Interpositional Bone Grafts to Treat the Posterior Atrophic Mandible
This presentation analyzes the interpositional bone graft or inlay technique, discussing the reconstructive surgical approach. Horizontal osteotomy with the interposition of bone in the form of a “sandwich” involves raising a coronal osteotomized segment of the mandible, which is still attached to the lingual periosteum, and interpositioning a block bone graft. This technique guarantees a dual vascular supply to the inlay graft from the lingual periosteum and from the residual bone; it also allows optimum use of the native basal bone, which should be less prone to resorption. The advantages and disadvantages of the inlay technique are compared with other commonly used augmentation techniques in the management of posterior mandibular atrophies.
Achieving Stable Esthetic Results with Implant Supported Restorations
We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.
Predictable Posterior Implant Placement in Extraction Sites
Many techniques have been published to preserve the ridge from buccal-lingual collapse. In this presentation, we will overview the literature and see some cases to explain which is one of the most predictable protocols
for immediate extraction and immediate implant placement in posterior areas according to the latest studies.
We will also show the benefits of using growth factors as an agglutinant and protective component for our graft in non cooperative patients.
A Defined Algorithm for Regenerative Success Part 2
These presentations will focus open the above concepts but prioritize the diagnostic phase and surgical common denominators required for a successful regenerative outcome. Flap design, space maintenance, bone and membrane selections and tension free closure provides the template for all the new age materials and technologies to be successful in clinical practice.
Bone Reconstruction: A New Algorithm for the Implantologist
Bone augmentation is often required to place an adequate number of dental implants in ideal positions for prosthetic support. In addition to biomechanical demands bone augmentation can also provide proper ridge contour for improved esthetic outcomes. Disadvantages of bone augmentation techniques include increase morbidity, surgical time, costs and treatment length. As such a trend has develop towards treatment approaches that avoid bone grafting including shorter and narrower implants, angled implants and/or fewer implants for prosthetic support. This presentation will look at various bone augmentation techniques, methods to minimize the morbidity of bone grafting and guide clinicians on implant rehabilitation with grafting versus non-grafting approaches.
Advances in Hard and Soft Tissue Management Using 3D Printing Technology
It is becoming rare today to come across simple cases in Periodontics; our specialty has come to face complex cases where hard and soft tissue deficiencies are quite common. These suggested protocols and schematic approaches were developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow. The utilization of 3-D printed CBCT studies of the treatment planned surgical sites was shown to be integral in patient care and clinical outcomes. Every step is dictated by biology; all incision designs, flap management techniques, and biomaterials used have been selected to maximize the blood supply in the area and minimize trauma to the vascular network that nourishes our surgical site.
Implant Site Development: Osseodensification & Internal Sinus Lift Techniques For Optimal Implant Stability in Posterior Maxilla
In this video, Dr. H. Ryan Kazemi, Oral and Maxillofacial Surgeon in Bethesda, MD, presents the osseodensification and internal sinus lift techniques for achieving optimal dental implant stability in the posterior maxilla.
Management of Maxillary Sinus Membrane Perforation
In this presentation Dr Moghaddas will discuss the etiologies for maxillary sinus membrane perforation and the ways to prevent it. Also during a LIVE surgical video he will demonstrate how to manage a large sinus perforation simultaneous with implant placement .
Minimally Invasive Transcrestal Sinus Augmentation(MITSA)
In this video Dr Kher discusses a method of transitioning from the lateral window sinus elevation procedure to a less invasive transcrestal sinus elevation in cases with alveolar ridge height between 3-5mm. The technique is based on using an ossteotome mediated lift combined with a novel delivery system of injecting the calcium phosphosilicate putty graft material. Dr Kher presents a case series wherein lifts in excess of 10mm were consistently achieved using this technique. A study comparing the increase in alveolar ridge height with the novel transalveolar technique and the conventional lateral window lift is also a part of the presentation.
Prevention and Treatment of Post-Operative Infections After Sinus Elevation Surgery
Maxillary sinus surgery is a reliable and predictable treatment option for the prosthetic rehabilitation of the atrophic maxilla. Nevertheless, these interventions are not risk-less of postoperative complications with respect to implant positioning in pristine bone. The aim of this lecture is to report the results of a clinical consensus of experts (periodontists, implantologists, maxillofacial surgeons, ENT, and microbiology specialists) on several clinical questions and to give clinical recommendations on how to prevent, diagnose, and treat postoperative infections.
Minimally Invasive Protocols for Total Esthetic Reconstructions
One of the biggest challenges that we dentists have are those cases that require a multidisciplinary approach which traditionally were managed using invasive and long term treatments. Nowadays, and depending on the case, the contemporary dentist can offer minimally invasive treatments which allow us to modify the shape of the hard and soft tissues.
The combination of surgical lip repositioning with periodontal plastic surgery yields highly effective results in the treatment of gummy smiles. During patient examination it is important to establish the etiology responsible for the excessive gingival display. The combined technique can be considered as an alternative option to more invasive procedures. The prognosis is acceptable and the patient realizes that the esthetic problem has been minimized.
Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z
In this complete surgical video, Dr. David Wong performs an esthetic crown lengthening procedure to address a "gummy smile" as part of comprehensive therapy and smile enhancement. Dr. Wong will outline the indications for crown lengthening surgery as opposed to orthognathic correction. The surgical video will demonstrate the complete crown lengthening surgery, including incision design, flap management and instrumentation. In addition, suturing and post-operative care will also be outlined in detail.
Coronally Advanced Envelope Flap - A Step-by-Step Video
In this step-by-step surgical video, Dr. Moura illustrates every aspect of the technique described by Zucchelli and De Sanctis known as the coronally advanced envelope flap. This procedure is utilized for treatment of multiple recession type defects in esthetically demanding patients. After a short technical overview, we will see a clinical case and discuss every detail of the treatment.
Periodontal-Prosthesis in Modern Dentistry – Part 1 of 2
Clinicians must be aware of patient expectations when planning dental treatment. When full mouth reconstruction is planned, it is very important to satisfy such expectations in order to provide successful treatment. Patients are often concerned about the cost and duration of treatment, and the pain, esthetics, comfort, and function after treatment. However, we cannot assure longevity unless the treatment has a scientific basis.
During reconstruction or restoration, we generally remove and replace the existing crowns. Secondary caries are mostly detected on removal of these. Due to the caries, the ferrule and tooth thickness are not adequate; and frequently, the condition may not be suitable for prosthetic treatment. In such cases, we choose to extract the tooth or perform crown lengthening to retain the tooth.Thse days many teeth that we could retain by crown lengthening procedure are replaced by implants. In this presentation, we describe some cases in which a crown lengthening proce
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.
The CO2 Laser and it's Application in Modern Clinical Oral Surgery
Co2 Laser is a simple and versatile tool which can replace the knife for majority of minor oral surgical procedures which can be done on the chair side under local anaesthesia. The advantage of Co2 laser is a fact that it creates a bloodless, painless and heals with minimal scarring. Most common applications which include frenctomies, exposure of impacted teeth, pre-orthodontic exposure of canines, Excision of small fibromas, papillomas, warts and mucoceoles. Small hemangiomas and lymphangiomas can also be excised with minimal blood loss. This presentation gives the viewer an overview of the co2 laser and its application in various clinical scenarios. The safety aspect of using laser for the patient, operator and dental surgery assistants is also demonstrated.
Smile Design 3D vs. 2D: The Evolution of Precision in Esthetic Digital Dentistry
In the digital dentistry era, trials never stop to achieve a full digital workflow to fabricate aesthetic restorations based on predictable and accurate facial guided smile design methods but the existing techniques present limitations in the process of transferring the design from 2D to 3D as they are mainly based on 2D Photography and 2D to 3D superimposition and transfers.
In this presentation a review of the available techniques and technologies is presented as well as a novel technique that has been used to design a 3D smile frame using 3D face scans, 3D intra oral optical scans, CBCT and multiple software to overcome the limitations of already available 2D smile design systems offering predictable, more accurate and easier to use workflows for success in analysis, planning, design and execution in everyday clinical practice.
The Interdisciplinary Software Platform. The Key For Modern Digital Dentistry
The starting point of a facially driven interdisciplinary dental treatment plan is "The Smile Frame". A few crucial photos and steps will come together to create the ultimate template you need to communicate to your dental team, colleagues, and the patient to ultimately increase case acceptance and create the most aesthetic and functional method of rehabilitation to your patient. We will discuss how this paradigm shift of regular analog dentistry has shifted to this modern digital world and the benefits it provides.
Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc...
However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.
Crowns and Bridges