Biomechanical and Occlusal Considerations in Posterior Implant Therapy - Part 2 of 2
Dr. Bassam Rabie details the critical biomechanical and occlusal considerations that clinicians must incorporate in planning posterior implant restorations.

Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa. The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.

Consecutive Anterior Implants: Surgical and Restorative Management of Esthetic Failures - Part 4
This webinar will focus on the diagnosis and treatment design options for the implant replacement of two or more adjacent teeth in the anterior region with emphasis on preventing mid-facial and interdental tissue loss.

Partial Extraction Therapy (PET) The Final Frontier
Buccopalatal collapse of the postextraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach, "PET" is to use the tooth itself by purposely maintaining all or a portion of the root in the remaining socket. Root submergence has been reported in the literature for more than 4 decades, and it has been demonstrated that the submerged tooth root retains the periodontal tissues and preserves the bone in pontic sites or below dentures to retain the ridge. The socket-shield technique entails preparing a tooth root section to remain behind on the labial aspect simultaneous to immediate implant placement and has demonstrated histologic and clinical results that are highly promising to esthetic implant treatment.

Immediate Molar Implants: When, Why, and How?
Multi-rooted extraction sockets are often too large to accommodate a traditional diameter implant, therefore ultra wide diameter implants as a clinical alternative can predictably simplify procedures without compromising function and esthetics. Problems with use of traditional implants may include the ability to gain adequate primary stability, use of large amounts of graft material, and poor embrasure spaces causing food impaction. The focus of this lecture will highlight clinical rational to improve success, anatomical and restorative benefits of immediate placement, evidence-based outcomes reported in literature, and survival and success rates reported by the presenter. This lecture is intended for restorative dentists.

The Diagnosis and Treatment of Inflammatory Peri-implant Disease: We Have a Problem
This detailed presentation will discuss the etiology, microbiology, histopathology and clinical manifestations of peri-implant disease, and will present evidence based in-office and at-home treatment regimens to stop mucositis from progressing to peri-implantitis. Additionally, "COAP", a new minimally invasive surgical technique for the treatment of peri-implantitis will be introduced.

Methods of Determining Implant Stability and Scientific Loading Criteria
There can always be difficulties in determining the osseointegration status when an implant is to be loaded with the prosthesis. Nevertheless, it is vital to know whether the implant is stable. Research today demonstrates that implants can be subject to immediate or early loading, but there were no objective standard methods of determining implant stability which will be very helpful criteria for immediate or early loading. In this lecture, the current scientific loading criteria and decision making process for the immediate or early loading will be presented with clinical cases and reliable scientific data such as Resonance Frequency Analysis, implant design that reinforced stability, Insertion torque value, evaluation of bone density and patient’s parafunction. Dr. Park and his colleagues are dedicated to finding and promoting a reliable and scientifically viable protocol for loading implant in more predictable time frame

Immediate Custom Implant Provisionalization: A Prosthetic Technique
This article outlines a provisionalization technique that can be performed after traditional healing of the implant site. Upon reading this article, the reader should: Realize that this technique is also effective when immediate implant loading is not possible. Become familiar with the benefits of an immediate customized provisional, including duplicating the emergence profile of the extracted tooth.

Systematic Review of Survival Rates for Immediately Loaded Dental Implants
The primary goal of this paper was to determine the survival rate of immediately loaded (IL) dental implants based on a systematic review of the literature. Secondary goals were to determine the influence of several factors on the implant survival rate, such as the type of reconstruction, implant location, and implant surface characteristics. An electronic search of databases was performed, in addition to a hand search of the most relevant journals. All relevant articles were independently screened…

Smoking and Complications of Endosseous Dental Implants
Titanium endosseous implants have been increasingly used in various edentulous situations for well over a decade. Cigarette smoking has long been suspected as adversely affecting wound healing. Arteriolar vasoconstriction and decreased blood flow are seen in response to smoking. In the oral cavity,an increase in plaque accumulation,a higher incidence of gin-givitis and periodontitis,a higher rate of tooth loss,and an increased resorption of the alveolar ridge have been found among smokers.