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Surgery Vidoes
Tooth Replacement in the Anterior Zone - High Esthetic Risk Profile Case Premium Member Content

Tooth Replacement in the Anterior Zone - High Esthetic Risk Profile Case
There are many approaches to replace a tooth by an implant in the esthetic zone; but the difficulty remains a predictable technique for an esthetic outcome longterm. Since the introduction of the Sockeshield Technique (SST) in 2010, Dr. Haakon Kuit is using this technique especially in high-esthetic risk profile cases. He documented cases up to 9 years after placing the implant. In this case presentation, no visible changes in hard and soft tissue architecture occur if this SS technique is used.

Presented By:: Haakon Kuit, DDS
Presentation Style: Video
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Digital Dynamic & Static Solutions in Partial Extraction Therapy Premium Member Content

Digital Dynamic & Static Solutions in Partial Extraction Therapy
Partial Extraction Therapy has changed the methods of implant planning and execution. Preserving both hard and soft tissue has propelled these concepts to innovative. Until recently the use of dynamic and static guidance has been delayed. The objective of this presentation is to understand the need for digital guidance and explores avenues to accomplish a digitally based workflow and execution fr the subsequent procedures.

Presented By:: Isaac D Tawil, DDS
Presentation Style: Video
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Case Selection & Contraindications for Partial Extraction Therapy Premium Member Content

Case Selection & Contraindications for Partial Extraction Therapy
Partial extraction therapy is a contemporary technique in which a portion of the patients own tooth is retained in the socket to prevent labial bone resorption. For the success of these procedures case selection is of utmost importance. In this presentation we delve into the indications and more importantly the contraindications of partial extraction therapy. It will enable the clinician to choose cases wisely, thereby enhancing the chances of success

Presented By:: Ali Tunkiwala, MDS
Presentation Style: Video
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Partial Extraction Therapies: Science & Research Behind The Concept Premium Member Content

Partial Extraction Therapies: Science & Research Behind The Concept
The partial extraction therapies (PET) date all the way back to the 1970’s when the submerging of tooth roots aimed to preserve the alveolar ridge beneath full dentures. Today, the full scope of PET includes several, evidence-based techniques, that use the patient’s own tissues to prevent post-extraction ridge resorption. This lecture outlines a timeline of the research milestones that have occurred, past to present, that have established PET in our treatment milieu as we know it today.

Presented By:: Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP
Presentation Style: Video
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Surgery Articles
Fibrinogen-Induced Regeneration Sealing Technique (F.I.R.S.T.). An Improvement and Modification of Traditional GBR: A Report of Two Cases

Fibrinogen-Induced Regeneration Sealing Technique (F.I.R.S.T.). An Improvement and Modification of Traditional GBR: A Report of Two Cases
Guided bone regeneration is a technique widely known, clinicians know very well indications and limitations of this technique. One of the principles to achieve bone augmentation and formation resides in the stability of the blood clot forming under a barrier membrane. The technique proposed in this article has the goal of providing stabilization to the bone graft by adding fibrin sealant (FS) to the bone graft and also using the fibrin sealant to attach a bone membrane (cortical lamina) to the recipient site. This simple modification of the technique of guided bone regeneration is presented in two successful cases.

Author(s): Vincenzo Foti, MD, DDS;Roberto Rossi, DDS
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Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation

Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation
One standard approach for wound closure after ridge augmentation is coronal flap advancement. Coronal flap advancement results in displacement of the mucogingival junction and reduction of the vestibulum. In the maxilla, a buccal sliding palatal flap can be applied for primary wound closure after ridge augmentation. The dissected part of the palatal connective tissue is left exposed, thus eliminating or reducing the amount of the coronal flap advancement respectively and increasing the amount of keratinized gingiva. In combination with guided soft tissue augmentation, this flap design enables a three-dimensional peri-implant soft tissue augmentation.

Author(s): Snježana Pohl, MD, DMD;Maurice Salama, DMD;Pantelis Petrakakis, DDS, DPH
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A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol

A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol
Ten years have passed since Hürzeler and coworkers first introduced the socket-shield technique. Much has developed and evolved with regard to partial extraction therapy, a collective concept of utilizing the patient’s own tooth root to preserve the periodontium and peri-implant tissue. The specifications, steps, instrumentation, and procedures discussed in this article are the result of extensive experience in refining the socket-shield technique as we know it today. A repeatable, predictable protocol is requisite to providing tooth replacement in esthetic dentistry. Moreover, a standardized protocol provides a better framework for clinicians to report data relating to the technique with procedural consistency. This article aims to illustrate a reproducible, step-by-step protocol for the socket- shield technique at immediate implant placement and provisionalization for single-rooted teeth.

Author(s): Howard Gluckman, BDS, MChD, PhD;Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP;Maurice Salama, DMD;Katalin Nagy, DDS, DSc, PhD;Michel Dard, DDS, MS, PhD
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Recombinant Human Platelet– Derived Growth Factor: A Systematic Review of Clinical Findings in Oral Regenerative Procedures

Recombinant Human Platelet– Derived Growth Factor: A Systematic Review of Clinical Findings in Oral Regenerative Procedures
The use of recombinant human plateletderived growth factor–BB (rhPDGF) has received Food and Drug Administration approval for the treatment of periodontal and orthopedic bone defects and dermal wound healing. Many studies have investigated its regenerative potential in a variety of other oral clinical indications. The aim of this systematic review was to assess the efficacy, safety, and clinical benefit of recombinant human plateletderived growth factor (rhPDGF) use for alveolar bone and/or soft tissue regeneration. Based on the clinical evidence, rhPDGF is safe and provides clinical benefits when used in combination with bone allografts, xenograft, or β-TCP for the treatment of intrabony and furcation periodontal defects and gingival recession or when used with allografts or xenograft for GBR and ARP.

Author(s): L. Tavelli, A. Ravidà, S. Barootchi, L. Chambrone, W.V. Giannobile
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Surgery Courses
The Importance of Facially Driven Smile Design in Modern Comprehensive Dentistry Premium Member Content

The Importance of Facially Driven Smile Design in Modern Comprehensive Dentistry
Modern dentistry is comprehensive, comprehensive dentistry is interdisciplinary, interdisciplinary dentistry is facially driven, Facially Driven dentistry starts with Smile Design. Facially Driven Natural looking Smile Design is the starting point of modern restorative dentistry and the key to improve diagnosis and decision making. The importance of understanding how to consistently create adequate smile designs in harmony with faces is underrated in dentistry and the notion that this topic is under control is overrated. We don’t know what we don’t know. The aim of this lecture is to highlight the challenges, evolution, and the important concepts to become a great smile designer and also how to use technology to streamline the process and deliver naturally beautiful healthy smiles consistently.

Presented By:: Christian Coachman, DDS, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Esthetic Management for Compromised Extraction Sites - Part 1 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 1 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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A GRAFT-LESS Approach to Implant Dentistry Premium Member Content

A GRAFT-LESS Approach to Implant Dentistry
Vertical bone augmentation techniques are more invasive and success rates often vary according to the surgical expertise of the clinician. There has been a trend over time towards minimally invasive treatment options in implant dentistry. This approach attempts to avoid more complicated procedures involving bone augmentation for implant placement. This presentation discusses a “graft less” treatment philosophy that emphasizes the use of less demanding augmentation techniques for the purpose of placing short implants in atrophic posterior sites.

Presented By:: Craig M Misch, DDS, MDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Digital Dynamic & Static Solutions Premium Member Content

Digital Dynamic & Static Solutions
Partial Extraction Therapy and crestal sinus augmentation have changed the methods of implant planning and execution. Preserving both hard and soft tissue has propelled these concepts to innovative. Until recently the use of dynamic and static guidance has been delayed. The objective of this presentation is to understand the need for digital guidance and explores avenues to accomplish a digitally based workflow and execution fr the subsequent procedures.

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