7 Ways to Improve Patient Care with 3D Implant Dentistry and Guided Surgery
Whether you are learning something new, or comparing notes, I look forward to sharing with you in this new age of digital dentistry. Join me for a discussion on the world of digital patient care. I will give you the tools to navigate and speak confidently with patients and other providers about 3D implant dentistry and guided surgery.
Crown Lengthening in the Management of the Posterior Periodontal-Restorative Interface
This video post outlines the sequential treatment of a reconstruction requiring posterior crown lengthening to optimize the esthetic periodontal-restorative interface.
The Role of Digital Technology in Interdisciplinary Team Dentistry
In this lecture, Team Atlanta will outline the various critical elements and diagnostic tools, especially CBCT, required to properly design successful treatment in complex esthetic and implant therapy. In addition, surgical, prosthetic, 3-D and CAD/CAM therapeutic solutions to everyday clinical challenges and the efficient sequencing of their application will be highlighted as well.
Immediate Dentoalveolar Restoration - Labial Contour Grafting at the Time of Immediate Placement
Until recently, tooth replacement at compromised sites in the aesthetic zone, required long-term treatment with possible undesirable complications in the tissue architecture. The Immediate Dentoalveolar Restoration (IDR) is a technique established to broaden indications for immediate loading on individual teeth. In this way, tissue losses with varied extensions are reconstructed in the same surgical session of implant placement and provisional crown installation, reducing the number of interventions and keeping predictability on aesthetic aspects. The IDR, which advocates minimally invasive procedures, will be presented as a viable and reproducible alternative.
The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication,
especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts
supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete
failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication.
Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well
restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be
successful, as is presented hereafter.
Periosteal Pocket Flap for Horizontal Bone Regeneration: A Case Series
This article describes a buccal periosteal
pocket flap proposed to overcome these challenges. The flap design results
in a periosteal pocket, which allows filling of bone-grafting material while
facilitating primary, tension-free soft tissue closure by splitting of the mucosa.
The flap gives stability to the augmented volume within the pocket. Ridge
width changes of five patients consecutively treated with this technique were
recorded before and 24 weeks after augmentation.
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.
Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile.
The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.
Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management
This presentation by the Troeltzsch Brothers features the fundamentals of surgical procedures in the oral cavity. Highlighted are the basic concepts we all must integrate into our daily clinical practice. A discussion of the essential anatomic guidelines as they relate to flap design options and indications are emphasized. Furthermore, material selection, sutures and techniques of wound closures are clearly addressed. Critical solutions to common surgical complications are also described. This lecture is intended for surgical beginners as well as experienced clinicians who want to update their surgical knowledge. These fundamentals are also very popular in the hands-on courses given by the Troeltzsch brothers.
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.
Crowns and Bridges