Surgical Management of the Full Arch Patient; Do's & Don'ts
The responsibility of the surgeon is even more critical when performing a Full Arch Implant treatment. A thorough review of the anatomy is critical prior to the day of surgery to precisely assess the quality and quantity of bone/soft tissues as well as the location of critical anatomical landmarks such as the mandibular nerve, mental nerve, mylohyoid concavity, genial tubercles, floor of the nose, sinus floor, nasopalatine canal, greater palantine canal and pterygoid, zygomatic buttress. A thorough medical review is also a key element to avoid bleeding issues and a poor healing outcome.

The COMPLETE Implant Practitioner; Digital & Surgical Protocols for The Full Arch Patient
How best to prepare yourself for the treatment of the Full Arch Implant patient requires precise digital review and surgical precision. This presentation highlights the interdisciplinary aspects of modern full arch implant therapies which include CBCT review, Intra-oral scan stiching and 3D planning software. The review of anatomical landmarks, bone qualities and selection of appropriate implant sites is critical to successful treatment outcomes. A closer view of the surgeons role in assessment and planning is further highlighted.

The Critical Diagnostic & Tx Planning Aspects of Full Arch Implant Therapy
Full Arch Implant Dentistry has become a significant aspect of the modern dental practice. Our ability to replace a failing or missing dentition immediately with dental implants and a functional restoration has improved the quality of life and overall health of our patients. These treatments have become increasingly popular as they reduce chairtime and maximize the cosmetic aspects. With the abundance of cases, it is imperative that we avoid mistreatment or overtreatment. This presentation describes a step by step diagnostic agenda to properly evaluate each patient utilizing a full digital workflow including, CBCT, Intra-oral scans, full mouth radiographs and photos as well as clinical evaluation of soft tissues, bone and positional occlusion. The process of identifying and selecting the proper cases and designs for each individual situation will be thoroughly reviewed as well as to understand the limitations and possible complications that may arise.

Full Arch Immediate Loading Using Pterygoid Implants - Part 2 of 2
Non-grafting alternatives for the rehabilitation of the Atrophic Maxilla is a growing arena in our implant patient population. The Inter-maxillary Surgical Protocol for Zygomatic Implants and its modification to Extra-maxillary techniques has been a huge advantage in the treatment of these advanced maxillary atrophy patient cases. Anatomical and X-Ray interpretation connected with the placement of Zygomatic Implants will be reviewed in great detail. Patient selection and Treatment Planning as well as Pre-Operation Patient’s Medical Condition Assessment etc. is the foundational knowledge required for treatment of these individuals. The surgical procedure and prosthetic rehabilitation aspects as well as impressions and the laboratory work will also be further highlighted.

A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol
Ten years have passed since Hürzeler and coworkers first introduced the socket-shield technique. Much has developed and evolved with regard to partial extraction therapy, a collective concept of utilizing the patient’s own tooth root to preserve the periodontium and peri-implant tissue. The specifications, steps, instrumentation, and procedures discussed in this article are the result of extensive experience in refining the socket-shield technique as we know it today. A repeatable, predictable protocol is requisite to providing tooth replacement in esthetic dentistry. Moreover, a standardized protocol provides a better framework for clinicians to report data relating to the technique with procedural consistency. This article aims to illustrate a reproducible, step-by-step protocol for the socket- shield technique at immediate implant placement and provisionalization for single-rooted teeth.

Modified IVAN Technique: Long-Term Follow-Up of 20 Cases Over 2 to 11 Years
When natural teeth fail, frequently there is a loss of hard and soft tissue. This may complicate subsequent dental implant placement by creating insufficient bone to house the implant. This also occurs when the tooth has been missing for an extended period, especially in the premaxilla, where the bone is less dense and often lacks sufficient volume of facial bone. Site reconstruction to accommodate implant placement often requires both hard and soft tissue augmentation. The modified interpositional vascularized augmentation neogenesis (mIVAN) technique achieves the desired treatment goals in both delayed and immediate placement scenarios. The technique will be discussed as well as the long-term follow-up on 20 cases.

The Modified IVAN Technique: Hard and Soft Tissue Augmentation at Extraction for Delayed Implant Placement
Failure of a natural tooth may not permit placement of an implant at the time of extraction due to insufficiency in available bone to house the implant. Reconstruction of the extraction socket frequently involves both hard and soft tissue augmentation to provide a site that can house the implant and ridge contours that mimic the adjacent natural anatomy. This situation becomes more problematic in the maxillary anterior due to the anatomy and the lower density of the bone of the premaxilla. The solution is the interpositional vascularized augmentation neogenesis (IVAN), which consists of hard tissue grafts, various barrier membranes, and closure with the pediculated connective tissue graft (PCTG). The modified IVAN (mIVAN) technique achieves the necessary goals and may be used in both delayed and immediate placement situations.

Maintenance of Alveolar Ridge Dimensions Utilizing an Extracted Tooth Dentin Particulate Autograft and Platelet-Rich Fibrin: A Retrospective Radiographic Cone-Beam Computed Tomography Study
This study utilized radiographic comparative analysis in order to evaluate dimensional ridge changes four months after tooth extraction and immediate grafting with mineralized dentin particulate autograft and chopped platelet-rich fibrin. Fifty-eight extraction sockets with up to 2mm of missing buccal bone in the coronal aspect compared to the lingual bone were included. Graft material was covered with either a platelet-rich fibrin membrane or collagen sponge with no effort to achieve primary closure.

The Utilization of Advanced Flap Management & GBR to Large Alveolar Ridge Defects
Proper flap management is critical and key to obtain tension-free flap closure at large 3D ridge augmentation sites. The objective of this presentation is to highlight the most relevant clinical aspects to reduce tension during wound closure, therefore reducing associated complications, namely flap dehiscences that predispose our patients to post operative infection and reduced bone formation. Several clinical tips will be highlighted via multimedia and video to help the clinician increase their own predictability with these kind of procedures. Clinical cases will be presented to demonstrate the steps discussed in detail.

Introduction to Osseointegration and Modern Implant Dentistry: Part 2 of 2
This introduction gives a brief history of implant dentistry and the foundation of the modern era based on osseointegration. The principles of osseointegration will be outlined along with a detailed review of the healing sequence associated with it and how that directly influences clinical decisions. In addition, a review is presented of implant biomaterials and surfaces and how they influence the process of osseointegration.

Introduction to Osseointegration and Modern Implant Dentistry: Part 1 of 2
This introduction gives a brief history of implant dentistry and the foundation of the modern era based on osseointegration. The principles of osseointegration will be outlined along with a detailed review of the healing sequence associated with it and how that directly influences clinical decisions. In addition, a review is presented of implant biomaterials and surfaces and how they influence the process of osseointegration.

4 Steps to a Predictable Full Arch Rehabilitation
We live in an era where technology surround us. In Dentistry, there has been a progressive development in digital technology and workflows. In this lecture, we will discuss the data acquisition, diagnosis and treatment plan for a full arch rehabilitation. Which obstacles may we find and how to overcome them? Also, in this clinical case presented, we will highlight the potential of Digital Smile Design & virtual implant planning and their critical role to achieve a predictable outcome Implementing new workflows on a daily practice requires a well organized step-by-step process, and our goal is to show you our 4 step digital protocol to achieve the same results we planned.