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Surgery Vidoes
Predictability of Root Coverage Procedures: Clinical Scenarios & Evidence-Based Treatment Options Premium Member Content

Predictability of Root Coverage Procedures: Clinical Scenarios & Evidence-Based Treatment Options
Root coverage (RC) procedures have long been used for the treatment of gingival recession (GR). During daily practice, clinicians are required to deal with diverse clinical scenarios and to provide the most adequate treatment options for each particular condition based on the best evidence available, the clinician’s skills, and the patients’ desires.

Presented By:: Leandro Chambrone, DDS, MSc, PhD
Presentation Style: Video
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GBR with Individualized Titanium Meshes Premium Member Content

GBR with Individualized Titanium Meshes
According to several authors, Guided bone regeneration is a procedure needed in half of the dental rehabilitations with dental implants. Due to this reality, digital dentistry become an important tool allowing us to be more precise and less invasive. By printing customized titanium meshes based on the patients bone defects, we can now predict the exact volume needed to be regenerate and create a specific device that will help to maintain the space. This takes CAD CAM dentistry to the next level, allowing more predictability in every step of the way, from bone regeneration till prosthetic rehabilitation. techniques more predictable. The authors describe a new guided bone regeneration protocol based on the use of digital planning and fabrication of printed 3D titanium meshes, rigid devices that protect mechanically the scaffold, design over the patient CT scan.

Presented By:: Rui Coelho, DDS & Nuno Cruz, DDS, MSc
Presentation Style: Video
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Immediate Molar Implants: When, Why, and How? Premium Member Content

Immediate Molar Implants: When, Why, and How?
Multi-rooted extraction sockets are often too large to accommodate a traditional diameter implant, therefore ultra wide diameter implants as a clinical alternative can predictably simplify procedures without compromising function and esthetics. Problems with use of traditional implants may include the ability to gain adequate primary stability, use of large amounts of graft material, and poor embrasure spaces causing food impaction. The focus of this lecture will highlight clinical rational to improve success, anatomical and restorative benefits of immediate placement, evidence-based outcomes reported in literature, and survival and success rates reported by the presenter. This lecture is intended for restorative dentists.

Presented By:: Richard B. Smith, DDS
Presentation Style: Video
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 “The Transition Zone”: The Critical Esthetic Triad of Bone, Tissue & Restoration Premium Member Content

“The Transition Zone”: The Critical Esthetic Triad of Bone, Tissue & Restoration
The achievement of an aesthetic implant-supported restoration is a constant challenge to the restorative dentist. Due to the circular shape of the implant and its smaller diameter, when compared to the root of a natural tooth, a dilemma inevitably occurs of how to construct an artificial crown that will imitate the natural tooth crown form. The appearance of the surrounding soft tissue “the transition zone” is of major importance, and various techniques have been developed to guide its topography. The lecture will show key factors and parameters through clinical procedures in order to achieve a sound aesthetic outcome in different treatment scenarios.

Presented By:: Konstantinos D Valavanis, DDS
Presentation Style: Video
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Surgery Articles
Socket Shield Technique - Implantology Today

Socket Shield Technique - Implantology Today
The socket shield procedure is an effective surgical technique for implant supported restorations. It helps in preserving the labial bone and soft tissue architecture around osseointegrated implants. The procedure provides comparable or better outcomes compared to other conventional alternatives at a lower cost.

Author(s): Udatta Kher, BDS, MDS;Ali Tunkiwala, MDS
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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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Surgery Courses
The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation Premium Member Content

The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation
The last thirty years have given Clinicians the opportunity to be witness of the wonderful Bone Regeneration Story. The amazing function of the Periodontal Ligament Fibroblast in the wound healing, the first steps of Guided Tissue Regeneration and later the evolution to Guided Bone Regeneration and Implant Therapy, have been Revolutions in our daily practice and becomes landmarks for a whole generation of dentists

Presented By:: Bernard Dahan, DDS, DCD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Immediate Molar Implants: When, Why, and How? Premium Member Content

Immediate Molar Implants: When, Why, and How?
Multi-rooted extraction sockets are often too large to accommodate a traditional diameter implant, therefore ultra wide diameter implants as a clinical alternative can predictably simplify procedures without compromising function and esthetics. Problems with use of traditional implants may include the ability to gain adequate primary stability, use of large amounts of graft material, and poor embrasure spaces causing food impaction. The focus of this lecture will highlight clinical rational to improve success, anatomical and restorative benefits of immediate placement, evidence-based outcomes reported in literature, and survival and success rates reported by the presenter. This lecture is intended for restorative dentists.

Presented By:: Richard B. Smith, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2 Premium Member Content

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2
Esthetics plays a key role in a modern society and the average dental health of the population is improving every day. In such environment, the demands of dental treatments are different and dentists should approach their patients in a different way: they should be prepared to implement different and modern techniques around teeth and implants. Soft tissue grafting techniques provide the dentist with an armamentarium that makes possible to prevent and solve many problems and complications around teeth and implants, making more predictable the treatments results. This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Presented By:: Ramon Gomez Meda, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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The Digital Smile Designer Journey: Step-by-Step of the Facially Driven Smile Design Process Powered by 3D Technology Premium Member Content

The Digital Smile Designer Journey: Step-by-Step of the Facially Driven Smile Design Process Powered by 3D Technology
Understanding how to break down into rational steps the challenging process of designing beautiful smiles in harmony with faces and integrating esthetics with function. Utilizing 3D digital technology to facilitate this process. Integrating the DSD principles of documentation and facial analysis with CAD softwares and utilizing this 3D process to improve team communication, interdisciplinary diagnostics and treatment planning.

Presented By:: Christian Coachman, DDS, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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