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Restorative Vidoes
Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery Premium Member Content

Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery
This video addresses how to reestablish or maintain papilla height and the facial gingival tissue between a single or multiple missing teeth adjacent to a natural tooth or an implant by using an innovative pontic design termed the E-pontic. The anatomical shape of the E-pontic will predictably support and maintain the facial gingival margin and interdental papillae over an acceptable alveolar ridge. The E-pontic design fulfills the prerequisites for maintaining a healthy periodontium and its ability to achieve a predictable long-term esthetic and functional result. The emergence profile of this pontic design that is similar to that of a natural tooth ensures that no palatal gap forms which could potentially cause phonetic problems. Trapping of food particles does not occur because of its unique adaptive design to the pontic recipient site.

Presented By:: Robert P. Korman, DDS, MAGD
Presentation Style: Video
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Interdisciplinary Dynamics of Complex Therapy: An Integrated Approach to Treatment Planning Premium Member Content

Interdisciplinary Dynamics of Complex Therapy: An Integrated Approach to Treatment Planning
This presentation challenges and guides clinicians to ask, and answer, fundamental questions that are required for designing successful treatment plans when facing complex cases. 1) What do I know (DIAGNOSIS), 2) Where do I apply it (EFFICACY), and 3) When do I apply it (SEQUENCE OF THERAPY). A special emphasis in this presentation will be placed on communication between team members, including clinicians, staff and laboratory. Methods of communications, such as digital design and mock-ups are also highlighted as part of an integrated approach to Treatment planning.

Presented By:: Ricardo Mitrani, DDS, MSD
Presentation Style: Video
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Minimally Invasive Oral Rehabilitation... No More Crowns Please Premium Member Content

Minimally Invasive Oral Rehabilitation... No More Crowns Please
Many patients are in need of oral rehabilitation but cannot afford it, and we see them suffer and deteriorate feeling helpless. The traditional full mouth rehabilitation, is often excessive (it is extremely rare when a patient really needs a full mouth), and because is expensive, it is rarely accepted. Additionally most commonly crowns are used for rehabilitation, specially on patient with parafunctions. In this eye opening presentation, Dr. Ruiz demonstrates how adhesive dentistry breaks many of the rules we have been taught, as well as the importance of proper occlusal management.

Presented By:: Jose-Luis Ruiz, DDS, FAGD
Presentation Style: Video
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Restorative Material Selection in Modern Prosthetics Premium Member Content

Restorative Material Selection in Modern Prosthetics
The scope of restorative dentistry is changing at a rapid pace. Technological evolutions in optical scanning, 3D printing, milling and new age materials is in a revolution versus old world concepts. What to choose, why and then when makes the dental team and lab a critical part of the material selection team. What materials are the strongest, most durable and esthetic are key elements in this new world. This presentation will provide you an up to date review of the current materials available and the scientific literature to support specific guidelines as to the selection process. Zirconium, Lithium Disilicates, alumina etc. will be discussed as well as the correct cementation materials with these new products.

Presented By:: Markus B. Blatz, DMD, PhD
Presentation Style: Video
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Restorative Articles
Retrospective Analysis of 26 Complete-Arch Implant-Supported Monolithic Zirconia Prostheses with Feldspathic Porcelain Veneering Limited to the Facial Surface

Retrospective Analysis of 26 Complete-Arch Implant-Supported Monolithic Zirconia Prostheses with Feldspathic Porcelain Veneering Limited to the Facial Surface
The purpose of this retrospective study was to evaluate the clinical performances of 26 implant-supported, complete-arch, monolithic zirconia restorations with facial feldspathic porcelain veneers for the rehabilitation of completely edentulous patients. Eighteen patients were treated with a total of 26 complete-arch fixed prostheses. The mean follow-up time was 20.9 months. In total, 154 implants were placed supporting 309 retainers and pontics. The results of this retrospective evaluation showed that monolithic zirconia restorations with facial porcelain veneer provided satisfactory clinical performance and suggest that these rehabilitations are a viable treatment option for completely edentulous patients.

Author(s): Pietro Venezia, MD, DDS; Ferruccio Torsello, DDS, PhD; Raffaele Cavalcanti, DDS, PhD; and Salvatore D’Amato, MD, DDS
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The "Hybrid Abutment": A New Design for Implant Cemented Restorations in the Esthetic Zones

The "Hybrid Abutment": A New Design for Implant Cemented Restorations in the Esthetic Zones
Cemented implant restorations are widely used by many dentists. The traditional abutment design resembles a natural tooth prepared for a crown with a similar taper and a chamfer finish line. A frequent complication associated with implant restorations in the esthetic zones is the recession of buccal gingiva over time. Abutment morphology, among several other prosthetic factors, may play an important role in the stability of gingival margin in esthetically sensitive areas, but this has never been thoroughly analyzed. With many considerations in mind and recent techniques released, this article proposes the "hybrid abutment: design (HAD), a new design that includes a combination of the two types of features - a feather edge on the buccal side, and a chamfer finish line on the lingual side. This article also presents a rationale for the use of different abutment designs for different situations.

Author(s): Roberto Cocchetto, MD, DDS; Luigi Canuello, DDS
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Esthetic Rehabilitation of a Worn Dentition with a Minimally Invasive Prosthetic Procedure

Esthetic Rehabilitation of a Worn Dentition with a Minimally Invasive Prosthetic Procedure
A Minimally invasive prosthetic procedure (MIPP) for the esthetic rehabilitation of the complete arch advocates the preservation of enamel to optimize the adhesive bond of the luting agent to both the tooth surface and the etchable ceramic restoration. When esthetic rehabilitation of a worn dentition is required, a MIPP can be selected to reduce the biological cost of removing additional enamel tooth structure. The fundamental steps to achieve this goal are to: (see in article) This article presents a comprehensive, minimally invasive prosthetic treatment approach for the esthetic rehabilitation of a severely worn dentition using a lithium disilicate all-ceramic material with partial and complete coverage restorations.

Author(s): Mauro Fradeani, MD, DDS; Giancarlo Barducci, MDT; Leonardo Bacherini, DDS
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Fatigue Resistance and Crack Propensity of Novel "Super-Closed" Sandwich Composite Resin Restorations in Large MOD Defects

Fatigue Resistance and Crack Propensity of Novel "Super-Closed" Sandwich Composite Resin Restorations in Large MOD Defects
To asses the influence of conventional glass ionomer cement (GIC) vs resin-modified GIC (RMGIC) as a base material for novel, super-closed sandwich restorations (SCSR) and its effect on shrinkage-induced crack propensity and in vitro accelerated fatigue resistance. A standard MOD slot-type tooth preparation was applied to 30 extracted maxillary molars. A modified sandwich restoration was used, in which the enamel/dentin bonding agent was applied first, followed by a Ketac Molar or Fuji II LC base, leaving 2mm for composite resin material. Shrinkage induced enamel cracks were tracked with photography and transillumination. Samples were loaded until fracture or to a maximum of 185,000 cycles under isometric chewing, starting with a load of 200 N and gradually up to a maximum of 30,000 each...

Author(s): Pascal Magne, DMD, PhD; Silvana Silva, DMD, PhD; Mauro de Andrada, DMD, PhD; Hamilton Maia, DMD, PhD
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Restorative Courses
Minimally Invasive Oral Rehabilitation... No More Crowns Please Premium Member Content

Minimally Invasive Oral Rehabilitation... No More Crowns Please
Many patients are in need of oral rehabilitation but cannot afford it, and we see them suffer and deteriorate feeling helpless. The traditional full mouth rehabilitation, is often excessive (it is extremely rare when a patient really needs a full mouth), and because is expensive, it is rarely accepted. Additionally most commonly crowns are used for rehabilitation, specially on patient with parafunctions. In this eye opening presentation, Dr. Ruiz demonstrates how adhesive dentistry breaks many of the rules we have been taught, as well as the importance of proper occlusal management.

Presented By:: Jose-Luis Ruiz, DDS, FAGD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2 Premium Member Content

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration. Tissue support, emergence profile and The provisional restoration phase of implant therapy has become one of the most critical steps in immediate or delayed placement for several reasons including the following...

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Indirect Composite Posterior Restorations: Conservative and Predictable Approach for Vital and Not-Vital Teeth Premium Member Content

Indirect Composite Posterior Restorations: Conservative and Predictable Approach for Vital and Not-Vital Teeth
Predictable and repeatable results can be achieved through materials and clinical practices that, on one hand, preserve the original structure of the compromised tooth and, on the other hand, involve a very low biologic price. New technologies for the enamel-dentin adhesion and the continuous evolution of more sophisticated esthetic materials (composite resins and porcelains) allow the effective reaching of verifiable and predictable results. Technologies and materials have to follow an operative approach that strictly involves operative steps which have been carefully codified referring to the materials typology used from time to time. This lecture aims to point out the relevant guidelines in indirect techniques for esthetic restorations using composite resins in order to reach a correct and standardized final clinical result when restoring both vital and not-vital posterior teeth.

Presented By:: Prof. Francesco M. Mangani, MD, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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3-D Smile Designing with a Functional Touch: The Dental GPS Way Premium Member Content

3-D Smile Designing with a Functional Touch: The Dental GPS Way
In this esthetic driven era, the responsibility of delivering something that is functionally and esthetically acceptable is of utmost importance. Today , we have something called Dental GPS which is a software that is available both in a clinician version and lab version. It is not only able to help us with the simulation of the proposed results in less than 5 minutes but also able to help us print the diagnostic M lines to help us mount the casts (using a digital facebow) for 2D wax ups and / or 3D virtual wax ups for 3D printed models. This presentation will highlight the usage, simplicity and precision of planning and execution using the 3D smile design software.

Presented By:: Sagar J. Abichandani, BDS, MDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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