Combined Augmentation Therapies in the Aesthetic Zone
The esthetic zone presents a far bigger challenge than any other area of the mouth. It is the one area that a patient has the ability to really scrutinize the work that has been done and anything that does not pass muster will quickly create problems in our practices. Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlife the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.
Controversies in Modern Implant Therapy; Lasers and Immediate Loading
The biological basis for clinical applications of Lasers and Immediate Loading will be discussed and and protocols for clinical applications will be demonstrated. Protocols for soft tissue management, treatment of peri-implantitis with lasers and the positive effects of the loading forces on the bone will be used in order to accelerate treatment in Implant dentistry.
Restoring the Pink and White Esthetics. Clinical Case Presentation
Every esthetic case is a challenge. As clinicians we need to understand and combine different treatment modalities and materials to achieve outstanding esthetic and functional results. This clinical case will demonstrate the importance of the little details, and how they influence the final result. We’ll go step by step thought the analyze, planning surgical and prosthetic procedures with focus on the key points that I find to be crucial.
The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem
This detailed presentation will discuss the etiology, microbiology, histopathology and clinical manifestations of peri-implant disease, and will present evidence based in-office and at-home treatment regimens to stop mucositis from progressing to peri-implantitis. Additionally, "COAP", a new minimally invasive surgical technique for the treatment of peri-implantitis will be introduced.
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.
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.
Sinus Grafting and Minimal Risk Techniques
Sinus floor elevation represents today a predictable solution allowing implant placement in atrophic posterior maxilla with high implant success rate. Several techniques and different grafting biomaterials have been used clinically, depending on residual bone, patient’s needs and implantation protocols.
During this presentation, we will present latest advances in both lateral and crestal sinus floor elevation techniques. The importance of new advances and technologies, such as radiographic planning and the use of piezosurgery, will be exposed. These clinical advances will play a major in reducing risks and complications related to sinus grafting procedures while preserving maximum clinical efficiency.
Transcrestal Sinus Floor Elevation: Most Frequently Asked Questions
Over 20 years of clinical application and research on transcrestal sinus floor elevation (TSFE) procedures using a variety of implants, graft materials and instrumentation has proven its reliability, and versatility. While improving upon the original osteotome technique they have not yet eliminated the need for a more invasive lateral approach, especially at sites with very limited (1-2 mm) sub-antral bone. Extensive analysis of the existing research and long-term clinical experience will provide the answers to the most pertinent questions surrounding the transcrestal approach including but not limited to: patient selection, clinical limitations, instrumentation, graft selection/necessity and management of membrane perforations.
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 .
Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile.
The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.
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.
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
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