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Surgical Management of Third Molars

Surgical Management of Third Molars
Removal of third molars, commonly known as wisdom teeth, continue to be prevalent in our society. Indications for removal vary from pericoronal infections to orthodontic treatment. Several factors such as age, position of the tooth and affected jaw can dictate the surgical technique. Proper diagnosis and management will be covered at length as well as impaction classification systems, value of imaging, instrumentation and surgical approaches. Post operative management and methods to recognize, avoid and treat potential complications will also be discussed.

Presented By:: Richard Martin, DDS
Presentation Style: Video
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Full Arch Immediate Loading Using Pterygoid Implants - Part 2 of 2 Premium Member Content

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.

Presented By:: Dan Holtzclaw, DDS, MS
Presentation Style: Video
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Full Arch Immediate Loading Using Pterygoid Implants - Part 1 of 2 Premium Member Content

Full Arch Immediate Loading Using Pterygoid Implants - Part 1 of 2
Non-grafting alternatives for the rehabilitation of the Atrophic Maxilla is a growing arena in our implant patient population. The Intermaxillary Surgical Protocol for Zygomatic Implants and its modification to Extramaxillary 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.

Presented By:: Dan Holtzclaw, DDS, MS
Presentation Style: Video
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A New & Improved Approach to Zygomatic Implants Premium Member Content

A New & Improved Approach to Zygomatic Implants
Over the past decade numerous approaches to the rehabilitation of severe maxillary atrophy have been suggested. Most approaches involve the utilization of the Zygoma for anchorage of specially developed extra long Implants. These implants often must either enter through the sinus or pass along the outside of the sinus wall depending upon the transverse discrepancies and horizontal ridge resorption issues as well as future occlusal scheme with the mandibular arch. This new approach described in this presentation addresses this potential compromise through extra-maxillary bone grafting performed at the time of Zygoma placement utilizing fresh frozen iliac bone and bone marrow aspirate. Multiple cases will be highlighted and short term follow up described.

Presented By:: Dr. Juan Alberto Fernandez Ruiz
Presentation Style: Video
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Other Surgical Articles
Socket Shield Technique - Implantology Today

Socket Shield Technique - Implantology Today
The socket shield procedure is an effective surgical technique for implant supported restorations. It helps in preserving the labial bone and soft tissue architecture around osseointegrated implants. The procedure provides comparable or better outcomes compared to other conventional alternatives at a lower cost.

Author(s): Udatta Kher, BDS, MDS;Ali Tunkiwala, MDS
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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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The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study

The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study
The “socket-shield technique” has shown its potential in preserving buccal tissues. However, front teeth often have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines. The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the remaining buccal root segment in two pieces before immediate implant placement.

Author(s): Markus B. Hürzeler, DMD, PhD;Daniel Bäumer, DDS; Otto Zuhr, DDS; Stephan Rebele, DDS; David Schneider, DDS, PhD; Peter Schupbach, PhD
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Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report

Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report
Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. This report describes the use of a mucosal coronally positioned flap for the management of a gummy smile associated with vertical maxillary excess and hypermobility of the upper lip. For patients desiring a less invasive alternative to orthognathic surgery, the mucosal coronally positioned flap is a viable alternative. We demonstrate short-term successful use of this technique for the management of excessive gingival display in the presence of slight vertical maxillary excess and hypermobility of the upper lip. Long-term follow-up studies are needed to determine stability of the results.

Author(s): Monish Bhola, DDS, MSD;Nomahn Humayun; Shilpa Kolhatkar; Jason Souiyas
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Other Surgical Courses
Surgical Management of Third Molars

Surgical Management of Third Molars
Removal of third molars, commonly known as wisdom teeth, continue to be prevalent in our society. Indications for removal vary from pericoronal infections to orthodontic treatment. Several factors such as age, position of the tooth and affected jaw can dictate the surgical technique. Proper diagnosis and management will be covered at length as well as impaction classification systems, value of imaging, instrumentation and surgical approaches. Post operative management and methods to recognize, avoid and treat potential complications will also be discussed.

Presented By:: Richard Martin, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1
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Expanding on Transverse Diagnosis and Maxillary Expansion Premium Member Content

Expanding on Transverse Diagnosis and Maxillary Expansion
Transverse dimension diagnosis and treatment is the base for sagital and vertical corrections. Most precise diagnosis on maxillary transverse deficiency is obtained through the CBCT. Miniscrew assisted rapid maxillary expansion (Marpe) or Surgical assisted maxillary expansion are the procedures of choice in skeletal mature patients presenting maxillary transverse deficiencies. Protocols with most common type of expander will be ilustrated through clinical cases. Long term periodontal health and airways are addressed as part of this lecture.

Presented By:: Marianna Evans, DMD;Miguel Hirschhaut, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Applied Anatomy of the Neck as it Relates to Head and Neck Infections - Part 2 of 2 Premium Member Content

Applied Anatomy of the Neck as it Relates to Head and Neck Infections - Part 2 of 2
In this lecture Dr Bagheri will describe in detail basic and surgically relevant head and neck anatomy as it pertains to routine oral surgical procedures. The anatomy will be outlined as it is implicated in several procedures and pathological conditions.

Presented By:: Shahrokh C. Bagheri, DMD, MD, FACS, FICD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Applied Anatomy of the Neck as it Relates to Head and Neck Infections - Part 1 of 2 Premium Member Content

Applied Anatomy of the Neck as it Relates to Head and Neck Infections - Part 1 of 2
In this lecture Dr Bagheri will describe in detail basic and surgically relevant head and neck anatomy as it pertains to routine oral surgical procedures. The anatomy will be outlined as it is implicated in several procedures and pathological conditions.

Presented By:: Shahrokh C. Bagheri, DMD, MD, FACS, FICD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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