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The Role of TEAM In Esthetic & Reconstructive Dentistry Premium Member Content

The Role of TEAM In Esthetic & Reconstructive Dentistry
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Presented By:: Maurice Salama, DMD;Henry Salama, DMD
Presentation Style: Video
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Crestal Sinus Approach: A Hammerless Solution to the Indirect Sinus Lift Premium Member Content

Crestal Sinus Approach: A Hammerless Solution to the Indirect Sinus Lift
Posterior maxillary dental implant reconstruction for advanced alveorlar ridge atrophy has become possible through bone grafting procedures involving the maxillary sinus. This procedure involves augmentation of either the internal or external aspects of the sinus, or both. Bone grafting of the external aspect is performed with guided bone regeneration, using allogenic, autogenous, cortical, or corticocancellous grafts, as well as growth factors such as PRF as onlays with immediate or delayed implant placement. With the advent of new surgical techniques and equipment, sinus augmentation has become a predictable and efficient treatment. This presentation will focus on the internal, hammerless approach.

Presented By:: Isaac D Tawil, DDS
Presentation Style: Video
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Immediate Implant Dentistry: A Predictable & Routine Treatment Premium Member Content

Immediate Implant Dentistry: A Predictable & Routine Treatment
The topic of one day implants (Teeth in a Day, Same Day Implants, etc.) is very popular in implant dentistry. This topic has existed since the introduction of implants into dentistry as the Clinician wishes to reduce chairside time, and the Patient wishes to have less visits to the dental clinician. Until now, there hasn’t been a good scientifically-supported way to provide One Day Implants. To make it a reality, many objective key factors have been discussed and developed in implant dentistry. Implant design was developed in order to achieve vital initial and long-term stability and surface treatments developed as well for secondary stability. In addition, various methods have been developed to determine implant stability which are very helpful to provide one day implants.

Presented By:: Kwang-Bum Park, DDS, MS, PhD
Presentation Style: Video
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Implant Removal & Ridge Preservation in Infected Site: A Technique Video Premium Member Content

Implant Removal & Ridge Preservation in Infected Site: A Technique Video
More often in clinical practice we are faced with failing implants that require careful removal and reconstruction of the residual bone deficiencies. This step by step technique video takes you though the critical clinical steps in implant removal, debridement, bone augmentation utilizing blood born biomodifiers and Titanium mesh as well as Flap release and tension free closure. Additional keys include intra-marrow penetration of the recipient site as well as post op bandages that minimize hematoma formation. 

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
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Surgery Articles
Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement

Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore be cognizant of circumstances with a predisposition toward esthetic outcomes and treatment plan accordingly. Preservation of the surrounding hard and soft tissues associated with an immediate postextraction socket implant to replace a nonrestorable tooth in the esthetic zone is one of the greatest challenges facing the dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological, and esthetic parameters were recorded to evaluate primary treatment outcomes.

Author(s): Alessandro Agnini, DMD;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Andrea Mastrorosa Agnini, DDS
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Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota

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.

Author(s): Cecilia Larsson Wexell, DDS, PhD; Henrik Ryberg, PhD; Wivi-Anne Sjöberg Andersson, DDS; Susanne Blomqvist, BSc; Pieter Colin, PhD; Jan Van Bocxlaer, PhD; Gunnar Dahlén, DDS PhD
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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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The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry

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.

Author(s): Howard Gluckman, BDS, MChD;Maurice Salama, DMD;Jonathan Du Toit, BChD, Dipl Implantol, Dipl Oral Surg, MSc Dent
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Surgery Courses
Esthetic Tissue Reconstruction Around Implants - Part 1 of 2 Premium Member Content

Esthetic Tissue Reconstruction Around Implants - Part 1 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery Premium Member Content

Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

Presented By:: Alina Krivitsky, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation Premium Member Content

The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation
With a personal approach, this lecture will take into consideration the developments of the last thirty years. Several clinical cases and new concepts like "Place, Press and Close" will be presented. After Revolutions and Evolutions, isn't it time for Evaluation of our techniques to improve Predictability and Quality of Life of our Patients?

Presented By:: Bernard Dahan, DDS, DCD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry Premium Member Content

Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry
This clinical and evidence based presentation emphasizes the importance of proper 3-dimensional implant surgery and how soft tissue grafting can effect the final end result. There will be a special focus on immediate extraction site placements and surrounding tissue management as well.

Presented By:: Attila Bodrogi, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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