Immediate Loading of the Edentulous Maxilla - Pt 1
Immediate functional loading of a full arch maxillary prosthesis.

Immediate Loading of the Edentulous Maxilla - Pt 3
Immediate functional loading of a full arch maxillary prosthesis.

Immediate Loading of the Edentulous Maxilla - Pt 4
Immediate functional loading of a full arch maxillary prosthesis.

Immediate Loading of the Edentulous Maxilla - Pt 5
Immediate functional loading of a full arch maxillary prosthesis.

The "Dual-Zone" Approach in Immediate Implant Placement
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described have enabled practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. This protocol allows for efficient management of the patient and an attempt to maintain all original contours of the extraction site. Multiple case and retrospective case studies will be cited to support this concept.

Delayed Implant Placement after Extraction - Strategies and Soft Tissue Management - Part 1
Dr. Orlando Alvarez outlines his risk management and clinical strategies for implementing a delayed implant placement protocol after extraction.

Soft and Hard Tissue Considerations in Demanding Esthetic Implant Therapy - Part 1 of 2
Since implant dentistry has become a common treatment for replacing missing teeth, dentists have been trying to mimic natural tooth morphology in order to achieve both functional result and to fulfill the patient’s esthetic desires. What was considered the standard of care 26 years ago is not necessarily valid today. The criteria for implant include osseointegration and the possibility for optimal restoration. This presentation will focus on the management of the hard and soft tissue around dental implants and analyzing the characteristics of different periodontal biotypes. We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.

Complete Dentures - A Dying Art? - Part 1 of 2
This webinar is by the World’s leading authority on full denture prosthodontics as he shares his philosophy and step-by-step techniques for both complex and routine patient problems.

A Treatment For The Prevention of Maxillary Edentulism: All On Four For The Maxilla
Since the advent of osseointegration, the patient who is edentulous or soon to be edentulated has many options to prevent wearing complete removable prosthesis. In the maxillary arch there are anatomical features that may preclude patients successfully utilizing an implant prosthesis. Some of these include alveolar resorptive changes after extractions, pnuematized sinuses, hard and soft tissue palatal vault configurations, and bone exostosis with associated undercuts. Psychological, many patients suffer after the loss of teeth with loss of self-esteem and avoidance behaviors. This program will focus specifically on the diagnostic, surgical, and prosthetic procedures of the All On Four patient. In this webinar, Dr. Duello will build upon the material provided in previous presentations on DentalXP with detailed guidance on clinical procedures for the All On Four in the maxilla.

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Implant Placement in the Esthetic Zone: The Use of Autogenous Mandibular Block Grafting & Soft Tissue Augmentation
“Originally published in Inside Dentistry, 2008. Copyright 2008. AEGIS Communications. Reprinted with permission.”

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 Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues buccofacial to an immediately placed implant. The socket-shield technique is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the procedure in clinical practice with a 1-year follow up.