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Surgery Vidoes
Surgical Management of the Full Arch Patient; Do's & Don'ts

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.

Presented By:: Richard Martin, DDS
Presentation Style: Video
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The Utilization of Advanced Flap Management & GBR to Large Alveolar Ridge Defects Premium Member Content

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.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Video
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The COMPLETE Implant Practitioner; Digital & Surgical Protocols for The Full Arch Patient

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.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
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The Critical Diagnostic & Tx Planning Aspects of Full Arch Implant Therapy Premium Member Content

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.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
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Surgery Articles
The Root Submergence Technique at Single Tooth Sites to Short-Span Edentulous Sites: A Step-By-Step Partial Extraction Therapy Protocol

The Root Submergence Technique at Single Tooth Sites to Short-Span Edentulous Sites: A Step-By-Step Partial Extraction Therapy Protocol
Submerging roots for ridge preservation was the earliest partial extraction therapy and has been described since the 1970s. Despite the approximately 47 animal and human studies published since, an updated and contemporary step-by-step protocol has not yet been provided. This technique report describes in detail how to manage submerged roots at single tooth sites and at short-span edentulous areas.

Author(s): Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP, PhD;Maurice Salama, DMD;Howard Gluckman, BDS, MChD, PhD;Katalin Nagy, DDS, PhD
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Fibrinogen-Induced Regeneration Sealing Technique (F.I.R.S.T.). An Improvement and Modification of Traditional GBR: A Report of Two Cases

Fibrinogen-Induced Regeneration Sealing Technique (F.I.R.S.T.). An Improvement and Modification of Traditional GBR: A Report of Two Cases
Guided bone regeneration is a technique widely known, clinicians know very well indications and limitations of this technique. One of the principles to achieve bone augmentation and formation resides in the stability of the blood clot forming under a barrier membrane. The technique proposed in this article has the goal of providing stabilization to the bone graft by adding fibrin sealant (FS) to the bone graft and also using the fibrin sealant to attach a bone membrane (cortical lamina) to the recipient site. This simple modification of the technique of guided bone regeneration is presented in two successful cases.

Author(s): Vincenzo Foti, MD, DDS;Roberto Rossi, DDS
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Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation

Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation
One standard approach for wound closure after ridge augmentation is coronal flap advancement. Coronal flap advancement results in displacement of the mucogingival junction and reduction of the vestibulum. In the maxilla, a buccal sliding palatal flap can be applied for primary wound closure after ridge augmentation. The dissected part of the palatal connective tissue is left exposed, thus eliminating or reducing the amount of the coronal flap advancement respectively and increasing the amount of keratinized gingiva. In combination with guided soft tissue augmentation, this flap design enables a three-dimensional peri-implant soft tissue augmentation.

Author(s): Snježana Pohl, MD, DMD;Maurice Salama, DMD;Pantelis Petrakakis, DDS, DPH
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A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol

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.

Author(s): Howard Gluckman, BDS, MChD, PhD;Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP, PhD;Maurice Salama, DMD;Katalin Nagy, DDS, DSc, PhD;Michel Dard, DDS, MS, PhD
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Surgery Courses
The Utilization of Advanced Flap Management & GBR to Large Alveolar Ridge Defects Premium Member Content

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.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1
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Introduction to Osseointegration and Modern Implant Dentistry: Part 2 of 2 Premium Member Content

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.

Presented By:: Henry Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Introduction to Osseointegration and Modern Implant Dentistry: Part 1 of 2 Premium Member Content

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.

Presented By:: Henry Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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4 Steps to a Predictable Full Arch Rehabilitation Premium Member Content

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.

Presented By:: Dárcio Fonseca, DDS;Gustavo Peres Alves, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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