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Surgery Vidoes
Lasers in Contemporary Implant and Restorative Dentistry: A Microscopic Perspective Premium Member Content

Lasers in Contemporary Implant and Restorative Dentistry: A Microscopic Perspective
In the lecture, we will discuss the role of lasers after the implant has been placed. We will demonstrate how it can be used to improve healing. It can be used during uncovery. It can be used in periimplant tissue removal, and even in the exciting world of periimplantitis. Clinical cases will be presented showing hard-tissue lasers being used for decortication as an alternative to traditional means. We will focus on why an electrosurge may be damaging to your implants, and may cause you more problems than benefits, and why a diode-laser may be your treatment of choice.

Presented By:: Glenn A. van As, BSc, DMD
Presentation Style: Video
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Minimally Invasive Protocols for Total Esthetic Reconstructions Premium Member Content

Minimally Invasive Protocols for Total Esthetic Reconstructions
One of the biggest challenges that we dentists have are those cases that require a multidisciplinary approach which traditionally were managed using invasive and long term treatments. Nowadays, and depending on the case, the contemporary dentist can offer minimally invasive treatments which allow us to modify the shape of the hard and soft tissues. The combination of surgical lip repositioning with periodontal plastic surgery yields highly effective results in the treatment of gummy smiles. During patient examination it is important to establish the etiology responsible for the excessive gingival display. The combined technique can be considered as an alternative option to more invasive procedures. The prognosis is acceptable and the patient realizes that the esthetic problem has been minimized.

Presented By:: Kenneth P. Valladares, DDS, CDT
Presentation Style: Video
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Transcrestal Sinus Floor Elevation: The MFAQs (Most Frequently Asked Questions) Premium Member Content

Transcrestal Sinus Floor Elevation: The MFAQs (Most Frequently Asked Questions)
As a less invasive alternative to the lateral window osteotomy, many clinicians are anxious to expand its clinical utilization, but are reluctant to do so, based on perceived limitations and confusion generated by the myriad of reported modifications, all proclaiming simplicity with more sinus elevation at reduced risk. While improving upon the original osteotome technique they have not yet eliminated the need for a more invasive lateral approach, especially at sites with very limited (1-2 mm) sub-antral bone. Extensive analysis of the existing research and long-term clinical experience will provide the answers to the most pertinent questions surrounding the transcrestal approach including but not limited to: patient selection, clinical limitations, instrumentation, graft selection/necessity and management of membrane perforations.

Presented By:: Michael Toffler, DDS
Presentation Style: Video
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Maxillary Sinus Augmentation: Complications, Prevention and Future Premium Member Content

Maxillary Sinus Augmentation: Complications, Prevention and Future
Sinus augmentation using variable bone substitutes has been known as predictable method to reconstruct the pneumatized sinus cavity for several decades. However various complications such as bacterial and fungal infection, oroantral fistula and failure of bone regeneration have been reported after bone graft was done in the sinus.

Presented By:: Dong-Seok Sohn, DDS, PhD
Presentation Style: Video
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Surgery Articles
Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico

Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico
En nuestra clinica observamos un aumento de pacientes adultos con problemas esqueletales, compromiso periodontal y necesidades protesicas. Debemos recurrir a la interconsulta con el periodoncista, protesista y cirujano maxilofacial, para la correccion del caso, prestando especial atencion al componente dentario, esqueletal y los tejidos blandos faciales del paciente. La cirugia ortognatica, que generalmente la realizamos luego de una preparacion ortodoncica, permite corregir discrepancias en el adulto y restaurar la funcion y estetica en los tres planos del espacio. Realizada la correccion oclusal, procedemos a sustituir dientes ausentes, mediante implantes y protesis fijas. El Periodoncista, mantiene un control constante de la salud de los tejidos de soporte, durante todas las fases de la terapia multidisciplinaria.

Author(s): Miguel Hirschhaut, DDS;Jorge Ravelo, DDS
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Long Term Follow-Up of Dental Implants Placed in Autologous Onlay Bone Graft

Long Term Follow-Up of Dental Implants Placed in Autologous Onlay Bone Graft
The aim of this study was to evaluate the efficacy of autologous intraoral onlay bone grafting (OBG) in correlation with long-term survival rates of dental implants placed in the augmented bone. A retrospective study was conducted on 214 patients who received a total of 633 dental implants placed in 224 autologous intraoral block OBG augmentations, combined with Bio-Oss – mixed with platelet-rich plasma (PRP) and covered by platelet-poor plasma (PPP) – as scaffold, with a follow-up time up to 137 months. We suggest that augmentation of severely atrophied jaw bone through the placement of horizontal and/or vertical intraoral OBGs in combination with Bio-Oss saturated with PRP and covered by PPP should be considered a reliable, safe, and very effective surgical technique for obtaining high bone graft survival rate and high long-term implant survival rate.

Author(s): Devorah Schwartz-Arad, DMD, PhD;Ronen Ofec, DMD, MSc; Galit Eliyahu, PhD; Angela Ruban, PhD; Nir Sterer, DMD, PhD
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The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone

The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication, especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication. Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be successful, as is presented hereafter.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit
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Periosteal Pocket Flap for Horizontal Bone Regeneration: A Case Series

Periosteal Pocket Flap for Horizontal Bone Regeneration: A Case Series
This article describes a buccal periosteal pocket flap proposed to overcome these challenges. The flap design results in a periosteal pocket, which allows filling of bone-grafting material while facilitating primary, tension-free soft tissue closure by splitting of the mucosa. The flap gives stability to the augmented volume within the pocket. Ridge width changes of five patients consecutively treated with this technique were recorded before and 24 weeks after augmentation.

Author(s): Marius Steigmann, DDS;Maurice Salama, DMD;Hom-Lay Wang, DDS, MSD, PhD
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Surgery Courses
Transcrestal Sinus Floor Elevation: The MFAQs (Most Frequently Asked Questions) Premium Member Content

Transcrestal Sinus Floor Elevation: The MFAQs (Most Frequently Asked Questions)
As a less invasive alternative to the lateral window osteotomy, many clinicians are anxious to expand its clinical utilization, but are reluctant to do so, based on perceived limitations and confusion generated by the myriad of reported modifications, all proclaiming simplicity with more sinus elevation at reduced risk. While improving upon the original osteotome technique they have not yet eliminated the need for a more invasive lateral approach, especially at sites with very limited (1-2 mm) sub-antral bone. Extensive analysis of the existing research and long-term clinical experience will provide the answers to the most pertinent questions surrounding the transcrestal approach including but not limited to: patient selection, clinical limitations, instrumentation, graft selection/necessity and management of membrane perforations.

Presented By:: Michael Toffler, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Digital Dentures: Revolutionizing Treatment for the Edentulous Patient Premium Member Content

Digital Dentures: Revolutionizing Treatment for the Edentulous Patient
While the number of edentulous patients is increasing every year, the access to care is decreasing. In order to streamline the complete denture process, more companies are incorporating CAD/CAM. This lecture will review how digital technology is changing complete dentures, and how it can be incorporated into clinical practice.

Presented By:: Wendy AuClair, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Modern Crown Lengthening: Classification and Clinical Application Premium Member Content

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

Presented By:: André P. Saadoun, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management Premium Member Content

Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management
This presentation by the Troeltzsch Brothers features the fundamentals of surgical procedures in the oral cavity. Highlighted are the basic concepts we all must integrate into our daily clinical practice. A discussion of the essential anatomic guidelines as they relate to flap design options and indications are emphasized. Furthermore, material selection, sutures and techniques of wound closures are clearly addressed. Critical solutions to common surgical complications are also described. This lecture is intended for surgical beginners as well as experienced clinicians who want to update their surgical knowledge. These fundamentals are also very popular in the hands-on courses given by the Troeltzsch brothers.

Presented By:: Markus Tröltzsch, MD, DMD;Matthias Tröltzsch, MD, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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