Video Details
|
Immediate Reconstruction of the Posterior Mandible with Multiple Implants
Description:
This surgical video highlights the diagnostic phase with review of the CBCT and 3D images to properly treatment plan the placement of multiple adjacent implants for immediate temporization in a previously grafted mandibular posterior region. Anatomy of available bone and location of the mandibular nerve are discussed. Implant placement and confirmation of accuracy of the plan utilizing restorative and surgical guides are described. Bone grafting using allograft mineralized bone and PRGF as well as management of the gingival tissues as part of effecient surgical protocols are clarified. One Abutment-One Time techniques are instrumental in facilitating immediate temporization utilizing the placement of final abutments at the time of implant insertion. The Restorative phase is described highlighting the the use of acrylic copings for these abutments, immediate reline at the time of surgery using a vacuum formed matrix and Triad reline material. 2 month post-op images of healing of soft tissues and final impression taking utilizing snap caps and flowable resin are also included.
Date Added:
6/5/2013
Author(s):
Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University
of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama
r...
[read more]
|

|
Online Videos / Surgery / Implant / Immediate Reconstruction of the Posterior Mandible with Multiple Implants
Questions & Comments
|
Rene Rebeil - (6/9/2013 6:04 PM)
Exellent presentation as well as the spanish translation
|
henry salama - (6/8/2013 12:08 PM)
For most clinicians, hand tightening the abutment fully at the time of placement will probably deliver in the range of 15-20 Ncm and that is enough to seat the abutment completely. The so called "pre-torque" that we perform when we do final torquing to 30-35 Ncm creates an effect on the SCREW not on the abutment position. Therefore, no adverse positional change or affect should be seen on the final restoration. Hand tightening at placement ensures easy removal & replacement of the primary abutment in case it is deemed as not optimal for a final restoration. I hope that helps.
|
Paul Boulos - (6/8/2013 7:17 AM)
Dr Salama.thanks for the nice presentation. my question is if you torque the abutments before cementation this might affect the seating of the crowns especially if they are joint.
meaning that the abutment might sink a bit into the fixture and its all varied on the three fixtures.any comment.
thank again for the beautiful work.
|
henry salama - (6/7/2013 2:47 PM)
At implant placement, restorative abutments are only hand tightened. Final torque is not utilized until the abutments are deemed acceptable and only prior to final cementation. There are many ways to utilize the "one abutment/one time" technique. One, utilize pre-machine contoured abutments that have dedicated snap on components, or, choose and shape an abutment as needed and impress it prior to placement to fabricate a refractory die. That die is utilized by the lab to fabricate a resin transfer coping that can be used for taking the final impression.
|
e chan - (6/7/2013 11:48 AM)
Are the final abutments torque in at 30Ncm in 2 months on the day of final restoration cementation? So the final crown restorations are finished after 2 months healing? At surgical stage, you just put the final abutments on and do the temporization without torquing abutments, right? If one abutment one time and never removed, then do you just use snap caps and take impression and no need to remove the final abutments to give to the lab to adjust the final abutments, and leaving all final abutments in mouth after you put them on on the day of surgery.
|
rally garcia - (6/7/2013 3:37 AM)
awesome !!
|
Maurice Salama - (4/11/2013 3:22 AM)
Thanks Bassam. We are considering revisiting past cases and showing the follow up and reposting them. Would that be of interest? Dr. Salama
|
Bassam Algheryafi - (4/10/2013 7:58 PM)
Very inspirational presentation Dr.Salama; is there anyway you can put together all links related to this case or any case in future thus we can watch it from the start to finish? thanks for your dedication to this forum.
|
Maurice Salama - (3/27/2013 5:22 PM)
Loc; Thanks for the nice comments, please see my previous post below. Arrestin or Acromycin can be utilized for the antibiotic paste. Thanks Dr. Salama
|
|
Related Videos |
|
|
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 |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 1 of 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration.
Presented By:: |
Stephen J. Chu, DMD, MSD, CDT |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
Informed Consent: Dr. Dennis Tarnow Part 5 of 6
In this 5th of a 6 part interview with Dr. Dennis Tarnow, the very important topic of informed consent is discussed. Key components of this very broad based topic that are discussed include identifying the chief complaint, the patient 's expectations as well as informing the patient about long-term ramifications of a chosen therapeutic modality
Presented By:: |
Dennis P. Tarnow, DDS |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
Related Courses |
|
|
"The Socket Shield Technique"; Myths & Realities
Socket Shield Technique is a concept in implant dentistry that utilizes the partial extraction therapy principles, with the goal of preserving the hard and soft tissues around the dental implants. It has been reported to be a very predictable therapy so far. The proper case selection is crucial for the success of the technique. In fact, it is very technique sensitive and requires an advanced level in implant dentistry. Although the technique has a high overall success rate, but long term studies and high evidence level researches are needed to support the proof of principle available. This presentation will discuss and review the "myths & realities" of the new Socket Shield Technique or "PET" (Partial Extraction Therapy) concept.
Presented By:: |
Alan Alaa Yassin, DDS, MS, MSD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 Continuing Education Unit (CEU) |
|
Watch Now>>
|
|
|
|
|
Creative Ridge Expansion Solutions Utilizing Ultrasonic Technologies
Management of the narrow ridge is a common challenge in modern prosthetically-driven implant dentistry. Treatment using a simple and highly predictable procedure for alveolar ridge expansion can be employed using new techniques and technologies which will be introduced on this presentation.
Presented By:: |
Isaac D Tawil, DDS |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Unit) |
|
Watch Now>>
|
|
|
|
|
Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy
When considering implant therapy in the esthetic zone, replicating the natural soft tissue frame may present challenges for the treating clinician. This presentation will highlight different clinical scenarios in which the lack of hard and soft tissue volume may pose difficulties in achieving ideal peri-implant esthetics, in addition to available clinical strategies on how to manage and minimize hard and soft tissue deficiencies when dealing with implant therapy in the esthetic zone.
Presented By:: |
Sherif Yousri Said, BDS |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Unit) |
|
Watch Now>>
|
|
|
|
Related Articles |
|
|
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 |
|
View Article>>
|
|
|
|
|
Sinus Floor Elevation Via the Maxillary Premolar Extraction Socket With Immediate Implant Placement: A Case Series
When immediate implant placement is considered
for teeth with close proximity to the sinus floor, apical
extension of the osteotomy is significantly limited, and often
a staged approach is used. Implant placement into fresh extraction sockets and sinus floor manipulation using bone-added osteotome sinus floor elevation with implant placement
are techniques most often used independently or sequentially.
In this care report, immediate implant placement with simultaneous osteotome sinus floor elevation is an advantageous
combination of two successfully used techniques. This combined
approach can significantly reduce the treatment time
for implant therapy in teeth with close sinus proximity and provide the operator with the ability to place implants of desired length.
Author(s): |
Monish Bhola, DDS, MSD;Shilpa Kolhatkar; Tamika N. Thompson-Sloan |
|
View Article>>
|
|
|
|
|
The Socket Shield Technique with Promixal Extensions for Single-Rooted Teeth
The conventional socket shield (SS) design extends from the mesiolabial to the distolabial line angle. C-shaped SS, L-shaped SS, and proximal SS designs have proximal extensions that help to maintain the hard and soft tissue in the interproximal areas. This is beneficial for implant sites adjacent to an existing implant or an edentulous space. The most common complication of the socket sheild technique (SST) is internal shield exposure. Due to anatomical features such as a scalloped ridge shape and an oval socket shape of some teeth, the risk of complications such as internal shield exposure, inadvertent SS displacement, and fracture of the SS during implant insertion is greater in proximal shield areas. The present article describes guidelines for case selection for proximal shield extensions, along with SS preparation and the selection of implant and prosthetic components.
Author(s): |
Snježana Pohl, MD, DMD;Maurice Salama, DMD;Udatta Kher, BDS, MDS |
|
View Article>>
|
|
|
|
|