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Thinking Outside the Box in Sinus Augmentation- From Conventional to Minimal Invasive Approach Premium Member Content

Thinking Outside the Box in Sinus Augmentation- From Conventional to Minimal Invasive Approach
The lecture will focus on the concept of "thinking outside the box" in sinus augmentation, showing unconventional minimal invasive surgical manipulations which allows the clinician to reach the ultimate goal- bringing the patient the function and esthetics with his teeth even in cases with minimal crestal bone height, using autologous growth factors and minimal invasive anthral membrane balloon elevation.

Presented By:: Ziv Mazor, DMD
Presentation Style: Video
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Revolutionary Dental Implant Material Technology: Trabecular Metal Premium Member Content

Revolutionary Dental Implant Material Technology: Trabecular Metal
To date, enhancement to implant surface technology has been evolutionary rather than revolutionary. Trabecular Metal has changed all that. This is because Trabecular Metal allows for true bone 'in-growth' rather than just on-growth. This webinar will highlight, in detail, this new implant surface technology, related literature, as well as its enhancing effect on current clinical implant protocols. In addition, techniques for immediate provisionalization of this implant will also be covered in an accompanying surgical video.

Presented By:: Richard Akin, DDS, MD
Presentation Style: Video
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What is the Role of Blood and its Proteins in Regenerative Therapy? Bioengineering and Technological Applications Premium Member Content

What is the Role of Blood and its Proteins in Regenerative Therapy? Bioengineering and Technological Applications
In the blood stream, we have plasmatic proteins and proteins that are released upon platelet activation. These proteins, at certain concentration, play an important function in orchestrating complex events that occur to achieve tissue regeneration like chemiotaxis, angiogenesis, cellular proliferation and differentiation. The optimized use of these bioactive clues would offer several advantages and applications in surgery.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Video
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Managing Technology for Best Outcomes and Productivity Premium Member Content

Managing Technology for Best Outcomes and Productivity
Digital technology provides tools to improve planning, clinical execution, prosthetic design, manufacturing, maintenance, and cost of care. Dental professionals need to understand the value of individual technologies as well as the benefit derived from linking them together. During this presentation, a business model and clinical cases will be used to illustrate how a number of digital technologies can impact outcomes and productivity.

Presented By:: Arnold Rosen, DDS, MBA
Presentation Style: Video
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Surgery Articles
Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog

Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog
Dental implant surface technology has evolved from a relatively smooth machined implant surface for osseointegration to more roughened osteoconductive surfaces. Recent studies suggest that peri-implant soft tissue inflammation with progressive bone loss (ie peri-implantitis) is becoming a prevalent condition. One possibility that could explain sucha a finding is that more bacterial plaque forms on the roughened implant and abutment surfaces, which may result in the peri-implant inflammation if the soft tissues. This study compared 36 tissue-level implants with a machined transmucosal collar to 36 implants with a relatively roughened transmucosal surface in the dog. The results demonstrated that the connective tissue contact was similar between the two implant types but that the junctional epithelium and biologic width dimensions were greater around the implants with the machined collars...

Author(s): David L. Cochran, DDS, PhD; Marcel Obrecht, SDIS; Klaus Weber, PhD, MDV, MS; Michel Dard, DDS, PhD; Dieter Bosshardt, PhD; Frank L. Higginbottom, DDS; Thomas G. Wilson Jr., DDS; Archie A. Jones, DDS
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Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra

Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra
The key to the success of soft tissue lasers is their ability to cut and coagulate the soft tissue at the same time. Present work is aimed to derive the wavelength-dependent differences in photo-thermal ablation and coagulation efficiencies for oral soft tissue pulsed dental Near-IR Diode, Mid-IR Erbium and IR CO2 lasers. Even though the soft tissue photothermal ablation has been extensively studied, there remains a discrepancy between (a) the widely proliferated notion about efficient Near-IR 800-1,100 nm laser ablation of the oral soft tissue, and (b) studies reporting the inefficient soft tissue Near-IR absorption/ablation. Indeed, the notions about “the key to the usefulness of the Nd:YAG is that this wavelength is highly absorbed in oral soft tissue”, and “all currently available dental laser instruments and their emission wavelengths have indications for use for incising, excising... oral soft tissue surgery”, contradict an observation illustrated here...

Author(s): Peter Vitruk, PhD
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The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla

The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla
Following tooth extraction the implant surgeon may select between various implant placement timing and loading protocols. Ideally these are to be determined prior to extraction, be it immediate, early, or late placement. Immediate implant placement even in the aesthetic zone is a literature supported treatment modality with success comparable to alternative placement protocols. Meticulous restorative treatment planning of a tooth destined for extraction is essential. Selecting the appropriate implant and techniques may preserve and ensure natural aesthetics. Utilizing the patient’s own tooth crown can better provisionalize the implant with a ‘walk out as you walk in’ result.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit
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Immediate Placement of Dental Implants in the Esthetic Zone: A Systematic Review and Pooled Analysis

Immediate Placement of Dental Implants in the Esthetic Zone: A Systematic Review and Pooled Analysis
Research interest on immediate placement of dental implants has shifted from implant survival toward optimal preservation of soft and hard tissues. The aim of this study is to systematically assess the condition of implant survival, peri-implant hard and soft tissue changes, esthetic outcome, and patient satisfaction of immediately placed single- tooth implants in the esthetic zone. A pooled analysis was performed to identify factors associated with survival and peri-implant tissue changes after immediate implant placement. Immediate placement with immediate provisionalization of dental implants in the esthetic zone results in excellent short-term treatment outcome in terms of implant survival and minimal change of peri-implant soft and hard tissue dimensions.

Author(s): Kirsten W. Slagter; Laurens den Hartog; Nicolaas A. Bakker; Arjan Vissink; Henny J.A. Meijer; Gerry M. Raghoebar
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Surgery Courses
Advanced Immediate Implant Placement Strategies Including the Socket Shield (SS) Technique and its Complications Premium Member Content

Advanced Immediate Implant Placement Strategies Including the Socket Shield (SS) Technique and its Complications
Immediate implant placement in the aesthetic zone has become a controversial topic with regards to the long term aesthetic demands that both the profession and our patients have placed on this treatment modality. Since the controversy broke a few years ago there have been a number of outstanding developments that have revolutionized the way we do immediate implant placement. Soft tissue augmentations using the tunnel technique as well as the socket whiled technique are 2 of these techniques which form the baseline of treatment in our clinic. This lecture will go through all the updated protocols of immediate implant placement supported by the literature as well as deal specifically with the finer details of the socket whiled technique including step by step photos and video of the technique. More importantly it will cover numerous complications that we have had to deal with over the last few years that we have been doing this technique.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Managing Technology for Best Outcomes and Productivity Premium Member Content

Managing Technology for Best Outcomes and Productivity
Digital technology provides tools to improve planning, clinical execution, prosthetic design, manufacturing, maintenance, and cost of care. Dental professionals need to understand the value of individual technologies as well as the benefit derived from linking them together. During this presentation, a business model and clinical cases will be used to illustrate how a number of digital technologies can impact outcomes and productivity.

Presented By:: Arnold Rosen, DDS, MBA
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Revolutionary Dental Implant Material Technology: Trabecular Metal Premium Member Content

Revolutionary Dental Implant Material Technology: Trabecular Metal
To date, enhancement to implant surface technology has been evolutionary rather than revolutionary. Trabecular Metal has changed all that. This is because Trabecular Metal allows for true bone 'in-growth' rather than just on-growth. This webinar will highlight, in detail, this new implant surface technology, related literature, as well as its enhancing effect on current clinical implant protocols. In addition, techniques for immediate provisionalization of this implant will also be covered in an accompanying surgical video.

Presented By:: Richard Akin, DDS, MD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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A Review of Clinical Applications for Soft Tissue Allografts & Autografts: Solutions for Teeth, Implants, and Dentures Premium Member Content

A Review of Clinical Applications for Soft Tissue Allografts & Autografts: Solutions for Teeth, Implants, and Dentures
The presentation focuses on the clinical applications for acellular dermal graft (ADG) materials. ADGs have been commonly presented and discussed to provide solutions for treating gingival recession. Compared to autogenous grafts, they have the advantage of minimizing pain, discomfort, and surgery time for patients by avoiding an intraoral donor site such as the palate. In addition to treating gingival recession, ADGs also have uses in bone grafting surgeries such as socket grafting and ridge augmentations (GBR) when they are utilized as a barrier membrane. Finally, ADGs can be combined with bone grafting materials to aid in the augmentation of edentulous ridges to aid denture support. While this last application is less common, it's use is worthy of discussion.

Presented By:: David Wong, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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