Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Immediate Implants in Molar Sites - Wide Diameter Implants: Part 2

Description:
In Part 2 of this lecture series, Dr. Murray Arlin, a periodontist from Toronto, specifically highlights the use of wide diameter implants in immediate molar extraction sites. The utilization and advantages of short extra wide implants is discussed in detail.

Date Added:
1/7/2010

Author(s):

   Murray Arlin, DDS, dip. Perio., FRCD Murray Arlin, DDS, dip. Perio., FRCD
Dr. Arlin received his D.D.S. from McGill University in 1977. After a 1 year Residency in General Dentistry at the Jewish General Hospital in Montreal, he began his Pos...
[read more]






Online Videos / Surgery / Implant / Immediate Implants in Molar Sites - Wide Diameter Implants: Part 2




Questions & Comments
Anton Andrews - (8/26/2014 7:16 PM)

Great presentation! I think that the crestal bone loss is attributed to the use of the healing abutment at the time of the placement and to the surface texture at the neck of the implant being polished titanium instead of etched one.

Leonard Smith - (7/25/2014 8:41 PM)

Great Surgical & Restorative Principles

Michael Tischler - (11/3/2011 7:51 AM)

Murray, Hi. Great presentation. I have been using this system for 2 years with great success.Thanks Michael Tischler, DDS

DR.Ahmed R.Sugendran - (1/20/2010 12:51 AM)

how dose this tapered wide body implant compared with straigh wide body implant with internal hex?Would it work the same way or do we need to see more clinical evedence?Booth this straight and tapered( tapered looks more bone friendly)wide body implant is a practical clinical solution.i hope dr.Arlin can answer this.Thanks great lecture.

Paolo Giuliani - (1/14/2010 6:02 PM)

It's nice to see what common sense has been to me for years is being practiced with clinical success. I look forward to 5 year follow ups. Thanks.

Joseph Whitehouse - (1/10/2010 3:58 PM)

This presentation is emblematic of the continuing advances in knowledge in this discipline. Thank you for helping me improve my ability.

Muray Arlin - (1/10/2010 6:31 PM)

[quote=Muray Arlin][quote=Kenneth Serota]Regardless of the axial placement or the diametral size of the fixture, platform switching needs are essential...not evident and unfortunately saucerization seems to characterize the vast majority of the restored cases......Dr. Weigl's and Dr. Saynor's presentations address the reality that the concerns about tissue support and contour can be obviated by fixture design and precise cone connection. The ANKYLOS system allows you go to 5.5 and I'm not totally certain about the D size...point being that deep and wide is simply old engineering....I fear that reverting to even larger fixtures is an invitation to disaster for the inexperienced.[/quote]

Hi Ken and thans for your comments. Once we get to Part II I will demonstrate the Max 8mm and 9mm implants which incorporate a Platform Shift.[/quote]

Another point Ken on the wide diameter implant, is that I agree that going too wide can be dangerous if used in the wrong situations. I addressed this in the beginning of the seminar part I. When we get to Part II you will see that an 8mm or 9mm implants can be placed comfortably in most immediate molar extraction sites, while still respecting the surgical protocol of staying about 2mm lingual to the facial bone. These diameters can rarely if ever be safely used in healed sites where we are confronted with the inevitable post extraction shrinkage.

Muray Arlin - (1/10/2010 6:00 PM)

[quote=Kenneth Serota]Regardless of the axial placement or the diametral size of the fixture, platform switching needs are essential...not evident and unfortunately saucerization seems to characterize the vast majority of the restored cases......Dr. Weigl's and Dr. Saynor's presentations address the reality that the concerns about tissue support and contour can be obviated by fixture design and precise cone connection. The ANKYLOS system allows you go to 5.5 and I'm not totally certain about the D size...point being that deep and wide is simply old engineering....I fear that reverting to even larger fixtures is an invitation to disaster for the inexperienced.[/quote]

Hi Ken and thans for your comments. Once we get to Part II I will demonstrate the Max 8mm and 9mm implants which incorporate a Platform Shift.

Kenneth Serota - (1/10/2010 5:36 AM)

Regardless of the axial placement or the diametral size of the fixture, platform switching needs are essential...not evident and unfortunately saucerization seems to characterize the vast majority of the restored cases......Dr. Weigl's and Dr. Saynor's presentations address the reality that the concerns about tissue support and contour can be obviated by fixture design and precise cone connection. The ANKYLOS system allows you go to 5.5 and I'm not totally certain about the D size...point being that deep and wide is simply old engineering....I fear that reverting to even larger fixtures is an invitation to disaster for the inexperienced.

Related Videos
Immediate Implants in Molar Sites - Wide Diameter Implants: Part 1 Premium Member Content

Immediate Implants in Molar Sites - Wide Diameter Implants: Part 1
Dr. Murray Arlin highlights the advantages and disadvantages of immediate implant placement in molar extraction sites.

Presented By:: Murray Arlin, DDS, dip. Perio., FRCD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Achieving Stable Esthetic Results with Implant Supported Restorations Premium Member Content

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.

Presented By:: Gianluca Paniz, DDS, MS, FACP;Luca Gobbato, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Implants in the Esthetic Zone: A Prosthodontics Approach to a Periodontics Challenge Premium Member Content

Implants in the Esthetic Zone: A Prosthodontics Approach to a Periodontics Challenge
Edentulism in the anterior sector of the maxillary arch may represent a complex situation for the restorative treatment. Due to the esthetic importance of this area of the mouth, it is imperative that we have a complete harmony between soft tissues, bone and teeth. In situations where dentition has been missing for a many years, bone and soft tissue loss can make the restorative treatment more complex. When diagnosing and treatment planning a patient with such problems; it is important to analyze all probable treatment options. Interdisciplinary treatment planning, will help achieve success when dealing with cases like these. This is why adequate communication between, the surgeon and restorative dentist is imperative.

Presented By:: Jonathan Esquivel, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Partial Extraction Therapy (PET) in Everyday Practice: Part 2 Premium Member Content

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.

Presented By:: Filipe Lopes, DDS, DMD;Bernardo de Mira Corrêa, DDS, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy Premium Member Content

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success Premium Member Content

Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success
This presentation will focus on the application of PET techniques and immediate loading in daily practice. A brief introduction will be presented outlining the concepts, and the benefits in combining both techniques. This will be followed with a review of clinical cases ranging from single unit to full arch implant rehabilitations. Lastly, recommendations will be presented to the viewer in order to facilitate incorporation of these techniques into clinical practice.

Presented By:: Ehab Moussa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Advanced Bone Grafting Techniques: Part 2 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Maxillary Ridge Premium Member Content

Advanced Bone Grafting Techniques: Part 2 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Maxillary Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic maxillary alveolar ridge. This will include a discussion of the various options to this form of grafting, such as short implants, maxillary sinus augmentation, sub-nasal elevation procedure, connective tissue grafting and soft tissue manipulation, Le-Fort I down fracture/osteotomy and the use of progenitor cells: bone marrow aspirating concentrated. A description of surgical donor harvest sites in the mandible will also be performed as well as post-op healing of these sites. Additional time will be spent reviewing causes of failure with bone blocks and implants placed into these sites.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation

Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation
Osseointegrated dental implants have enjoyed long-term success in the rehabilitation of totally edentulous patients. Every aspect of traditional treatment planning protocols continues to be re-evaluated and updated to better incorporate the benefits of osseointegration into clinical practice. This is particularly evident as dentistry has committed to fully integrating this approach into the more varied and demanding environment of the partially edentulous patient. Along with the many benefits of added predictability and enhanced options, the ever-evolving role of osseointegrated implants in the treatment pf the partially edentulous jaw has also created new challenged. Unlike the fully edentulous individual who maintains the implant-restorative interface beyond the lip perimeter, many partially edentulous patients undergo the transition within the esthetic zone.

Author(s): Henry Salama, DMD;Maurice Salama, DMD;David Garber, DMD;Pinhas Adar, MDT, CDT
View Article>>
Immediate Loading of Bilaterally Splinted Titanium Root-Form Implants in Fixed Prosthodontics

Immediate Loading of Bilaterally Splinted Titanium Root-Form Implants in Fixed Prosthodontics
A load-free healing period has been advocated as a prerequisite to achieving osseointegration. This article reports two cases in which immediate loading of a specially designated additional or "expendable" set of titanium root-form implants was successfully utilized to support provisional fixed restorations in the maxilla and the mandible. This immediate-loading protocol is suggested as a reliable adjunctive therapeutic modality for offering implant patients access to fixed interim restorations…

Author(s): Maurice Salama, DMD;Henry Salama, DMD;Louis F. Rose, MD, Norman J. Betts, DDS, MS
View Article>>
Maintaining Interimplant Crestal Bone Height Via a Combined Platform-Switched, Laser-Lok Implant/Abutment System: A Proof-of-Principle Canine Study

Maintaining Interimplant Crestal Bone Height Via a Combined Platform-Switched, Laser-Lok Implant/Abutment System: A Proof-of-Principle Canine Study
Interimplant papillae are critical for achieving esthetic implant-supported restorations in the maxillary esthetic zone. Stable papillary anatomy, however, depends upon a stable volume underlying crestal bone for support. Multiple studies have documented a critical interimplant distance of 3mm under which crestal bone resorption occurs. This preclinical proof-of-principle canine study examines a novel implant-abutment system design, combining platform switching with precisely configured laser-ablated abutment and implant microgrooves to maintain interimplant crestal bone at interimplant distances of 2 and 4 mm. Results of this initial preclinical study suggest that it is possible through precise implant/abutment design modifications to place adjacent implants at distance of 2 to 4 mm without inducing subpapillary crestal bone loss.

Author(s): Myron Nevins, DDS;Marc Nevins, DMD, MMSc; Luca Gobbato, DDS, MS; Hyo-Jung Lee, DDS, PhD; Chin-Wei Wang, DDS; David M. Kim, DDS, DMSc
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login · Register