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Restorative Vidoes
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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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.

Presented By:: Prof. Francesco M. Mangani, MD, DDS
Presentation Style: Video
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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: Video
Community Rating:
 
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Breaking the Bruxism Habit - Treatment Options & Solutions Premium Member Content

Breaking the Bruxism Habit - Treatment Options & Solutions
Bruxism and clenching have become an epidemic, with studies finding between 80-90% of the population effected. According to the Mayo Clinic, Bruxism is not just an abrasion problem, but a disease that more likely leads to snoring and apnea, and headaches and jaw disorders. The source of Bruxism is a mystery and may vary greatly from one patient to the next. Treatment also varies significantly. Today, through the help of scientific studies, diagnostic and patient education tools, treatments and appliances, Bruxism can be addressed, controlled, and even ended for many patients. Join Dr. John Kline, a practicing dentist of 40 years who has spent much of his career studying, teaching, and treating patients with TMD, TMJ, and Bruxism as he discusses the enigma and treatment of Bruxism.

Presented By:: John Kline, DDS
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
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)
Watch Now>>
Breaking the Bruxism Habit - Treatment Options & Solutions Premium Member Content

Breaking the Bruxism Habit - Treatment Options & Solutions
Bruxism and clenching have become an epidemic, with studies finding between 80-90% of the population effected. According to the Mayo Clinic, Bruxism is not just an abrasion problem, but a disease that more likely leads to snoring and apnea, and headaches and jaw disorders. The source of Bruxism is a mystery and may vary greatly from one patient to the next. Treatment also varies significantly. Today, through the help of scientific studies, diagnostic and patient education tools, treatments and appliances, Bruxism can be addressed, controlled, and even ended for many patients. Join Dr. John Kline, a practicing dentist of 40 years who has spent much of his career studying, teaching, and treating patients with TMD, TMJ, and Bruxism as he discusses the enigma and treatment of Bruxism.

Presented By:: John Kline, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Preventing Subgingival Margins by Implementing Supra-gingival Dentistry Protocol Premium Member Content

Preventing Subgingival Margins by Implementing Supra-gingival Dentistry Protocol
Restorative margins ending subgingival are considered “normal” and out of the control of the restorative dentist, but in reality subgingival margins are mostly avoidable and preventable! We have the technique and materials to be able to consider all of the above part of the history of dentistry.

Presented By:: Jose-Luis Ruiz, DDS, FAGD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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