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Restorative Vidoes
Full Arch Minimally Invasive Direct Composite Smile Makeover Premium Member Content

Full Arch Minimally Invasive Direct Composite Smile Makeover
Dr. Richard Coates shares with us the step by step methodology of increasing vertical dimension in a 27 year old with severe erosion, and then the steps he took to restore this very difficult case from posterior teeth to anterior. He details all steps taken through to finishing and polishing of the direct bonded composite restorations. The Kois occlusal deprogrammer was key to success in this case and fabrication and features of the deprogrammer are also explained in this webinar.

Presented By:: Richard Coats, BDS, PG
Presentation Style: Video
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Treating the Terminal Dentition: A Patient-Center Approach Premium Member Content

Treating the Terminal Dentition: A Patient-Center Approach
In patients with terminal dentition esthetic and functional replacement is a necessary objective, but no longer a sufficient-objective: nowadays, due to the clinical and extra clinical characteristics of these patients, management of the therapy is as important as its conclusion. Respect of the principle of autonomy, reduction of treatment length, simplification of surgical procedures and prosthetic management of implant immediate loading are the cornerstones of this philosophy and are the object of this lecture.

Presented By:: Leonello Biscaro, DDS
Presentation Style: Video
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Minimally Invasive Restorative Veneers; Importance of Wax-Up Premium Member Content

Minimally Invasive Restorative Veneers; Importance of Wax-Up
A 39 years old woman came to our office to seek immadiate solution for her undisered smile. After anamnesis we choosed a full mouth reconstruction to reestablish the patient's function and esthetics. For evaluating how much restorative involvement does it mean, we made a wax-up. After accepting the probable outcome, the treatment has followed driven by wax-up.

Presented By:: Peter Horváth, DDS
Presentation Style: Video
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Guided Preparations and the Future of Minimally Invasive Dentistry

Guided Preparations and the Future of Minimally Invasive Dentistry
An introduction to describe the use of digitally designed, 3D-printed guides to prepare teeth. This state of the arts technology allows dentists to efficiently prepare teeth and deliver the final restoration in one visit. The objective of this presentation is to provide the audience an introduction to with the advancement of 3D-printing in dentistry and it’s use as it pertains to restorative options. With computer aided procedures we can now digitally design and prepare 3D-printed guides to precisely prepare teeth and deliver the final restoration without the need for a temporary.

Presented By:: Cyrus Tahmasebi, DDS
Presentation Style: Video
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Restorative Articles
Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept

Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept
This article, the first of a planned three-part series, outlines a new surgical & prosthetic approach for treating cases involving two missing adjacent teeth in the esthetic zone. These type of cases, particularly when combined with a three-dimensional ridge deficiency, represent one of esthetic dentistry's most challenging dilemmas. A Clear understanding of the unilateral and bilateral defect concept is necessary to properly evaluate each particular case, understand surgical limitations, perform a better risk assessment, establish an esthetic prognosis, develop the best clinical-laboratory strategy, and adjust patients' expectations. While not recommended for every case, represents a useful, economical, and predictable alternative that decreases the umber and complexity of interventions.

Author(s): Christian Coachman, DDS, CDT;Maurice Salama, DMD;Eric Van Dooren, DDS; Eduardo Mahn, DDS, DMD, PhD
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The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol

The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol
Inadequate restorative space can result in mechanical, biologic, and esthetic complications with full-arch fixed implant-supported prosthetics. As such, clinicians often reduce bone to create clearance. The aim of this paper was to present a protocol using stacking computer-aided design/computerassisted manufacturing (CAD/CAM) guides to minimize and accurately obtain the desired bone reduction, immediately place prosthetically guided implants, and load a provisional that replicates predetermined tissue contour. This protocol can help clinicians minimize bone reduction and place the implants in an ideal position that allows them to emerge from the soft tissue interface with a natural, pink-free zirconia fixed dental prostheses.

Author(s): Maurice Salama, DMD;Prof. Dr. Alessandro Pozzi;Wendy AuClair-Clark, DDS, MS;Marko Tadros, DMD;Lars Hansson, CDT, FICOI;Pinhas Adar, MDT, CDT
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Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement

Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore be cognizant of circumstances with a predisposition toward esthetic outcomes and treatment plan accordingly. Preservation of the surrounding hard and soft tissues associated with an immediate postextraction socket implant to replace a nonrestorable tooth in the esthetic zone is one of the greatest challenges facing the dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological, and esthetic parameters were recorded to evaluate primary treatment outcomes.

Author(s): Alessandro Agnini, DMD;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Andrea Mastrorosa Agnini, DDS
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CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions

CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions
Dental erosion is a global health problem that can lead to significant functional and esthetic impairments of the affected patients. Treatment of sever cases with augmented loss of the vertical dimension of occlusion (VDO) represents a challenge for both the dental team and the patient. CAD/CAM technology was used in the presented case to analyze the inter-occlusal space. The case report documents a practical, digital approach and discusses the advantages related to treatment time, ease of treatment, and predictability.

Author(s): Petra C. Guess Gierthmuehlen, DDS; Enrico Steger, MDT
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Restorative Courses
Treating the Terminal Dentition: A Patient-Center Approach Premium Member Content

Treating the Terminal Dentition: A Patient-Center Approach
In patients with terminal dentition esthetic and functional replacement is a necessary objective, but no longer a sufficient-objective: nowadays, due to the clinical and extra clinical characteristics of these patients, management of the therapy is as important as its conclusion. Respect of the principle of autonomy, reduction of treatment length, simplification of surgical procedures and prosthetic management of implant immediate loading are the cornerstones of this philosophy and are the object of this lecture.

Presented By:: Leonello Biscaro, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Eduication Credit)
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Guided Preparations and the Future of Minimally Invasive Dentistry Premium Member Content

Guided Preparations and the Future of Minimally Invasive Dentistry
An introduction to describe the use of digitally designed, 3D-printed guides to prepare teeth. This state of the arts technology allows dentists to efficiently prepare teeth and deliver the final restoration in one visit. The objective of this presentation is to provide the audience an introduction to with the advancement of 3D-printing in dentistry and it’s use as it pertains to restorative options. With computer aided procedures we can now digitally design and prepare 3D-printed guides to precisely prepare teeth and deliver the final restoration without the need for a temporary.

Presented By:: Cyrus Tahmasebi, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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“Finally” - Predictable Indirect Conservative Posterior Restorations Premium Member Content

“Finally” - Predictable Indirect Conservative Posterior Restorations
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. This lecture aims to point out the relevant guidelines for obtaining predictable indirect posterior restorations through the evaluation of a correct biomechanical approach rather than giving just a “trendy” adhesive approach.

Presented By:: Prof. Francesco M. Mangani, MD, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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“The Full Arch Patient”; A Fully Digital Affair Premium Member Content

“The Full Arch Patient”; A Fully Digital Affair
Guided Surgery (GS) is a concept where you are guided by the rehabilitation needs of your patient to perform the implant surgery procedure based on all the info that we process via planning software that are loaded with digital files coming from intra-oral scanning (IOS) and cone beam computed tomography (CBCT). After planning the case, we print a surgical guide or stent to perform the surgery, this technique allows us to do it flap or flapless in a complete secure environment, quicker and more precise if we compare to "freehand" surgery. However, we have to be careful because not all the systems are the same; those who use scoops as reductors are less precise than the "scoopless", no matter which system we use we have to be clear to understand that all the classic concepts of osseointegration are not erased by guided surgery, especially bone physiology.

Presented By:: Orlando Alvarez Del C., DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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