Interdisciplinary Team Dentistry for Total Dentofacial Esthetics
Orthodontics sets up the foundation for future prosthetics in cases with periodontal, surgical and restorative dentistry requirements. Adult orthodontics simplifies complex clinical situations. Making it easier for restorative dentist to achieve better esthetic & functional results. Orthognatic surgery combined with orthodontics corrects skeletal discrepancies in order to have the patient ready for prosthodontic replacement of multiple missing teeth. Cases combined with implants to restore form & function will further illustrate the importance of multidisciplinary dentistry. Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results.
Team Expectations When Restoring the Full Arch: Technology and Clinical Challenges
Full Arch restorations has always presented it self with clinical and technical
challenges, from working in the clinic with the patient to the laboratory bench and to the
need for improved communication between the involved team members . With the
speed that the technology has improved so has the way we diagnose, treatment plan
and restore the the full arch patient, what hasn’t changed is the sound prosthodontic
principals. This lecture will highlight some of the clinical challenges, materials and the
protocols needed to meet the expectations of the TEAM to deliver a successful
Multitasking Digital Dentistry - Part 1 of 2
The "Digital Smile Design" is a technique codified and published in 2011 by Christian Coachman and Marcelo Calamita. This approach has radically changed the way we analyze the aesthetics of our patients and at the same time gave the clinician a great tool of communication with the laboratory and with the patient. In recent years, software's and applications have been introduced on the market in order to simplify the workflow and make more predictable the outcome. The purpose of the lecture is to resume the current concepts about digital aesthetic preview, and to show new trends.
Plastic-Esthetic Periodontal and Implant Surgery: A Microsurgical Approach - Part 2
This 2 part presentation is a comprehensive overview of the principles, indications, and clinical techniques of plastic-esthetic periodontal and implant microsurgery, focusing especially on minimal soft tissue trauma and maximally perfect wound closure. Microsurgery provides clinically relevant advantages over conventional macro-surgical concepts for regenerative and plastic-esthetic periodontal surgery, especially in the all-important esthetic zone. The microsurgical principles and procedures presented will described using high resolution multimedia.
Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota
Amoxicillin is commonly used in oral surgery for antimicrobial prophylaxis against surgical-site infection and
bacteremia because of its effect on oral streptococci. The aim of this study was to determine whether amoxicillin reaches
the break-point concentrations in saliva and has any effect on the salivary microbiota, colonizing bacteria on mucosal
membranes and on the gingival crevice after a single dose of amoxicillin. A single dose given as prophylaxis to prevent a surgical-site infection results in a significant reducing effect on
the oral streptococcal microflora in the gingival crevice and may have an impact on bacteria spreading into tissues and the
bacteria of streptococci.
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
The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry
Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone-periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.
The BARI Technique: A New Approach To Immediate Loading
When dealing with full-arch rehabilitation,
the provisional phase is important
in order to define the correct occlusal,
intermaxillary, and esthetic relationships
for each individual patient. In
these cases, it is difficult to transfer this
information to the final restorations. Several
techniques have been developed
to transfer the information from tooth- or
implant-supported fixed provisionals to
the definitive rehabilitations. The present
article describes a technique proposed
by the authors to transfer the information
from a removable prosthesis to an
Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team.
This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.
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.
Crowns and Bridges