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Bone Grafting & Implant Dentistry; Classification, Surgical Site Understanding & Membrane Selection Part 1 of 3 Premium Member Content

Bone Grafting & Implant Dentistry; Classification, Surgical Site Understanding & Membrane Selection Part 1 of 3
Once a tooth is extracted, the natural wound-healing cascade paired with irreversible alteration occurs. Hard tissue grafting techniques combined with the sound understanding of the surgical site theater will help the practitioner to make the proper decision in order to successfully treat their patient. The usage of biological modifiers and surgical barriers are proposed to assist in improving the predictability of the advance surgical care.

Presented By:: Alexandre-Amir Aalam, DDS, FICD
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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A Novel Technique for Epithelium Removal from FGG Premium Member Content

A Novel Technique for Epithelium Removal from FGG
Removing epithelium from a free gingival graft the Zucchelli Mucogingival Esthetic Surgery does it has always been a challenge for me. I can never quite remove the epithelium as seamlessly as Professor Zuccheli. This is a technique I have experimented with recently which greatly simplifies the technique by holding the tissue firmly between two sterile tongue depressors. Give it a try and let me know how it works for you!

Presented By:: Howard Gluckman, BDS, MChD, PhD
Presentation Style: Video
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Surgery Articles
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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Recombinant Human Platelet– Derived Growth Factor: A Systematic Review of Clinical Findings in Oral Regenerative Procedures

Recombinant Human Platelet– Derived Growth Factor: A Systematic Review of Clinical Findings in Oral Regenerative Procedures
The use of recombinant human plateletderived growth factor–BB (rhPDGF) has received Food and Drug Administration approval for the treatment of periodontal and orthopedic bone defects and dermal wound healing. Many studies have investigated its regenerative potential in a variety of other oral clinical indications. The aim of this systematic review was to assess the efficacy, safety, and clinical benefit of recombinant human plateletderived growth factor (rhPDGF) use for alveolar bone and/or soft tissue regeneration. Based on the clinical evidence, rhPDGF is safe and provides clinical benefits when used in combination with bone allografts, xenograft, or β-TCP for the treatment of intrabony and furcation periodontal defects and gingival recession or when used with allografts or xenograft for GBR and ARP.

Author(s): L. Tavelli, A. Ravidà, S. Barootchi, L. Chambrone, W.V. Giannobile
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Surgery Courses
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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Bone Grafting & Implant Dentistry; Classification, Surgical Site Understanding & Membrane Selection Part 1 of 3 Premium Member Content

Bone Grafting & Implant Dentistry; Classification, Surgical Site Understanding & Membrane Selection Part 1 of 3
Once a tooth is extracted, the natural wound-healing cascade paired with irreversible alteration occurs. Hard tissue grafting techniques combined with the sound understanding of the surgical site theater will help the practitioner to make the proper decision in order to successfully treat their patient. The usage of biological modifiers and surgical barriers are proposed to assist in improving the predictability of the advance surgical care.

Presented By:: Alexandre-Amir Aalam, DDS, FICD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Esthetic Tissue Reconstruction Around Implants - Part 1 of 2 Premium Member Content

Esthetic Tissue Reconstruction Around Implants - Part 1 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Presented By:: Robert Carvalho da Silva, DDS, PhD
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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