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Interdisciplinary Dynamics of Complex Therapy: An Integrated Approach to Treatment Planning Premium Member Content

Interdisciplinary Dynamics of Complex Therapy: An Integrated Approach to Treatment Planning
This presentation challenges and guides clinicians to ask, and answer, fundamental questions that are required for designing successful treatment plans when facing complex cases. 1) What do I know (DIAGNOSIS), 2) Where do I apply it (EFFICACY), and 3) When do I apply it (SEQUENCE OF THERAPY). A special emphasis in this presentation will be placed on communication between team members, including clinicians, staff and laboratory. Methods of communications, such as digital design and mock-ups are also highlighted as part of an integrated approach to Treatment planning.

Presented By:: Ricardo Mitrani, DDS, MSD
Presentation Style: Video
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Management of Periodontal Complications: Science vs. Hype Premium Member Content

Management of Periodontal Complications: Science vs. Hype
The dental implant therapy has evolved both in implant surface and design. The reason for the initial crestal bone loss has been proven and the risks of having a peri-implantitis have increased due to the early exposure of roughened surface. The prevalence of peri-implantitis is at a range of 28 to 56%. The role of dental professionals nowadays is to know how to interpret the signs of inflammation and establish the diagnosis of peri-implantitis, which is the most challenging, and be able to treat it properly since this is becoming a more needed therapy.

Presented By:: Edgard El Chaar, DDS, MS
Presentation Style: Video
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Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics Premium Member Content

Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc... However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.

Presented By:: Joseph Choukroun, MD
Presentation Style: Video
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Implant Overdentures: What You Need to Know Premium Member Content

Implant Overdentures: What You Need to Know
Implant Dentistry has evolved from the original concept of primarily treating the edentulous mandible with a retrievable fixed prosthesis. Today most dental implant cases involve partially edentulous situations treated with fixed prosthetic solutions. However the fully edentulous mandible and maxilla still comprise an important subset of our patients, and techniques for utilizing fixed and removable full arch prostheses have evolved to restore both arches. The relative pros and cons when comparing the fixed vs removable prosthetic treatment can be very significant. This presentation will rationalize the treatment options available and demonstrate the advantages of the unsplinted full maxillary arch overdenture design.

Presented By:: Murray Arlin, DDS, dip. Perio., FRCD
Presentation Style: Video
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Surgery Articles
Loss of Accuracy to Torque Wrenches Due to Clinical Use and Cleaning Procedures: Short Communication

Loss of Accuracy to Torque Wrenches Due to Clinical Use and Cleaning Procedures: Short Communication
The aim of this study was to investigate the way intensive use and multiple cleanings of torque wrenches may interfere with accuracy over time. Three different brands were tested at baseline and after enduring mechanical testing and cleaning in a thermal disinfector. Torque wrenches were tested at a predetermined value of 30Ncm at given intervals, and true values were registered by means of a digital torque gauge. The spring-style torque wrench produced values that changed significantly after maltiple mechanical and multiple cleaning cycles. However, the differences were small and the measured values from all tested specimens were close to the predetermined value of 30Ncm.

Author(s): Egbert Stroosnijder, DDS; Marco M.M. Gresnigt, DDS, PhD; Eric W. Meisberger, DDS; Marco S. Cune, DDS, PhD
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Gingival Biotype Characterization - A Study in a Portuguese Sample

Gingival Biotype Characterization - A Study in a Portuguese Sample
Establishing the diagnosis of a particular clinical situation in the oral cavity must take many characteristics into consideration, with gingival pheno-type being an important one because it is linked to every individual's gingival morphogenic characteristics, including soft tissue appearance, genetic characteristics, and the way the gingiva looks after manipulation.

Author(s): Ana Peixoto, DMD; Tiago M. Marques, DMD; Andre Correia, DMD, PhD
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Human Palatal and Tuberosity Mucosa as Donor Sites for Ridge Augmentation

Human Palatal and Tuberosity Mucosa as Donor Sites for Ridge Augmentation
Since different clinical outcomes of periodontal bilaminar surgeries using the palate or the maxillary tuberosity as connective tissue (CT) donor sites have been observed, tissues grafted with CT from the palate or the tuberosity 1 year after surgical procedures for ridge augmentation were compared with nongrafted tissues by using morphologic and molecular methods. Collagen content and matrix metalloproteinases 1 and 2 expression were similar in tissues and cultured fibroblasts from the palate and tuberosity, although with interindividual differences. In contrast, differences in collagen cross-linking and maturation in the tuberosity fibroblasts were observed, suggesting a possible role in determining hyperplastic responses in some patients.

Author(s): Claudia Dellavia, DDS, PhD; Giano Ricci, DDS; Letizia Pettinari, PhD; Cristina Allievi, DDS, PhD; Fabio Grizzi, PhD; Nicoletta Gagliano, PhD
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New Surgical Protocol to Create Interimplant Papilla: The Preliminary Results of a Case Series

New Surgical Protocol to Create Interimplant Papilla: The Preliminary Results of a Case Series
The aim of this study was to introduce a new surgical technique to regenerate the papilla adjacent to multiple or single implants using a novel instrument and a new incision design. A total of 10 consecutively treated patients with maxillary anterior implant-supported provisional restorations and missing interproximal papillae received a subepithelial connective tissue graft. The receipient site was prepared with a buccal incision apical to the mucoginigival unction and to the defective papilla, and a palatal incision, followed by buccolingual tunneling performed with a translingual curette. An average improvement in papilla index score from 0.8 to 2.4 was found after an average follow-up period of 16.3 months. This case series demonstrated that interimplant papilla regeneration can be successful over a period of 11-30 months postloading. Long-term prospective studies on tissue stability and esthetic outcomes are needed to corroborate the finding in this study.

Author(s): Stuart Froum, DDS; Miltiadis Lagoudis, DMD; Giovanni Molina Rojas, DDS; Takanori Suzuki, DDS, PhD; Sang-Choon Cho, DDS
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Surgery Courses
Implant Overdentures: What You Need to Know Premium Member Content

Implant Overdentures: What You Need to Know
Implant Dentistry has evolved from the original concept of primarily treating the edentulous mandible with a retrievable fixed prosthesis. Today most dental implant cases involve partially edentulous situations treated with fixed prosthetic solutions. However the fully edentulous mandible and maxilla still comprise an important subset of our patients, and techniques for utilizing fixed and removable full arch prostheses have evolved to restore both arches. The relative pros and cons when comparing the fixed vs removable prosthetic treatment can be very significant. In particular when treating the fully edentulous maxilla, the challenges with a full arch fixed prosthesis can be formidable. This presentation will rationalize the treatment options available and demonstrate the advantages of the unsplinted full maxillary arch overdenture design.

Presented By:: Murray Arlin, DDS, dip. Perio., FRCD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics Premium Member Content

Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc... However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations Premium Member Content

A Complete 3D Strategy to Esthetic Cross Arch Restorations: Guide Surgery & Soft Tissue Interface Management with CAD-CAM Restorations
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.

Presented By:: Prof. Dr. Alessandro Pozzi
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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The Dual Zone Approach to Tooth Replacement in the Esthetic Zone Premium Member Content

The Dual Zone Approach to Tooth Replacement in the Esthetic Zone
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this presentation will enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. Long term follow up and evidence from scientific literature to support this concept will be described.

Presented By:: Dennis P. Tarnow, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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