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Surgery Vidoes
Minimally Invasive Transcrestal Sinus Elevation Procedure Premium Member Content

Minimally Invasive Transcrestal Sinus Elevation Procedure
The ossteotome mediated transcrestal sinus lift procedure has been used over the years for achieving lifts in situations where a minimum of 6-7mm of height of alveolar bone is present. An increase in alveolar bone height of approximately 2-3mm is expected using the traditional methods. The main challenges in the procedure are to achieve larger lifts without perforation of the sinus lining and deposit graft material in the desired location. Calcium phosphosilicate putty has been used effectively as a graft material for lateral window sinus elevation procedures. The following presentation deals with a modified ossteotome mediated technique of using CPS putty in a cartridge delivery form to achieve predictable sinus elevations of 8-10mm even in cases of extreme resorption of the alveolar ridge. It reduces the morbidity and makes the procedure more acceptable to patients compared to the lateral window approach.

Presented By:: Udatta Kher, BDS, MDS
Presentation Style: Video
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Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry Premium Member Content

Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry
This course will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy. Extraction site management, labial bone enhancement as well as current gingival augmentation techniques will be featured. These highly acclaimed clinicians and educators will team up to provide a glimpse of their upcoming LIVE Synergy VI conference June 11th - 14th, 2015 in Orlando, Florida.

Presented By:: Maurice Salama, DMD;Michael A Pikos, DDS
Presentation Style: Video
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Tilted Implants, Angled Abutments and Restorative Solutions for the Edentulous Arch Premium Member Content

Tilted Implants, Angled Abutments and Restorative Solutions for the Edentulous Arch
A goal of modern dentistry is to provide the edentulous patient with immediate function at the time of implant placement. Techniques such as using tilted implants and angled abutments to reduce the time, surgery and cost of these procedures are reported in the literature. This program will define the indications and treatment planning concepts for construction of an immediate provisional restoration following the placement of implants in the edentulous arch. There will be a focus on the use of tilted implants and angled abutments to decrease the need for bone augmentation procedures. The technique of converting an immediate or existing denture to a fixed provisional restoration will be discussed.

Presented By:: James A. Rivers, DMD, MHS
Presentation Style: Video
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Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction Premium Member Content

Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
The need for an adequate alveolar ridge width has been a long-standing principle in pre-prosthetic surgery. Since the introduction of root-form endosseous dental implants, the necessity of proper alveolar ridge width has become essential. Many surgical pre-implant bone augmentation techniques with the goal of reconstructing deficient alveolar width, height, or both have been proposed. A variety of alveolar ridge augmentation techniques for treatment of 2-D and 3-D bone deficiencies have been described and include guided bone regeneration (GBR) with a cancellous graft, onlay/veneer block graft, inlay grafting, ridge-split, vertical and horizontal distraction osteogenesis, and others.

Presented By:: Len Tolstunov, DDS, DMD
Presentation Style: Video
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Surgery Articles
Guidelines for the Diagnosis and Treatment of Peri-Implant Disease

Guidelines for the Diagnosis and Treatment of Peri-Implant Disease
Although some risk factors of peri-implant disease are well defined, the lack of efficient and predictable approaches to treat peri-implantitis has created difficulty in the management of those complications. The aim of this review was the evaluate the reliability of the diagnosis methods and to provide a set of guidelines to treat peri-implant disease. A search of PubMed and a hand search of articles related to peri-implant diseases were conducted up to August 2013. A summary of the current methods for the diagnosis of peri-implantitis, its potential risk factors, and a flow chart to guide the clinical management of these conditions are presented.

Author(s): Miguel Padial-Molina, DDS, PhD; Fernando Suarez, DDS; Hector F. Rios, DDS, PhD; Pablo Galindo-Moreno, DDS, PhD; Hom-Lay Wong, DDS, MSD, PhD
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Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog

Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog
Dental implant surface technology has evolved from a relatively smooth machined implant surface for osseointegration to more roughened osteoconductive surfaces. Recent studies suggest that peri-implant soft tissue inflammation with progressive bone loss (ie peri-implantitis) is becoming a prevalent condition. One possibility that could explain sucha a finding is that more bacterial plaque forms on the roughened implant and abutment surfaces, which may result in the peri-implant inflammation if the soft tissues. This study compared 36 tissue-level implants with a machined transmucosal collar to 36 implants with a relatively roughened transmucosal surface in the dog. The results demonstrated that the connective tissue contact was similar between the two implant types but that the junctional epithelium and biologic width dimensions were greater around the implants with the machined collars...

Author(s): David L. Cochran, DDS, PhD; Marcel Obrecht, SDIS; Klaus Weber, PhD, MDV, MS; Michel Dard, DDS, PhD; Dieter Bosshardt, PhD; Frank L. Higginbottom, DDS; Thomas G. Wilson Jr., DDS; Archie A. Jones, DDS
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Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra

Oral Soft Tissue Laser Ablative and Coagulative Efficiencies Spectra
The key to the success of soft tissue lasers is their ability to cut and coagulate the soft tissue at the same time. Present work is aimed to derive the wavelength-dependent differences in photo-thermal ablation and coagulation efficiencies for oral soft tissue pulsed dental Near-IR Diode, Mid-IR Erbium and IR CO2 lasers. Even though the soft tissue photothermal ablation has been extensively studied, there remains a discrepancy between (a) the widely proliferated notion about efficient Near-IR 800-1,100 nm laser ablation of the oral soft tissue, and (b) studies reporting the inefficient soft tissue Near-IR absorption/ablation. Indeed, the notions about “the key to the usefulness of the Nd:YAG is that this wavelength is highly absorbed in oral soft tissue”, and “all currently available dental laser instruments and their emission wavelengths have indications for use for incising, excising... oral soft tissue surgery”, contradict an observation illustrated here...

Author(s): Peter Vitruk, PhD
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The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla

The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla
Following tooth extraction the implant surgeon may select between various implant placement timing and loading protocols. Ideally these are to be determined prior to extraction, be it immediate, early, or late placement. Immediate implant placement even in the aesthetic zone is a literature supported treatment modality with success comparable to alternative placement protocols. Meticulous restorative treatment planning of a tooth destined for extraction is essential. Selecting the appropriate implant and techniques may preserve and ensure natural aesthetics. Utilizing the patient’s own tooth crown can better provisionalize the implant with a ‘walk out as you walk in’ result.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit
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Surgery Courses
Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry Premium Member Content

Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry
This course will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy. Extraction site management, labial bone enhancement as well as current gingival augmentation techniques will be featured. These highly acclaimed clinicians and educators will team up to provide a glimpse of their upcoming LIVE Synergy VI conference June 11th - 14th, 2015 in Orlando, Florida.

Presented By:: Maurice Salama, DMD;Michael A Pikos, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction Premium Member Content

Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
In this presentation, the author concentrated on the ridge-split procedure (RSP) as a form of a ridge modification (widening or augmentation), the technique that offers many possibilities and has many advantages in oral pre-prosthetic implant reconstruction. There are many modifications of the RSP. This presentation is a description of classical ridge-split procedure in maxilla and mandible that has been successfully employed for many years in author’s surgical practice.

Presented By:: Len Tolstunov, DDS, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Immediacy in Implant Dentistry Premium Member Content

Immediacy in Implant Dentistry
This lecture covers the integrated management of the immediate treatments that patients ask during consultation, using many clinical cases. It covers topics such as regeneration, surgical and prosthetic approach of the aesthetic zone, as well as immediate loading of single and full upper arch cases involving computer guided surgery.

Presented By:: Luciano Retana, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Advanced Immediate Implant Placement Strategies Including the Socket Shield (SS) Technique and its Complications Premium Member Content

Advanced Immediate Implant Placement Strategies Including the Socket Shield (SS) Technique and its Complications
Immediate implant placement in the aesthetic zone has become a controversial topic with regards to the long term aesthetic demands that both the profession and our patients have placed on this treatment modality. Since the controversy broke a few years ago there have been a number of outstanding developments that have revolutionized the way we do immediate implant placement. Soft tissue augmentations using the tunnel technique as well as the socket whiled technique are 2 of these techniques which form the baseline of treatment in our clinic. This lecture will go through all the updated protocols of immediate implant placement supported by the literature as well as deal specifically with the finer details of the socket whiled technique including step by step photos and video of the technique. More importantly it will cover numerous complications that we have had to deal with over the last few years that we have been doing this technique.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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