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Surgery Vidoes
Vestibuloplasty: Indications and Techniques Premium Member Content

Vestibuloplasty: Indications and Techniques
Description: Following the complete loss of teeth, the alveolar bone undergoes various degrees of resorption, particularly in response to tissue-supported conventional dentures. This results in loss of vestibule and decreased surface area for denture support. In this presentation, Dr. H. Ryan Kazemi reviews various vestibuloplasty procedures that have been described for restoring the vestibular depth and increasing denture surface area. Additionally, he discusses the application of vestibuloplasty in the management of patients with bone augmentation and implants who commonly present with decreased vestibular depth, the inadequate zone of keratinized gingiva, and thin soft tissue biotype. A step-by-step surgical technique is presented that will increase vestibular depth, the zone of attached gingiva, and soft tissue thickness for enhanced aesthetics and function of dental implants.  

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
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Tipping the Needle in Implant Dentistry Premium Member Content

Tipping the Needle in Implant Dentistry
New materials, new implant designs, smarter surfaces, computer software and much more are helping us push the boundaries of what we thought “possible” in implant dentistry. Osseointegration is no longer in question. In this webinar Dr. Stanley will show you how 3D guided surgery improved the surgical time and outcome; how new regeneration materials like a- PRF and i-PRF are revolutionizing hound healing and soft tissue management; how immediate loading can be a simple procedure but most of all, how to use the best materials and technology to improve your surgical skills. By presenting some selected clinical cases, Dr. Stanley will show you what can be done with careful planning and execution in clinical implantology.

Presented By:: Miguel Stanley, DDS
Presentation Style: Video
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Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry Premium Member Content

Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry
Implant dentistry in the esthetic zone is highly challenging. In recent years several studies, well defined approaches have been published 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 insertion. This clinical and evidence based presentation emphasizes the importance of proper 3-dimensional implant surgery and how soft tissue grafting can effect the final end result. There will be a special focus on immediate extraction site placements and surrounding tissue management as well.

Presented By:: Attila Bodrogi, DDS
Presentation Style: Video
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Management of Narrow and Short Ridge Dimensions in Implant Dentistry: New Minimally Invasive Concepts Premium Member Content

Management of Narrow and Short Ridge Dimensions in Implant Dentistry: New Minimally Invasive Concepts
The management of narrow and short ridge dimensions has posed a great concern for most implantologists. Often large GBR or block augmentation procedures are suggested with high morbidity but this lecture presents more minimally invasive options to restore these ridge challenges. Ridge Expansion with motorized drills as well as the utilization of ultra-short and wider implants to avoid sinus and nerve proximity challenges will be discussed. The role of blood born bioactive modifiers, specifically PRGF (Plasma Rich in Growth Factors) to enhance wound healing will similarly be highlighted.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Video
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Surgery Articles
Vertical Ridge Augmentation and Soft Tissue Reconstruction of the Anterior Atrophic Maxillae: A Case Series

Vertical Ridge Augmentation and Soft Tissue Reconstruction of the Anterior Atrophic Maxillae: A Case Series
Severe vertical ridge deficiency in the anterior maxilla represents one of the most challenging clinical scenarios in the bone regeneration arena. As such, a combination of vertical bone augmentation using various biomaterials and soft tissue manipulation is needed to obtain successful outcomes. The present case series described a novel approach to overcome vertical deficiencies in the anterior atrophied maxillae by using a mixture of autologous and anorganic bovine bone. Soft tissue manipulation including, but not limited to, free soft tissue graft was used to overcome the drawbacks of vertical bone augmentation (eg, loss of vestibular depth and keratinized mucosa). By combining soft and hard tissue grafts, optimum esthetic and long-term implant prosthesis stability can be achieved and sustained.

Author(s): Itsvan A. Urban, DMD, MD, PhD; Alberto Monje, DDS; Jaime Lozada, DMD; Hom-Lay Wang, DDS, MSD, PhD
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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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The BARI Technique: A New Approach To Immediate Loading

The BARI Technique: A New Approach To Immediate Loading
When dealing with full-arch rehabilitation, the provisional phase is important in order to define the correct occlusal, intermaxillary, and esthetic relationships for each individual patient. In these cases, it is difficult to transfer this information to the final restorations. Several techniques have been developed to transfer the information from tooth- or implant-supported fixed provisionals to the definitive rehabilitations. The present article describes a technique proposed by the authors to transfer the information from a removable prosthesis to an implant-supported restoration.

Author(s): Pietro Venezia, MD, DDS; Pasquale Lacasella, ODT; Luca Cordaro, MD, DDS, PhD; Ferruccio Torsello, DDS, PhD; Raffaele Cavalcanti, DDS, PhD
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Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series
To measure the buccal plate reconstruction of extraction sockets with labial plate dehiscence defects using a bone allograft in combination with an absorbable collagen membrane and a custom-healing abutment at the time of tooth removal. Implants placed into sockets with labial plate dehiscence defects demonstrated radiographic reformation of the labial plate dehiscence defect at 6 to 9 months post-treatment. The net gain in labial plate on CBCT in L1 and L2 was 3.0 mm, where 0 mm existed at pre-treatment. The minimum amount of labial plate thickness of 2.0 mm was achieved in all treated sites, evaluated radiographically at 6-9 months post-operatively, in a single procedure, without flap elevation and maintaining the gingival architecture and satisfactory esthetics.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
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Surgery Courses
Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry Premium Member Content

Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry
Implant dentistry in the esthetic zone is highly challenging. In recent years several studies, well defined approaches have been published 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 insertion. This clinical and evidence based presentation emphasizes the importance of proper 3-dimensional implant surgery and how soft tissue grafting can effect the final end result. There will be a special focus on immediate extraction site placements and surrounding tissue management as well.

Presented By:: Attila Bodrogi, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Tipping the Needle in Implant Dentistry Premium Member Content

Tipping the Needle in Implant Dentistry
New materials, new implant designs, smarter surfaces, computer software and much more are helping us push the boundaries of what we thought “possible” in implant dentistry. Osseointegration is no longer in question. In this webinar Dr. Stanley will show you how 3D guided surgery improved the surgical time and outcome; how new regeneration materials like a- PRF and i-PRF are revolutionizing hound healing and soft tissue management; how immediate loading can be a simple procedure but most of all, how to use the best materials and technology to improve your surgical skills. By presenting some selected clinical cases, Dr. Stanley will show you what can be done with careful planning and execution in clinical implantology.

Presented By:: Miguel Stanley, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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"The Root Membrane Technique” / Socket Shield: Long-Term Results Premium Member Content

"The Root Membrane Technique” / Socket Shield: Long-Term Results
Loss of blood supply derived from the periodontal ligament (PDL) has been identified as a major etiologic factor for ridge resorption. Animal studies and case reports provide proof-of-principle data on the feasibility of immediate implant placement in proximity to a retained root fragment for the strategic preservation of the natural tooth apparatus. This novel concept relies on the preservation of PDL, buccal bone and soft tissue esthetics via selective preservation of the buccal portion of the root and PDL which can lead to predictable and sustainable clinical stability of immediately placed and loaded implants.

Presented By:: Mitsias E. Miltiadis, DDS, MSc, PhD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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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
It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorption. 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 Course
CE Hours: 1 CEU (Continuing Education Unit)
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