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Surgery Vidoes
Treatment of the Extremely Atrophied Edentulous Maxilla Using Bone Marrow Stem Cells Premium Member Content

Treatment of the Extremely Atrophied Edentulous Maxilla Using Bone Marrow Stem Cells
Treatment of the extremely atrophied edentulous maxilla is one of the most challenging problems in reconstructive surgery. Due to the size of the graft and inherent co-morbidities of these patients they some of the most difficult and challenging to treat requiring multiple surgeries with significant morbidity. The gold standard of care has long been the use of autologous block grafts from the iliac crest prior to implant placement however harvesting bone from the iliac crest comes with significant donor site morbidity. New treatment modalities using minimal invasive procedures and the use of Bone marrow stem cells and growth factors will be discussed.

Presented By:: Melvin Maningky, DMD
Presentation Style: Video
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Preservation of the Bundle Bone: Reality or Myth Premium Member Content

Preservation of the Bundle Bone: Reality or Myth
The loss of teeth will lead to resorption of the buccal plate with its resultant need for extensive augmentative procedures (both bone and soft tissue) as well as the risk of poor long term aesthetic stability. Partial Extraction Therapies (PET) are techniques that allow us to maintain the buccal bone plate and hence prevent the collapse of the alveolar bone creating a platform for ideal soft tissue and bone which is stable in the long term. This is a greater problem in the aesthetic areas. This lecture will take you through the different options with regards to immediate implant placement as well as the most cutting edge PET in a step by step fashion.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Video
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Advanced Bone Grafting Techniques: Part 2 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Maxillary Ridge Premium Member Content

Advanced Bone Grafting Techniques: Part 2 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Maxillary Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic maxillary alveolar ridge. This will include a discussion of the various options to this form of grafting, such as short implants, maxillary sinus augmentation, sub-nasal elevation procedure, connective tissue grafting and soft tissue manipulation, Le-Fort I down fracture/osteotomy and the use of progenitor cells: bone marrow aspirating concentrated.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
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Current Concepts in Immediate Implants Premium Member Content

Current Concepts in Immediate Implants
Immediate implants have several advantages over traditional phased implant placement. Shortened treatment time and a single surgical procedure are among some of these benefits. Although the surgical techniques can be more challenging, immediate implants can be a predictable treatment modality in both the esthetic zone and molar sites. This presentation will discuss immediate implant placement and temporization in the esthetic zone as well as immediate replacement of molar sites using regular platform implants. More advanced technical procedures, including simultaneous sinus augmentation and guided bone regeneration will also be discussed.

Presented By:: David Dara Yarmand, DDS, MD
Presentation Style: Video
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Surgery Articles
Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft

Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft
Trauma to teeth and the dentoalveolar process may result in a ridge defect that precludes straightforward implant therapy of the patient. Typically bone and soft tissue augmentation of the area would first be needed to adequately prepare the tissues for the implant and its restoration..Grafting of the site is substantially more difficult in cases where the ridge also lacks adequate height, and techniques to recreate a bony envelope to apply guided bone regeneration may be required. Moreover, defects in the anterior aesthetic zone that require both bone and soft tissue grafting and a restoration that harmonizes the adjacent pink and white aesthetics may be an even more significant challenge to the restorative team. Hereafter a case of trauma to an anterior maxillary tooth that saw destruction of the ridge is presented, with the defect reconstructed to accommodate a functional and aesthetically pleasing implant supported restoration.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit, BChD
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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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Surgery Courses
Advanced Bone Grafting Techniques: Part 2 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Maxillary Ridge Premium Member Content

Advanced Bone Grafting Techniques: Part 2 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Maxillary Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic maxillary alveolar ridge. This will include a discussion of the various options to this form of grafting, such as short implants, maxillary sinus augmentation, sub-nasal elevation procedure, connective tissue grafting and soft tissue manipulation, Le-Fort I down fracture/osteotomy and the use of progenitor cells: bone marrow aspirating concentrated. 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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Current Concepts in Immediate Implants Premium Member Content

Current Concepts in Immediate Implants
Immediate implants have several advantages over traditional phased implant placement. Shortened treatment time and a single surgical procedure are among some of these benefits. Although the surgical techniques can be more challenging, immediate implants can be a predictable treatment modality in both the esthetic zone and molar sites. This presentation will discuss immediate implant placement and temporization in the esthetic zone as well as immediate replacement of molar sites using regular platform implants. More advanced technical procedures, including simultaneous sinus augmentation and guided bone regeneration will also be discussed.

Presented By:: David Dara Yarmand, DDS, MD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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The Interdisciplinary Software Platform. The Key For Modern Digital Dentistry Premium Member Content

The Interdisciplinary Software Platform. The Key For Modern Digital Dentistry
The starting point of a facially driven interdisciplinary dental treatment plan is "The Smile Frame". A few crucial photos and steps will come together to create the ultimate template you need to communicate to your dental team, colleagues, and the patient to ultimately increase case acceptance and create the most aesthetic and functional method of rehabilitation to your patient. We will discuss how this paradigm shift of regular analog dentistry has shifted to this modern digital world and the benefits it provides. The protocol proposed will improve the diagnosis, communication and predictability of esthetic rehabilitation, from simple implant or restorative cases to complex cases, combining perio, ortho, and othognathic surgery. Emphasis will be given to the utilization of digital tools to enhance and facilitate the Dentist/Technician interaction and communication with the patient.

Presented By:: Christian Coachman, DDS, CDT
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Bridging Clinical Skills and Practice Success in Periodontics and Implant Therapy Premium Member Content

Bridging Clinical Skills and Practice Success in Periodontics and Implant Therapy
Dental practice success requires a skill set with multiple facets, many of which fall outside of the clinical realm taught in dental schools and in many CE programs. This program is one a series that will address the "additional" skills and systems that are required to bridge clinical skills into practice success. The first skill set a successful practice must develop is an awareness of the major obstacles to patients accepting treatment and the systems that can be used to minimize those obstacles. Information from areas outside the dental profession can provide insight into the systems that can be used in dentistry to minimize case acceptance issues. The entire dental team needs to utilize the information in this program to get patients to support the optimal treatment options offered by highly skilled dentists.

Presented By:: Mark K. Setter, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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