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Surgery Vidoes
Implant Removal Made Easy - When Peri-implantitis Treament is Not Possible Premium Member Content

Implant Removal Made Easy - When Peri-implantitis Treament is Not Possible
In this video and surgical presentation, Dr. Eduardo Anitua demonstrates a step-by-step safe, efficient and predictable surgical/mechanical technique for the removal of implants that are severely compromised by peri-implantitis. In addition, Dr. Anitua will discuss how to manage the regeneration of the site following implant removal through the therapeutic utilization of plasma rich in growth factors, i.e. Endoret.

Presented By: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Video
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Insights, Trends & Controversies in Implant Dentistry - Part 2 of 4 Premium Member Content

Insights, Trends & Controversies in Implant Dentistry - Part 2 of 4
In this second of a 4 part series, Dr. Dennis Tarnow shares insights into new trends, developments and controversies in implant dentsitry. In this section, Dr. Tarnow discusses important topics related to implantitis, the gap, one-abutment/one-time, implant surfaces and design to name just a few.

Presented By: Dennis P. Tarnow, DDS
Presentation Style: Video
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Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge Premium Member Content

Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic posterior mandibular alveolar ridge. This will include a discussion of the various options to this form of grafting, such as Short implants, Lingual positioning, nerve repositioning, distraction osteogenesis, and GBR. The Mutli-Tier onlay Bone Graft Technique will be highlighted in this presentation. Additionally, a review of a recently submitted research paper of long term follow up of implants placed into autologous bone blocks harvested from the mandibular ramus, retromolar and sympheseal areas will be discussed.

Presented By: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
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Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization Premium Member Content

Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization
A unique presentation of a combined surgical techniques and implants provisionalization, simultaneously performed, in the anterior maxilla. With the aid of computerized assisted guides, a surgical template and a temporary bridge for immediate temporization was prepared.

Presented By: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
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Surgery Articles
Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery

Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery
Protocols and techniques for immediate tooth replacement in the esthetic zone have become more popular and predictable within the past decade. Two different clinical scenarios are presented where immediate temporization of implants placed into healed or augmented ridges is exemplified. The benefits of augmentation prior to implant placement and temporization are that flap elevation is not required; therefore, the blood supply to the labial plate is not compromised, thereby eliminating potential midfacial recession. In addition, the soft tissue subgingival shape of the temporary crown can be non-surgically sculpted at the time of implant placement since the patient is already anesthetized.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS
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Esthetic Rehabilitation of the Periodontally Compromised Dentition - A Novel Interdisciplinary Approach Using Orthodontic Extrusion and Dental Implants

Esthetic Rehabilitation of the Periodontally Compromised Dentition - A Novel Interdisciplinary Approach Using Orthodontic Extrusion and Dental Implants
Rehabilitation of esthetics in advanced periodontal cases presents a major challenge in dentistry today. Patients with advanced disease affecting teeth in the esthetic zone, where significant asymmetrical bone loss and tissue recession are present, constitute a challenging treatment-planning dilemma when choosing the optimum therapeutic option for long-term maintenance. This article reviews a novel interdisciplinary approach for vertical augmentation of bone and soft tissues by means of orthodontic extrusion of severely periodontally compromised teeth, facilitating the restoration of esthetics with improved bone and soft tissue volume around immediate implants.

Author(s): Tidu Mankoo, BDS
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Acellular Dermal Matrix Grafts for Root Coverage Procedures: Review of Products and Introduction of a New Technique

Acellular Dermal Matrix Grafts for Root Coverage Procedures: Review of Products and Introduction of a New Technique
Gingival recession remains a significant problem in dental esthetics as well as periodontal health. Adequate zones of keratinized, attached tissue are vital for long-term periodontal health and maintenance. The correction of gingival recession is an important principle in cosmetic dental procedures that requires a harmonious gingival complex. Correction of deficient gingival tissues by either autogenous or allogenic tissue grafts has been well documented in the literature. This article will delineate differences among the various acellular dermal grafts as well as introduce a new technique that can enhance success.

Author(s): Paul S. Petrungaro, DDS;Jennifer T. Silc, DDS, MS
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Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis

Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis
This report investigates the outcome of CLS procedures performed at an urban dental school in a population of individuals with HIV. Specifically, this retrospective clinical analysis evaluates the healing response after crown lengthening surgery (CLS). Of the 21 patients with HIV examined after CLS, none had postoperative complications, such as delayed healing, infection, or prolonged bleeding. Variations in viral load, CD4 cell count, smoking, platelets, and neutrophils did not impact surgical healing. In addition, variations in medication regimens (highly active anti-retroviral therapy; on pro-tease inhibitors; no medications had an impact. The results of this retrospective analysis show the absence of postoperative complications after CLS in this population with HIV. Additional investigation into this area will help health care practitioners increase the range of surgical services provided to this group of patients.

Author(s): Monish Bhola, DDS, MSD;Shilpa Kolhatkar, Suzanne A. Mason, Ana Janic, Shaziya Haque and James R. Winkler
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Surgery Courses
Insights, Trends & Controversies in Implant Dentistry - Part 2 of 4 Premium Member Content

Insights, Trends & Controversies in Implant Dentistry - Part 2 of 4
In this second of a 4 part series, Dr. Dennis Tarnow shares insights into new trends, developments and controversies in implant dentistry. In this section, Dr. Tarnow discusses important topics related to implantitis, the gap, one-abutment/one-time, implant surfaces and design to name just a few.

Presented By: Dennis P. Tarnow, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge Premium Member Content

Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic posterior mandibular alveolar ridge. This will include a discussion of the various options to this form of grafting, such as Short implants, Lingual positioning, nerve re-positioning, distraction osteogenesis, and GBR. The Mutli-Tier onlay Bone Graft Technique will be highlighted in this presentation. Additionally, a review of a recently submitted research paper of long term follow up of implants placed into autologous bone blocks harvested from the mandibular ramus, retromolar and sympheseal areas will be discussed. A description of surgical donor harvest sites in the mandible will also be performed as well as post op healing of these sites. Additional time will be spent reviewing causes of failure with bone blocks and implants placed into these sites.

Presented By: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Controlled Ridge Splitting (CRS) Premium Member Content

Controlled Ridge Splitting (CRS)
To demonstrate a new technique of controlled ridge splitting (CRS) in severely atrophied maxillary cases as an alternative to autogenous block graft. Twenty cases were completed using a controlled ridge splitting (CRS) technique with a total of 65 implants were placed in severely atrophied Maxillae and followed after the implants were loaded. Results: The CRS technique was used in very complex cases, where the alternative method will be autogenous block graft. A total of 65 tapered implants were placed. The implants diameter ranged between 3.25-5mm with a length ranged between 10-13mm. The implants were restored and were followed for 1-3 years. All implants achieved osseointegration and continue to have successful prostheses. Conclusion: The CRS is a predictable treatment option and could be a good alternative to autogenous block grafts is severely atrophic maxillae.

Presented By: Suheil M. Boutros, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations Premium Member Content

Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations
Titanium mesh has been used in reconstructive surgery and ridge augmentation for several years. The traditional technique involves using cancellous autogenous bone under the mesh scaffold. More recently growth factors and bone substitutes have been utilized as autograft replacements. There are several advantages to using titanium mesh for space maintenance including strength, ease of use, low cost and biocompatibility. However, the difficulty in removing the mesh has led to a search for other space maintenance scaffolds including tenting screws, dense preshaped collagen and porous high-density polyethylene. This webinar will discuss the use of rhBMP-2 for managing horizontal and vertical bone deficiencies with various scaffolds.

Presented By: Craig M Misch, DDS, MDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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