Partial Extraction Therapy (PET) in Everyday Practice: Part 1
This presentation outlines the evidence-based, biological, esthetic and technical aspects of utilizing Partial Extraction Therapy (PET), such as Socket Shield technique, in everyday practice. Combining PET with Endoret® Graft, on immediate post extraction implant placement, seems to be an effective way to maintain anatomy, minimizing bone level's change after the bone remodeling period, and maximizing the aesthetic outcome, due to adequate soft tissue's levels and contour.
Partial Extraction Therapy (PET) in Everyday Practice: Part 2
This presentation describes new tools, including burs and new trans-mucosal abutments, which may enhance the clinician's ability to incorporate the Socket Shield technique into their practice. In addition, incorporating in-office CAD CAM technology, such as Zirkonzahn, makes it possible to design and fabricate same-day custom restorations including the ability, under special circumstances, to go directly to the final restoration.
Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2
By scientific studies produced in recent years has been confirmed, in selected cases, the validity of the post-extraction implants. The use of this method implies a lower emotional impact, a single surgery and a healing often better for the patient. We will be discussed traumatic extraction methods, perfect insertion of the implants with or without bone regeneration with bone substitutes and membranes and the opportunity to combine an advanced method as immediate implant with the execution of an immediate loading to restore aesthetics in more complex cases.
Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.
Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa.
The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.
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.
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 .
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.
Soft Tissue Grafting Around Compromised Dental Implants in the Esthetic Zone
Dental implant esthetics can be challenging, but these challenges are magnified when a patient has had multiple failed implant and bone grafting surgeries. This video demonstrates the treatment of one such case. This is a surgical video demonstrating the VIP-CT (Vascularized Interpositional Connective Tissue) graft. While multiple treatment options exist, this start-to-finish video highlights the patient's initial presentation, the surgical technique, and the final outcome at 2 years.
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.
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.
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