenneth P. Valladares, DDS, CDT
Presentation Style: Video
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Sequencing of Periodontal Procedures and Orthodontic Treatment Premium Member Content

Sequencing of Periodontal Procedures and Orthodontic Treatment
Severe cases of periodontal disease often require periodontal surgery and realignment of teeth. Surgical techniques have been developed that attempt to minimize postsurgical gingival recession and compromise the interdental papillae. A case report is presented in which reversal and correction of a deteriorating maxillary frontal dentition were effectively achieved through combined use of periodontal and orthodontic principles. The treatment plan included the control of periodontal inflammation, restoration of lost attachment apparatus, realignment of anterior dentition, stabilization of occlusion, and minor periodontal plastic surgery. The anticipated loss of a maxillary lateral incisor was avoided. Restoration of a pleasant smile with nicely aligned teeth and esthetic gingival contours was achieved. The correct sequencing of the procedures involved was considered a key factor for the long-term esthetic outcome.

Presented By:: Cobi J Landsberg, DMD;Ofer Sarne, DMD
Presentation Style: Video
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Removal of Failed Dental Implant in a Patient with Peri-Implantitis Premium Member Content

Removal of Failed Dental Implant in a Patient with Peri-Implantitis
In this video, Dr. Hamid Ryan Kazemi presents a patient who presented with atypical pain associated with a dental implant. Through a methodical work up, a peri-implantitis condition was diagnosed. In this video, Dr. Kazemi discusses the work up process and describes a non-invasive and conservative technique to remove the involved dental implant. Additionally, site grafting to prepare it for future implant is discussed

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
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Abutment Selection and Tissue Modeling in Implant Dentistry Premium Member Content

Abutment Selection and Tissue Modeling in Implant Dentistry
Dr. Barry Goldenberg outlines the unique role that the implant abutment/connection complex plays in peri-implant tissue stability. Specifically, how the interactions of the various components in this complex, and their relationship to each other, influence the shape, color and contour of the critical soft tissue around implants in the esthetic zone. In addition, stock and custom abutments are compared relative to their respective benefits.

Presented By:: Barry Goldenberg, DMD, MS, Pc
Presentation Style: Video
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Non-Surgical Periodontal Therapy: Decision Making in the 21st Century - Part 2 of 2 Premium Member Content

Non-Surgical Periodontal Therapy: Decision Making in the 21st Century - Part 2 of 2
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.

Presented By:: Connie L. Drisko, DDS
Presentation Style: Video
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Non-Surgical Periodontal Therapy: Decision Making in the 21st Century - Part 1 of 2 Premium Member Content

Non-Surgical Periodontal Therapy: Decision Making in the 21st Century - Part 1 of 2
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: Video
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The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects Premium Member Content

The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects
In this clinical video, the “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique is displayed in the treatment of multiple anterior recession defects on previously restored teeth. Debridement, root conditioning, incisions, ACDM placement, instrumentation and suturing are highlighted as well as two week postop results.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
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The Submerged Root Technique “RST”: A Clinical Case and Video Series Premium Member Content

The Submerged Root Technique “RST”: A Clinical Case and Video Series
By maintaining the natural tooth root through the root submergence technique (RST) we are better able to preserve a much greater amount of surrounding tissue than the more commonly used socket preservation technique. RST maintains the natural attachment apparatus of the tooth root in the pontic site which in turn allows for complete preservation of the alveolar bone frame and creates a more esthetic result in multiple tooth replacement cases. In this Case Report and Video, the concept and surgical technique are highlighted in detail including a video of the actual submergence and graft as well as follow up and restoration.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
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Periodontal Plastic Surgery in the Treatment of the Gummy Smile Premium Member Content

Periodontal Plastic Surgery in the Treatment of the Gummy Smile
Thanks to the constant advances in modern dentistry we can predict surgical results, stablishing new standards for diagnosis and develop treatments for periodontal plastic surgery as of Altered Passive Eruption by electrosurgery. This is used by the T- shaped regulation, provided by Dr. Chu for the accuracy golden proportions, which has became an innovative way to make cosmetic lengthening of the clinical crowns, covering changes in relations to size, shape, and balance of the teeth to obtain a radical variation in the front aesthetic of patients.

Presented By:: Emilio Mateo, DDS
Presentation Style: Video
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Surgical and Prosthetic Reconstruction of a Periodontally Compromised Case in the Esthetic Zone Premium Member Content

Surgical and Prosthetic Reconstruction of a Periodontally Compromised Case in the Esthetic Zone
Management of severe compromised cases in the esthetic zone entitles proper planning and the use of all tools and technologies and biomaterials to achieve an acceptable result. In this video it is demonstrated the surgical steps utilizing conebeam and microscope in the use of allogenic bone blocks and acellular dermal matrix.

Presented By:: Bassam F. Rabie, BDS
Presentation Style: Video
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PRGF-Endoret Protocol (Platelet Rich in Growth Factors) Premium Member Content

PRGF-Endoret Protocol (Platelet Rich in Growth Factors)
PRGF®-Endoret Technology is based on the activation of the patient's own platelets for the stimulation and acceleration of tissue healing and regeneration. Dr. Maurice Salama’s assistant, Charlene Bennett, will elaborate in detail describing the step-by step PRGF preparation and how it can be utilized clinically.

Presented By:: Charlene Bennett, CDA
Presentation Style: Video
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TEETH 2013: When to Save and When to Extract and When to Regenerate Premium Member Content

TEETH 2013: When to Save and When to Extract and When to Regenerate
The treatment of periodontally compromised patients has been significantly altered by the availability of predictable implant dentistry.Where in the past, a compromised tooth with advanced bone loss and/or furcation invasion might have been retained, the high success rate of osseointegrated implants challenges the clinical decision. Should the tooth be saved with periodontal regeneration or be replaced with an implant? Conversely, new biomimetic mediators have enhanced the predictability of regenerative outcomes and encourage endeavors to maintain the natural dentition. This lecture will address the clinical decision that occurs in every practice: save the tooth or place an implant.

Presented By:: Myron Nevins, DDS
Presentation Style: Video
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Treatment of the Mesial Concavity of Maxillary 1st Bicuspids in Comprehensive Periodontal and Restorative Cases Premium Member Content

Treatment of the Mesial Concavity of Maxillary 1st Bicuspids in Comprehensive Periodontal and Restorative Cases
This video will discuss one of the most difficult areas to treat definitively, the mesial concavity of maxillary 1st bicuspids. Techniques will be evaluated whereby the surgeon can treat the cause of periodontal problems rather than the effects. A step by step presentation of removal of the concavity and the proper restoration of the post treated root surface will be shown.

Presented By:: Daniel J Melker, DDS
Presentation Style: Video
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The Free Gingival Graft...Back to Basics: Why Do It? Premium Member Content

The Free Gingival Graft...Back to Basics: Why Do It?
In this video, a free gingival graft is demonstrated to address a recession defect as well as to augment the soft tissue while eliminating the high frenum pull in order to aid in the orthodontic treatment plan of a young patient. While commonly shunned for the morbidity associated with palatal grafts, the free gingival graft is making a comeback with the popularity of implant dentistry due to it's relative simplicity and predictability for augmenting thin tissue. This "back to basics" video takes the free gingival graft back to its roots: The lower incisor area.

Presented By:: David Wong, DDS
Presentation Style: Video
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The Future of Lasers in Periodontal Therapy: Science, Hype or Snake Oil. Premium Member Content

The Future of Lasers in Periodontal Therapy: Science, Hype or Snake Oil.
Substantial controversy continues to surround the use of lasers in periodontal therapy.

Presented By:: I. Stephen Brown, DDS, FACD
Presentation Style: Video
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Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy Premium Member Content

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.

Presented By:: Joseph Choukroun, MD
Presentation Style: Video
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Designing Periodontal Surgical Procedures in the 4th Dimension: Advantages of CBCT Planning Premium Member Content

Designing Periodontal Surgical Procedures in the 4th Dimension: Advantages of CBCT Planning
This presentation focuses on the recent introduction of affordable, innovative combination CBCT/panoramic units and how they are used in examination and diagnosis in periodontics as well as CT guided implantology and beyond. Emerging concepts in interdisciplinary dentofacial therapy will also be presented.

Presented By:: Alan L. Rosenfeld, DDS, FACD;George A. Mandelaris, DDS, MS
Presentation Style: Video
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What to do when Good Teeth and Implants go Bad? The Standard of Care for Laser Periodontitis Treatment Premium Member Content

What to do when Good Teeth and Implants go Bad? The Standard of Care for Laser Periodontitis Treatment
This FDA cleared technology and evidence-based protocol provide consistent, reproducible, positive bone-building results to reverse gum disease. Take control over periodontitis in your practice and treat the disease most people have, the way they want it treated.

Presented By:: Dawn Bloore, DDS
Presentation Style: Lecture
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Acellular Dermal Matrix Graft for Lower Anterior Root Coverage Premium Member Content

Acellular Dermal Matrix Graft for Lower Anterior Root Coverage
Dr. Paul Petrungaro demonstrates the utilization of Acellular Dermal Matrix in the treatment of gingival labial recession of lower central incisors.

Presented By:: Paul S. Petrungaro, DDS
Presentation Style: Video
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Management of Multiple Recession Defects in the Maxillary Arch - Utilization of Acellular Dermis Matrix Premium Member Content

Management of Multiple Recession Defects in the Maxillary Arch - Utilization of Acellular Dermis Matrix
Dr. David Wong describes the management and correction of multiple recession defects in the maxillary arch.

Presented By:: David Wong, DDS
Presentation Style: Video
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Cirugia plastica periodontal Premium Member Content

Cirugia plastica periodontal
En esta oportunidad se realiza una descripcion de la cirugia plastica periodontal, sus aplicaciones y alcances. Las posibilidades terapeuticas, y las formas de aplicarlas en la clinica.

Presented By:: Gerardo Mendoza, DDS, MDS
Presentation Style: Lecture
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Managing the Furcation in Periodontal and Restorative Therapy Premium Member Content

Managing the Furcation in Periodontal and Restorative Therapy
Dr. Daniel Melker describes, in great detail, the management of molar furcation involvement in preparation for crown and bridge therapy.

Presented By:: Daniel J Melker, DDS
Presentation Style: Lecture
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Tooth Extraction Revisited - The Utilization of the Physics Forceps Premium Member Content

Tooth Extraction Revisited - The Utilization of the Physics Forceps
This short clinical video will use animation and a clinical case to highlight the Physics Forceps for tooth extraction.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
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Effective Treatment for Herpetic or Traumatized Oral Lesions Premium Member Content

Effective Treatment for Herpetic or Traumatized Oral Lesions
In this tip of the week, Dr. Sergio Rubinstein shares his clinical experience with Proginicin in the treatment of herpetic or ulcerative oral lesions and soft tissue healing.

Presented By:: David Garber, DMD;Sergio Rubinstein, DDS
Presentation Style: Video
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Periodontal Plastic Surgery Premium Member Content

Periodontal Plastic Surgery
Current trends in Soft Tissue Grafting utilizing both autogenous and allograft tissues.

Presented By:: David Garber, DMD;Maurice Salama, DMD
Presentation Style: Lecture
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Extraction Site Management Premium Member Content

Extraction Site Management
The biological rational for making clinical decisions relative to the requirement for grafting or the benefits of flapless implant protocols.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
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Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6 Premium Member Content

Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6
Dr. Maurice Salama describes the step-by-step surgical techniques required to ensure successful Guided bone as well as soft tissue enhancement of a deficient extraction site.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
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Extraction Site Micro-gap and Treatment Options in Implant Therapy Premium Member Content

Extraction Site Micro-gap and Treatment Options in Implant Therapy
Extraction site management with special emphasis on the biology and clinical treatment options of the micro-gap.

Presented By:: Dennis P. Tarnow, DDS
Presentation Style: Lecture
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Periodontal Regeneration – State of the Art Premium Member Content

Periodontal Regeneration – State of the Art
The latest research and clinical options in periodontal regeneration.

Presented By:: Giuseppe Cardaropoli
Presentation Style: Lecture
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Maxillary Full Arch Reconstruction with Removable Prosthodontics Premium Member Content

Maxillary Full Arch Reconstruction with Removable Prosthodontics
The utilization of the Galvano Forming Technique in implant overdenture prosthodontics.

Presented By:: Marius Steigmann, DDS
Presentation Style: Lecture
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Soft Tissue Manipulation for Implant Aesthetics Premium Member Content

Soft Tissue Manipulation for Implant Aesthetics
The role of soft tissue for final implant aesthetics.

Presented By:: Tal Morr, DMD, MSD
Presentation Style: Lecture
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Trends in Periodontal Surgery Premium Member Content

Trends in Periodontal Surgery
Dr. P.D. Miller discusses periodontal surgery.

Presented By:: David Garber, DMD;Dr. P.D. Miller
Presentation Style: Video
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Types of Instruments to use for Surgery Premium Member Content

Types of Instruments to use for Surgery
Watch Dr. Saadoun give a new tip of the week!

Presented By:: André P. Saadoun, DDS, MS;André P. SAADOUN, DDS, MS
Presentation Style: Video
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Dr. Louis Rose on Perio and Implant Dentistry Premium Member Content

Dr. Louis Rose on Perio and Implant Dentistry
Perio,Implants and Regenerative Materials.

Presented By:: Henry Salama, DMD;Dr. Louis Rose
Presentation Style: Video
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Clinical Case Review Premium Member Content

Clinical Case Review
Dr. Rosenberg reviews a severe clinical case.

Presented By:: Ed Rosenberg, DMD
Presentation Style: Lecture
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Treatment of Refractory Periodontal Disease Premium Member Content

Treatment of Refractory Periodontal Disease
The Key to Understanding the Refractory Case.

Presented By:: Ed Rosenberg, DMD
Presentation Style: Lecture
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Treatment Planning - A Multidisciplinary Approach Premium Member Content

Treatment Planning - A Multidisciplinary Approach
A review of two different approaches for treatment planning

Presented By:: Morton Amsterdam, DMD
Presentation Style: Lecture
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