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Surgery Vidoes
Working With Spaces and Decisions on the Congenitally Missing Lateral Incisor - Part 1 of 2 Premium Member Content

Working With Spaces and Decisions on the Congenitally Missing Lateral Incisor - Part 1 of 2
A congenitally missing maxillary lateral incisor is quite common today on a Orthodontic practice. Through the years, the alternatives of restoring the missing lateral incisor have increased in such a level that today we can offer a patient the option of opening the space for a tooth supported restoration, or for an implant supported restoration. We could also offer closing the space and have a tooth substitution type of solution to this problem. The lecture will go in detail on the aspects we should consider while making the decision on what treatment option to follow.

Presented By: Manuel De La Rosa Garza, DDS, MS;Marcela De la Rosa, DDS, MS
Presentation Style: Video
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 The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions Premium Member Content

The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions
This program is a perspective into how cross- disciplinary interface planning has become and integral part of clinical esthetic dentistry, in particular implant diagnostics. Today it is essential to combine “white” tooth esthetics with “pink” gingival aspects. Understanding the individual prosthetic, surgical, and biologic limitations is part of innovative treatment-planning protocols developed in an approach to provide, simplify, and expedite minimally invasive limited therapy. Preemptive CBCT and 3D CAD/CAM planning of soft and hard tissue procedures, implant placement, ridge reduction, and restorative design now utilize new innovative protocols for the entire restoration from top to bottom - implant, abutment, and restoration - and the interfaces in between.

Presented By: David Garber, DMD
Presentation Style: Video
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The Lateral Pedicle Approach in Soft Tissue Augmentation Premium Member Content

The Lateral Pedicle Approach in Soft Tissue Augmentation
In the surgical video, a lateral pedicle graft is utilized as a solution for root exposure and recession of a maxillary first molar. Root conditioning is performed with tetracycline. Incision design, flap reflection, the utilization of L-PRF as an autologous growth factor membrane scaffold is highlighted. Suture methods and post-op results are included.

Presented By: Maurice Salama, DMD
Presentation Style: Video
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NEW PRGF-Endoret Protocol (Platelet Rich in Growth Factors) Premium Member Content

NEW PRGF-Endoret Protocol (Platelet Rich in Growth Factors)
PRGF®-Endoret Technology is based on the activation of the patient's own platelets for the stimulation and acceleration of tissue healing and regeneration. It is a technology that allows the use of the organism's own resources with extraordinary results in many pathologies, effectively regenerating tissues without side effects and notably reducing the recovery period of fractures, muscular and tendinous injuries, and surgical interventions. Dr. Maurice Salama’s assistant, Charlene Bennett, will elaborate in detail describing the step-by step PRGF preparation and how it can be utilized clinically.

Presented By: Charlene Bennett, CDA
Presentation Style: Video
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Surgery Articles
Buccal Plate Regeneration with Immediate Postextraction Implant Placement and Restoration: Case Reports

Buccal Plate Regeneration with Immediate Postextraction Implant Placement and Restoration: Case Reports
In these reports, buccal bone plate regeneration was obtained through a flapless approach and immediate postextraction implant placement with a cancellous bone and collagen graft in the buccal gap.

Author(s): Alberto Maria Albiero, MD; Renato Benato, MD, DMD; Marco Degidi, MD, DDS
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Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change

Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

Author(s): Dennis P. Tarnow, DDS;Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Christian F.J. Stappert, DDS, MS, PhD, Priv-Doz;Henry Salama, DMD;David Garber, DMD;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS; Hanae Saito, DDS, MS
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Restoration of Optimal Esthetics in Complex Clinical Situations

Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Pre-existing malocculsion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases.

Author(s): Tomohiro Ishikawa, DDS;Xavier Vela-Nebot, MD, DDS; Kenji Kida, DDS; Hidetada Moroi, DMD; Hajime Kitajima, DDS; Takahiro Ogawa, DDS, PhD
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Changes in Soft Tissue Dimensions Following Three Different Techniques of Stage-Two Surgery: A Case Series Report

Changes in Soft Tissue Dimensions Following Three Different Techniques of Stage-Two Surgery: A Case Series Report
The aim of this case report is to compare the resilts of the increase in keratinized mucosa using three different techniques of stage-two surgery. Thirty-two patients with one to eight dental implants who received prosthetic rehabilitation of the maxilla were included. Patients were divided into three groups based on preoperative anatomical considerations. Stage-two surgery was performed using wither the apically repositioned flap, the roll flap, or an apically repositioned flap combined with a connective tissue graft.

Author(s): Jochen Tunkel, DMD; Luca de Stavola, DMD; Fouad Khoury, Prof Dr med dent
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Surgery Courses
The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions Premium Member Content

The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions
This program is a perspective into how cross- disciplinary interface planning has become and integral part of clinical esthetic dentistry, in particular implant diagnostics. Today it is essential to combine “white” tooth esthetics with “pink” gingival aspects. Understanding the individual prosthetic, surgical, and biologic limitations is part of innovative treatment-planning protocols developed in an approach to provide, simplify, and expedite minimally invasive limited therapy. Preemptive CBCT and 3D CAD/CAM planning of soft and hard tissue procedures, implant placement, ridge reduction, and restorative design now utilize new innovative protocols for the entire restoration from top to bottom - implant, abutment, and restoration - and the interfaces in between.

Presented By: David Garber, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Immediate Loading in Implant Dentistry – Coherent Clinical Application in Everyday Practice Premium Member Content

Immediate Loading in Implant Dentistry – Coherent Clinical Application in Everyday Practice
In this webinar presentation, Dr. Henry Salama will outline clinical protocols to facilitate efficient, successful and predictable application of immediate loading protocols for single unit replacement as well as fully edendulous patients. Dr. Salama will utilize research data on bone biology and biomechanics around implants to suggest treatment planning parameters for well organized team logistics and clinical management of both surgical and restorative protocols to minimize risk factors and optimize successful outcomes. In addition, Digital imaging, CAD/CAM and temporization will be especially emphasized.

Presented By: Henry Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Computer Enhanced Implant Dentistry - Part 1 of 2 Premium Member Content

Computer Enhanced Implant Dentistry - Part 1 of 2
Many elements of the digital workflow including digital treatment planning using merged datasets, guided implant surgery, and CADCAM restorative design will be presented in the context of their current limitations and the opportunity for efficient and predictable esthetic restorative outcomes. The goal of treatment success is based upon the thoughtful application of these technologies to an patient’s specific needs.

Presented By: David L. Guichet, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction Premium Member Content

Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction
In addition to surgical intervention is the creation of the specific emergence profile that is essential in the aesthetic zone. The emergence profile composed of 2 parts, the abutment and the subgingival part of the crown. The shape of abutment can be individually shaped so that it gives natural appearance and varies individually (depending on the depth, angulation and diameter of the implant). Sometimes it even dictates the implant position. From a surgical perspective, soft tissue height, position and thickness need to be diagnosed and corrected when needed. From the prosthetic point of view, the emergence profile has to be created to mimic the natural appearance and maintained over time in respect to the biological changes. The course teaches step by step how to be successful with implant prosthetics from single tooth, partially edentulous to full arch reconstruction.

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