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Treatment of the "Gummy Smile" Patient: Lip & Gingival Therapies Premium Member Content

Treatment of the "Gummy Smile" Patient: Lip & Gingival Therapies
Gummy Smile (GS) or Excessive Gingival Display (EGD) is a common feature amongst the population affecting smile esthetics and self-esteem. The focus of this presentation will be disclosing the most prevalent etiologies related to EGD and proposing therapeutic strategies specific to each clinical scenario. Moreover, several clinical cases will be presented step-by-step to achieve predictability related to each etiology of EGD.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Video
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Customized Abutments: Optimizing integration of Aesthetics, Biology and Function in Implant Dentistry Premium Member Content

Customized Abutments: Optimizing integration of Aesthetics, Biology and Function in Implant Dentistry
The CAD/CAM technology gives us the opportunity to provide individualized restorations on implant, from the abutment to the final outcome. Using an anatomic design to support soft tissue and the cosmetic part, we can get nearer to a natural architecture, improving our implant restorations and their long term success. In the same time, a considerable evolution has been observed in the restorative materials, on both mechanical and aesthetics properties, which could be seen as an alternative to traditional materials for implant frameworks.

Presented By:: Louis Toussaint, DDS
Presentation Style: Video
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Key Aspects in Full Arch Implant Therapy Premium Member Content

Key Aspects in Full Arch Implant Therapy
We will will focus on the steps that come after the surgery and conversion appointments and will help participants to be consistently successful in executing the highest level restorations with these concise, step by step procedures, that will allow you to go back to your office and start treatment right away.

Presented By:: Marcelo Montenegro Silva, DDS;Pinhas Adar, MDT, CDT
Presentation Style: Video
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The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 2 of 2 Premium Member Content

The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 2 of 2
The lecture reveals recent evidence to identify the impact of design features on both short-term clinical outcomes, as well as on the long-term health of the peri-implant bone and soft tissues. Prosthetic-driven implant placement is the prerequisite for the proper design of the ISC, which in turn can indirectly influence the structure and dimensions of the peri-implant soft tissues. Design features of the implant-prosthesis abutment complex such as the Emergence Profile (EP), Emergence Angle (EA) and Cervical Margin (CM), as well as the design of the implant-abutment and abutment prosthesis junctions and their location in relation to the tissues of the ISC can have significant impact in the maintenance of stable and healthy peri-implant tissues in the long term.

Presented By:: Ioannis Vergoullis, DDS, MS
Presentation Style: Video
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Crowns and Bridges Articles
When Esthetic Becomes Challenging

When Esthetic Becomes Challenging
This case report shows the successful change of a young lady smile, by following standard dental esthetic guide lines. With careful, detailed examination and diagnosis, we could reach our goal toward providing a high esthetic smile change.

Author(s): Ahmed M. Shamiyah - BDS, MSc, FIDc
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Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept

Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept
This article, the first of a planned three-part series, outlines a new surgical & prosthetic approach for treating cases involving two missing adjacent teeth in the esthetic zone. These type of cases, particularly when combined with a three-dimensional ridge deficiency, represent one of esthetic dentistry's most challenging dilemmas. A Clear understanding of the unilateral and bilateral defect concept is necessary to properly evaluate each particular case, understand surgical limitations, perform a better risk assessment, establish an esthetic prognosis, develop the best clinical-laboratory strategy, and adjust patients' expectations. While not recommended for every case, represents a useful, economical, and predictable alternative that decreases the umber and complexity of interventions.

Author(s): Christian Coachman, DDS, CDT;Maurice Salama, DMD;Eric Van Dooren, DDS; Eduardo Mahn, DDS, DMD, PhD
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The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol

The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol
Inadequate restorative space can result in mechanical, biologic, and esthetic complications with full-arch fixed implant-supported prosthetics. As such, clinicians often reduce bone to create clearance. The aim of this paper was to present a protocol using stacking computer-aided design/computerassisted manufacturing (CAD/CAM) guides to minimize and accurately obtain the desired bone reduction, immediately place prosthetically guided implants, and load a provisional that replicates predetermined tissue contour. This protocol can help clinicians minimize bone reduction and place the implants in an ideal position that allows them to emerge from the soft tissue interface with a natural, pink-free zirconia fixed dental prostheses.

Author(s): Maurice Salama, DMD;Prof. Dr. Alessandro Pozzi;Wendy AuClair-Clark, DDS, MS;Marko Tadros, DMD;Lars Hansson, CDT, FICOI;Pinhas Adar, MDT, CDT
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Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement

Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore be cognizant of circumstances with a predisposition toward esthetic outcomes and treatment plan accordingly. Preservation of the surrounding hard and soft tissues associated with an immediate postextraction socket implant to replace a nonrestorable tooth in the esthetic zone is one of the greatest challenges facing the dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological, and esthetic parameters were recorded to evaluate primary treatment outcomes.

Author(s): Alessandro Agnini, DMD;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Andrea Mastrorosa Agnini, DDS
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Crowns and Bridges Courses
OCCLUSION: Can We Possibly Simplify It? Part 3 Premium Member Content

OCCLUSION: Can We Possibly Simplify It? Part 3
Over the past 20 years, many of us have been confused, frustrated, unsure and crazy about ... “How do I get my occlusion philosophy on the right path?” At NYU FMR we have developed tried and true techniques that are guaranteed to make you understand occlusion, contact points and mandibular movement that makes sense, is easy to diagnose and systematically treat with success. In addition being comfortable Restoring OVD, understanding TMJ joint position and treating the worn dentition. Using our SOT methods and Level 1-10 Occlusion Classification we can show you how to become successful in the “Occlusion” of your patients. Spend an hour with us and open up a whole new world of occlusion philosophy and understanding. This is the real deal!

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Treating the Terminal Dentition: A Patient-Center Approach Premium Member Content

Treating the Terminal Dentition: A Patient-Center Approach
In patients with terminal dentition esthetic and functional replacement is a necessary objective, but no longer a sufficient-objective: nowadays, due to the clinical and extra clinical characteristics of these patients, management of the therapy is as important as its conclusion. Respect of the principle of autonomy, reduction of treatment length, simplification of surgical procedures and prosthetic management of implant immediate loading are the cornerstones of this philosophy and are the object of this lecture.

Presented By:: Leonello Biscaro, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 2 of 2 Premium Member Content

The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 2 of 2
The lecture reveals recent evidence to identify the impact of design features on both short-term clinical outcomes, as well as on the long-term health of the peri-implant bone and soft tissues. Prosthetic-driven implant placement is the prerequisite for the proper design of the ISC, which in turn can indirectly influence the structure and dimensions of the peri-implant soft tissues. Design features of the implant-prosthesis abutment complex such as the Emergence Profile (EP), Emergence Angle (EA) and Cervical Margin (CM), as well as the design of the implant-abutment and abutment prosthesis junctions and their location in relation to the tissues of the ISC can have significant impact in the maintenance of stable and healthy peri-implant tissues in the long term.

Presented By:: Ioannis Vergoullis, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 1 of 2 Premium Member Content

The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 1 of 2
Emerging evidence points towards significant interrelations between the condition of the peri-implant tissue and the implant-abutment-prosthesis complex. A new paradigm is essential, where the peri-implant tissues will be analysed in close interrelation with the implant, abutment and prosthesis complex, under the presence of oral biofilm. The aim of this course is to make the participant familiar with the concept of the “Implant Supra-crestal Complex” (ISC) and describe the critical elements that define it as a unique anatomic, and functional system of human tissues, mechanical components and oral bacteria / biofilm.

Presented By:: Ioannis Vergoullis, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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