Clinical Procedures to Control Tissue Esthetics in Implant Dentistry
The demand for creating esthetic restorations has become a consistent theme in dental literature and in daily clinical practice. Surgical concepts that are emphasized as important to the esthetic outcome include resective procedures to change bone volume and levels, as well as additive procedures such as tissue grafting to alter the biotype and volume around teeth and implants. Predominately with implant treatment, today's surgical and restorative strategies play an important role in post-extractive tissue guidance, mandating precise surgical techniques, and emphasizing cooperation and coordination between the surgical and restorative team members. This webinar will explore some of the complications of treatment, underscoring the responsibility of the surgical and restorative teams to critically assess emerging treatment concepts, materials and techniques.
Sinus Grafting and TM Implants – Overcoming Challenges and Managing Complications
This lecture will provide the latest information on the management of intraoperative and post-operative complications in sinus grafting. Management of the PSA, along with minimally invasive solutions to overcome poor bone quality and large pneumatized sinuses.
Managing Large Odontogenic Cysts; Decompression or Marsupialization Technique Part 2 of 2
Decompression and marsupialization are techniques used to reduce size of large odontogenic jaw cysts, hence making its complete removal and bone regeneration simpler, safer, and more predictable. In this video, Dr. H. Ryan Kazemi demonstrates a simple technique for decompression or marsupialization and provides a brief review of its application in management of odontogenic cysts
Advances in Bone Augmentation and Related Armamentarium
Bone augmentation is one of the most important and most difficult steps in implantology. Also the standard techniques used are very sensitive, bound to a certain experience from a large number of surgeries and have a high learning curve. Despite these facts augmentation procedures are often the least planned part of the therapy and based on poor diagnostics. Due to a lack of standardized protocols these procedures are often performed by the surgeons favorite method instead of the most indicated one. It is astonishing , that for the implant placement most advanced techniques are used - cone beam, navigation templates etc. - whereas augmentation procedures are often based on a high percentage of improvisation.
A Novel Approach to Root Coverage: The Pinhole Surgical Technique
Free connective tissue graft techniques are currently considered the most predictable surgical method for root coverage. However, morbidity associated with secondary graft sites has generated interest in other methods. The purpose of this study was to investigate the feasability of a novel surgical approach to root coverage: the pinhole surgical technique (PST). The retrospective study examined the results of PST used for 43 consecutive patients on 121 recession sites, of which 85 were Class I or II and 36 were Class III. The documented results indicate that PST holds promise as a minimally invasive, predictable, effective, and time and cost-effective method for obtaining optimal patient-based outcomes.
Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery
During the past two decades, significant advancements with the integration of periodontal plastic surgery into esthetic
restorative dental procedures have received increased attention. While ovate pontics have traditionally been used as a
restorative design following augmentation procedures to enhance esthetics, an alternate E-pontic design aims to
predictably support and maintain the gingival architecture between a single missing anterior tooth adjacent to a natural
tooth or an implant that is in harmony with the lip line and face. In addition, the E-pontic design promotes the gingival
facial tissue to coronally migrate over the pontic, creating a gingival sulcus. This article describes an innovative new
technique and a pontic design that predictably will develop, support, and maintain the gingival architecture to provide a
long-term esthetic and functional outcome.
Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series
After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth.
Effect of Different Cementation Techniques on Retained Excess Cement and Uniaxial Retention of the Implant-Supported Prosthesis
The aim of the study was to identify the different techniques of cementation (half filling, practice abutment, and venting) that will reduce the amount of retained cement and the effect of these techniques on retention of implant supported prostheses. The venting and practice abutment techniques are suitable methods of reducing retained excess cement with optimal retention values.
The Proof is in the Laboratory; A Maxillary Full Arch Implant Supported Zirconia Prettau Comparison
The FP-3 “Implant Supported Hybrid" has proven to be an exceptional and highly specialized treatment option for patients with non restorable teeth or existing edentulism. The use of zirconia provides the ultimate outcome bringing with it a new standard of esthetics, function and, when done well, a long lasting prosthesis. This presentation will stress the importance of treatment planning, CAD CAM technology, and the all important need for the laboratory technician’s human touch. Surgical aspects, provisonalization during healing, and management of soft tissue are important components. The protocol for final fabrication of the FP-3 all zirconia prosthesis is detailed along with a description of this exciting new technology.
Advances in Bone Augmentation and Related Armamentarium
The ability to predictably and successfully augment bone volume is a critical surgical and technical requirement for any clinician involved in implant dentistry. This presentation outlines the evolution of diagnostic and therapeutic protocols in bone augmentation as well as introducing new and novel biologics and armamentarium being made available for clinicians to be more efficient and efficacious in this important endeavor.
Pure Dental Esthetics – From Titanium to Zirconia
The replacement of a single tooth with dental implants, especially when the patient has a high smile line, has been an esthetic challenge in implant dentistry. Typically, it requires very careful stages to create the final restoration as natural as possible. When there is loss of soft tissues, carefully made dental-gingival prosthesis becomes an alternative of therapy. For all cases with high smile line, achieving perfection in color and texture of the restoration it's not an easy task. Currently there are some ways to achieve better aesthetic results, including digital scanning of colors. This presentation describes step-by-step the application of a protocol developed in our clinic. Several cases will be discussed. In addition, recent technologies such as zirconium implants are also be discussed.
Achieving Stable Esthetic Results with Implant Supported Restorations
This presentation will focus on the management of the hard and soft tissue around dental implants and analyzing the characteristics of different periodontal biotypes. We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.
Crowns and Bridges