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Sinus Lift & Immediate Implant Placement: "The Easy Protocol" Premium Member Content

Sinus Lift & Immediate Implant Placement: "The Easy Protocol"
Sinus lift is still a common procedure in 2017. Many alternative techniques to sinus lift have been published to avoid invading this anatomical space, such as tilted implants with angled prosthetic abutments, extra short implants, distal pontic cantilever, zygomatic or tuberosity implant placements. However, many situations like highly pneumatized sinus for single missing tooth, extreme atrophic areas at posterior sites, etc. will necessary have to be solved performing sinus lift techniques to regenerate the missing alveolar bone and this alternative options cannot be taken.

Presented By:: Nicolas Aronna Mallia, DDS
Presentation Style: Video
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Horizontal Bone Augmentation Using the “SPLIT BONE BLOCK TECHNIQUE” Step by Step - Part 1 of 2 Premium Member Content

Horizontal Bone Augmentation Using the “SPLIT BONE BLOCK TECHNIQUE” Step by Step - Part 1 of 2
Bone atrophies are one of the most challenging situations in modern implantology. Several techniques have been proposed to be able to place implants in those atrophic situations. This first presentation will show step by step the Split Bone block technique as described by Dr. Khoury to perform horizontal bone augmentation procedures. Bone biology is also explain in order to understand why this technique offer us some great advantages. The second presentation will focus of vertical bone augmentation procedures using this same technique but through a tunnel approach. The advantages of this approach will also be described in this presentation.

Presented By:: Jose L Dominuez Mompell, DDS, MsC, Juan Lara Chao, DDS, MsC
Presentation Style: Video
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The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem Premium Member Content

The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem
This detailed presentation will discuss the etiology, microbiology, histopathology and clinical manifestations of peri-implant disease, and will present evidence based in-office and at-home treatment regimens to stop mucositis from progressing to peri-implantitis. Additionally, "COAP", a new minimally invasive surgical technique for the treatment of peri-implantitis will be introduced.

Presented By:: Paul Fletcher, DDS
Presentation Style: Video
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Connective Tissue Graft Harvesting Techniques - Part 1 of 2 Premium Member Content

Connective Tissue Graft Harvesting Techniques - Part 1 of 2
In this presentation, Prof. Giovanni Zucchelli develops a critical comparison between the different CTG harvesting techniques, and shows the correct management of this kind of graft as well as its use in coronally advanced flap surgical technique for the treatment of gingival recessions.

Presented By:: Prof. Giovanni Zucchelli, DDS, PhD
Presentation Style: Video
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Surgery 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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Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft

Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft
Trauma to teeth and the dentoalveolar process may result in a ridge defect that precludes straightforward implant therapy of the patient. Typically bone and soft tissue augmentation of the area would first be needed to adequately prepare the tissues for the implant and its restoration..Grafting of the site is substantially more difficult in cases where the ridge also lacks adequate height, and techniques to recreate a bony envelope to apply guided bone regeneration may be required. Moreover, defects in the anterior aesthetic zone that require both bone and soft tissue grafting and a restoration that harmonizes the adjacent pink and white aesthetics may be an even more significant challenge to the restorative team. Hereafter a case of trauma to an anterior maxillary tooth that saw destruction of the ridge is presented, with the defect reconstructed to accommodate a functional and aesthetically pleasing implant supported restoration.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit, BChD
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The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry

The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry
Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone-periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD, Dipl Implantol, Dipl Oral Surg, MSc Dent
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Surgery Courses
Connective Tissue Graft Harvesting Techniques - Part 1 of 2 Premium Member Content

Connective Tissue Graft Harvesting Techniques - Part 1 of 2
In this presentation, Prof. Giovanni Zucchelli develops a critical comparison between the different CTG harvesting techniques, and shows the correct management of this kind of graft as well as its use in coronally advanced flap surgical technique for the treatment of gingival recessions.

Presented By:: Prof. Giovanni Zucchelli, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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Modern Approach of Full Arch Immediate Loading Premium Member Content

Modern Approach of Full Arch Immediate Loading
In Immediate loading, the survival rate is often based on the follow-up of the osseointegration, but without aesthetic appreciation... The main goal is to achieve osseointegration and aesthetics in order to get long term stability. For this goal we need to obtain both, bone formation and gum thickness, as any failure in one of the 2 factors, will induce the loss of the second factor. This presentation will show my statistics about more than 1100 full arch loaded immediately since 14 years (> 7700 implants)

Presented By:: Alain Simonpieri, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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Zero Bone Loss Protocol - Part I: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability Premium Member Content

Zero Bone Loss Protocol - Part I: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability
Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Implant placement level is important for bone stability. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorbtion. The role of soft tissue thickness is well established in aesthetic treatment. It is known that thin soft tissues present an unfavorable situation for implant placement, crestal bone stability and subsequent prosthetic treatment.

Presented By:: Tomas Linkevicius, DDS, Dip Pros, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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The Role of Occlusion in Implant Prosthetics Premium Member Content

The Role of Occlusion in Implant Prosthetics
In this presentation Dr. Carlo Poggio delves into the biomechanics and clinical relevance of proper occlusal management in implant dentistry. Combining a thorough review of the literature with clinical dental applications, Dr. Poggio attempts to suggest a rational for designing the occlusion for implant restorations. Topics covered include comparison of occlusal management for teeth and implants. In addition, the importance of controlling the occlusal forces to protect the bone-implant interface from overload and the role of occlusion in peri-implant microbial infection.

Presented By:: Carlo Poggio, DDS, MSD, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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