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Restorative Vidoes
Digital Impression Workflow & In-Office Milling Using CS Solutions Premium Member Content

Digital Impression Workflow & In-Office Milling Using CS Solutions
This course will describe a new reality in the creation of CAD –CAM generated restorations. Carestream dental has created a system which allows the user to generate ceramic restorations in office or through an internet portal to a dental laboratory. The system will allow dentist to create single unit ceramic restoration, implant abutments, printed models for orthodontics, and in the future precision implant surgical guides.

Presented By: Joseph D. Mazzola, DDS
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 Valladares, DDS, CDT
Presentation Style: Video
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Esthetic and Functional Rehabilitation: A Case Report Premium Member Content

Esthetic and Functional Rehabilitation: A Case Report
Most people want to look beautiful. The ability to express feelings is fundamental to the quality of life, but expressing emotions is impossible without the freedom to smile. A patient with an ill-fitting removable denture and a fixed, porcelain-fused-to-metal bridge sought care to improve her smile. This fixed bridge was removed and direct provisional restorations placed, followed by crown-lengthening surgery and implant placement, waiting 10 months for the patient to heal. We waited one month to check occlusal stability and patient satisfaction and then made the final precision impressions and master casts. We cemented the final restorations; lithium disilicate allowed the creation of an esthetic result without sacrificing strength with use of both full-anatomy and layered techniques. Dental implants make it possible to have non-removable teeth that can be integrated esthetically and functionally, allowing the recreation of tooth color, form, and structure to reestablish a pat

Presented By: Nazariy Mykhaylyuk, DMD
Presentation Style: Video
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Visual Esthetic Smile Design Premium Member Content

Visual Esthetic Smile Design
Digital Smile Design is a multipurpose digital tool with clinically relevant advantages: It can strengthen esthetic diagnostic abilities, improve communication between team members, help organize treatment planning, create predictable systems throughout treatment phases, enhance patients’ education and motivation, and increase the effectiveness of case presentation. This article describes the main steps of introducing this practical tool to the clinician’s esthetic restorative practice.

Presented By: Christian Coachman, DDS, CDT
Presentation Style: Video
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Restorative Articles
Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery

Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery
Protocols and techniques for immediate tooth replacement in the esthetic zone have become more popular and predictable within the past decade. Two different clinical scenarios are presented where immediate temporization of implants placed into healed or augmented ridges is exemplified. The benefits of augmentation prior to implant placement and temporization are that flap elevation is not required; therefore, the blood supply to the labial plate is not compromised, thereby eliminating potential midfacial recession. In addition, the soft tissue subgingival shape of the temporary crown can be non-surgically sculpted at the time of implant placement since the patient is already anesthetized.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS
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Esthetic and Functional Rehabilitation: A Case Report

Esthetic and Functional Rehabilitation: A Case Report
In this article, esthetic case planning and a new complete protocol of tooth preparation for full crowns will be highlighted utilizing modified enamel chisels and the dental microscope. Multimedia will be utilized for optimal visual learning using magnification photography and videos to focus on specific details required to improve your dental skills. The important role of magnification in dentistry will be further discussed.

Author(s): Nazariy Mykhaylyuk, DMD;Bogdan Mykhayluk, CDT; Myroslav Solonko, DDS
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Relationships Between Different Tooth Shapes and Patient’s Periodontal Phenotype

Relationships Between Different Tooth Shapes and Patient’s Periodontal Phenotype
The purpose of the present study was to establish whether any correlation exists between tooth shapes and patient-related factors such as gingival and periodontal characteristics. Clinical measurements, including the width and the height of maxillary central incisor crowns, the apico incisal height of the keratinized mucosa, the buccal gingival thickness (GT), the depth of the sulcus, the bone-sounding depth (BS) and the height of the interproximal maxillary central papilla, were investigated in 50 healthy individuals. These individuals were then divided into three groups based on the shape of their maxillary central incisor crowns: triangular; square; or square-tapered. The results of this study indicate that different tooth shapes are associated with significantly different values for the extent of the KM, its bucco-lingual thickness and the height of the interproximal maxillary central papilla.

Author(s): Luca Gobbato, DDS, MS;Stellini E; Comuzzi L; Mazzocco F; Parente N
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Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis

Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis
This report investigates the outcome of CLS procedures performed at an urban dental school in a population of individuals with HIV. Specifically, this retrospective clinical analysis evaluates the healing response after crown lengthening surgery (CLS). Of the 21 patients with HIV examined after CLS, none had postoperative complications, such as delayed healing, infection, or prolonged bleeding. Variations in viral load, CD4 cell count, smoking, platelets, and neutrophils did not impact surgical healing. In addition, variations in medication regimens (highly active anti-retroviral therapy; on pro-tease inhibitors; no medications had an impact. The results of this retrospective analysis show the absence of postoperative complications after CLS in this population with HIV. Additional investigation into this area will help health care practitioners increase the range of surgical services provided to this group of patients.

Author(s): Monish Bhola, DDS, MSD;Shilpa Kolhatkar, Suzanne A. Mason, Ana Janic, Shaziya Haque and James R. Winkler
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Restorative Courses
Digital Impression Workflow & In-Office Milling Using CS Solutions Premium Member Content

Digital Impression Workflow & In-Office Milling Using CS Solutions
This course will describe a new reality in the creation of CAD –CAM generated restorations. Carestream dental has created a system which allows the user to generate ceramic restorations in office or through an internet portal to a dental laboratory. The system will allow dentist to create single unit ceramic restoration, implant abutments, printed models for orthodontics, and in the future precision implant surgical guides. The course will cover the CS3500 camera acquisition unit, its use, and export of images to the Restore software for restoration design to be milled in office, or export the image file to a desired dental milling laboratory. The design phase using the Restore software and the CS 3000 milling unit will be covered in depth so the viewer will be familiar with the CS system so they will be able to fabricate a milled ceramic restoration in either an open format, milling laboratory or a closed format in their office.

Presented By: Joseph D. Mazzola, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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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. Achieving or maintaining optimal aesthetics requires detailed treatment planning and sequencing of therapy, and often requires a multidisciplinary approach. 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: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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The Smile Design Revolution - Management, Communication and Implementation Premium Member Content

The Smile Design Revolution - Management, Communication and Implementation
Treatment planning a full mouth rehabilitation is amazingly challenging. So many options and steps must be coordinated and controlled to achieve a successful outcome. Developing the Smile Design is just the starting point. Carefully integrating this design to function is the key. This presentation will show how this process is a complex brainstorm that needs to be guided by logical and rational steps to achieve consistent and predictable solutions.

Presented By: Christian Coachman, DDS, CDT
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Predictable Esthetic Success Using Direct Anterior Composite Bonding Premium Member Content

Predictable Esthetic Success Using Direct Anterior Composite Bonding
This presentation will show you a step-by-step process to fabricate conservative, esthetic and functional restorations for anterior teeth that conserve tooth structure and look incredible.

Presented By: John F. Weston, DDS, FAACD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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