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Soft Tissue Videos
Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Presented By:: Joseph Choukroun, MD
Presentation Style: Video
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The Esthetic Reconstructive TRIAD: "GBR, GTR and Tissue Molding" Premium Member Content

The Esthetic Reconstructive TRIAD: "GBR, GTR and Tissue Molding"
Implant dentistry in the esthetic zone is highly challenging. In recent years there are several studies, well defined approaches available on how to achieve pleasing outcomes. We must understand the biology of extraction sites and different treatment options for preserving or even reconstructing bony structures for predictable implant placement. This clinical and evidence based presentation will emphasize the importance of proper 3-dimensional implant placement, show different bone preservation techniques i.e P.E.T. (Partial Extraction Therapy) and how soft tissue grafting can effect the final end result. However we must admit that not only surgery but prosthetic skills have a major influence on our work. Implant placement must be determined with the prosthetic plan in mind! On the other hand abutment design, platform shifting concept as tissue molding “tools” and screw retained solutions will be high-lighted with lots of case presentations.

Presented By:: Attila Bodrogi, DDS
Presentation Style: Video
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Understanding Peri-implantitis: Prevention and Treatment Premium Member Content

Understanding Peri-implantitis: Prevention and Treatment
The etiologies and the treatment of peri-implantitis have been discussed over the last two decades. The subject is becoming more critical lately as dental implant therapy is becoming more involved and more practitioners are placing dental. The need of diagnosing and understanding the factors that lead to Peri-implantitis should be understood by the practitioners in order to preserve in the long run a healthy and stable results

Presented By:: Edgard El Chaar, DDS, MS
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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Soft Tissue Articles
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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Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota

Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota
Amoxicillin is commonly used in oral surgery for antimicrobial prophylaxis against surgical-site infection and bacteremia because of its effect on oral streptococci. The aim of this study was to determine whether amoxicillin reaches the break-point concentrations in saliva and has any effect on the salivary microbiota, colonizing bacteria on mucosal membranes and on the gingival crevice after a single dose of amoxicillin. A single dose given as prophylaxis to prevent a surgical-site infection results in a significant reducing effect on the oral streptococcal microflora in the gingival crevice and may have an impact on bacteria spreading into tissues and the bacteria of streptococci.

Author(s): Cecilia Larsson Wexell, DDS, PhD; Henrik Ryberg, PhD; Wivi-Anne Sjöberg Andersson, DDS; Susanne Blomqvist, BSc; Pieter Colin, PhD; Jan Van Bocxlaer, PhD; Gunnar Dahlén, DDS PhD
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Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation

Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation
Osseointegrated dental implants have enjoyed long-term success in the rehabilitation of totally edentulous patients. Every aspect of traditional treatment planning protocols continues to be re-evaluated and updated to better incorporate the benefits of osseointegration into clinical practice. This is particularly evident as dentistry has committed to fully integrating this approach into the more varied and demanding environment of the partially edentulous patient. Along with the many benefits of added predictability and enhanced options, the ever-evolving role of osseointegrated implants in the treatment pf the partially edentulous jaw has also created new challenged. Unlike the fully edentulous individual who maintains the implant-restorative interface beyond the lip perimeter, many partially edentulous patients undergo the transition within the esthetic zone.

Author(s): Henry Salama, DMD;Maurice Salama, DMD;David Garber, DMD;Pinhas Adar, MDT, CDT
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The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement

The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues buccofacial to an immediately placed implant. The socket-shield technique is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the procedure in clinical practice with a 1-year follow up.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD
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Soft Tissue Courses
Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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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.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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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: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Combined Augmentation Therapies in the Esthetic Zone Premium Member Content

Combined Augmentation Therapies in the Esthetic Zone
The esthetic zone presents a far bigger challenge than any other area of the mouth. It is the one area that a patient has the ability to really scrutinize the work that has been done and anything that does not pass muster will quickly create problems in our practices. Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlife the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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