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Treatment of single moderate gingival recessions using the combination of the connective tissue graft and emdogain

CV-050

Dr. Robert Carvalho da Silva

15 min

Gingival Recession therapy is one important solution in contemporary periodontics.<br />Success relies on the localized anatomy, selected technique, and factors related to patient's healing response and post-op behavior.<br /><br />The referred patient was a healthy, 26-year old female non-smoker with a gummy smile and localized Miller's Class I gingival recessions. The recession was 5 to 6 mm deep on both upper first canines.<br /><br />Oblique and paramarginal incision were used to create the flap design, and a CT graft was used to improve the thickness of the gingival margins. Enamel Matrix Derivative (Emdogain) was also used to improve the healing aspect.<br /><br />Two-and-a-half-years follow-up depicts 100% root coverage with excellent color match and volume as compared with adjacent teeth and gingival margins.

Anterior Implant Placement with Immediate Temporization Part 2 - Surgical Steps, Implant Placement, GBR Grafting, Immediate Temporization

CV-055

Dr. Sascha A. Jovanovic

15 min

The single missing tooth patient in the anterior esthetic zone is in need of a solution that stabilizes a crown, supports healthy gingival margins, develops an esthetic emergence profile with full gingival contour and prevents the need for invasive dental treatment of the adjacent teeth.<BR><BR>Implant protocols for the single tooth patient depend on bone resorption, gingival biotype, Smile-line, general and dental health, social and professional activities, age, and budget of the patient. Success relies on the bone anatomy, soft tissue management, proper planning, surgical and restorative technique used, and factors related to patient's healing behavior.<BR><BR>The referred patient in this video is a healthy, 32-year old non-smoking male with a high lip-line and a single missing upper-right canine with no previous restorative treatment. The canine was previously removed due to boney impaction. The case is shown from the surgical side and the lab technical side. Cone beam 3-D planning and surgical template are used to plan the flap design and surgical steps of implant placements.<BR><BR>Incisions, horizontal and vertical, optimal implant position, apical GBR bone graft placement, flap release and suture placement are shown in detail through each step. The fabrication and adaptation of the zirkonia abutment and the acrylic temporary and the cementation and occlusal adjustment are shown with an exit interview of the happy patient. A follow-up result of 6 weeks and 6 months shows the guided soft tissue growth.<BR><BR>Part 1 of this patient treatment (available on CV-55) demonstrates the patient consultation, oral examination, 3D treatment planning and preparation for the surgical step and implant temporization.

New Single-Resin Treatment Modality For a Direct Post and Core Build-up

CV-040

Dr. Stefan Paul

13 min

According to standard practice today, 3 to 4 different materials, which are often from different manufacturers, are required for bonding to dentin and enamel, fabricating composite core build ups, and adhesive cementation. Therefore, it would be desirable to have one integrated system available.<br><br>Coltene/Whaledent has recently developed a dual-cured composite material, the ParaPost ParaCore Automix system, which can be used as a cement as well as a core build up material. Coltène/Whaledent describes this time-saving application as the 'Monoblock Technique'. This technique is particularly suitable whenever light-transmitting, metal-free root canal posts are used with endodontically-treated teeth that will be fitted with a crown.<br><br>The present DVD shows step-by-step how this new single resin treatment modality can be used to save time for direct post-and-core procedures.

All-on-4 Upper Jaw Implant Surgery - Patient consultation, oral examination, 3D treatment planning and patient preparation (Part 1)

CV-051

Dr. Sascha A. Jovanovic

17 min

The edentulous patient is in need of a solution to stabilize a prosthesis to prevent malnutrition, progressive bone loss and social embarrassment.<BR><BR>Rehabilitation concepts for the edentulous patient depend on bone resorption, Smile-line, general and dental health, social and professional activities, age, and budget of the patient. Success relies on the edentulous anatomy, proper planning, surgical and restorative technique used, and factors related to patient's healing behavior.<BR><BR>The referred patient in this video is a healthy, 50-year old non-smoking male with a low lip-line and an edentulous upper jaw with an old ill-fitting denture. This video will demonstrate the important steps of patients examination, the pre-treatment guidelines and considerations, the first intake and second planning interview and the 3-D planning with NobelClinician software and the fabrication of the radiographic and surgical template.<BR><BR>Part 2 of this patient treatment (available on CV-52) demonstrates the surgical implant placement and the transition to a fixed hybrid prosthesis.

Sinus and Socket Bone Augmentation with Simultaneous Placement of 3 Dental Implants

CV-056

Dr. Sascha A. Jovanovic

18 min

The posterior maxillary partially edentulous patient is in need of a solution that stabilizes a crown or bridge, supports healthy gingival tissues, develops a functioning occlusion and prevents the need for removable appliances. Sinus lift protocols have been developed over the last 30 years but depend on existing bone volume, general and dental health, social and professional activities, patient wishes and budget of the patient. Success relies on the bone anatomy, soft tissue management, proper planning, surgical and restorative technique used, bone graft material of choice and factors related to patient's healing behavior.<BR><BR>The referred patient in this video is a healthy, 62-year old non-smoking asian male with 3 missing upper-right teeth. The teeth were previously removed due to endodontic and periodontal involvement. At the time of extractions, the premolars were grafted with a biomaterial. The case is shown from the surgical side and the final result after 2 years of loading. Cone beam 3-D planning is used to plan the bone graft method, the flap design and surgical steps of implant placements.<BR><BR>Incisions, horizontal and vertical, lateral open sinus window technique with a diamond rotary instrument, sinus lift procedure with hand instruments, autogenous and xenograft placement, resorbable GBR membrane adaptation, 3 optimal implant positions, flap release and suture placement are shown in detail through each step. The uncovering technique with a soft tissue papilla management procedure is shown with the 2 year follow-up with a functional and esthetic result in the patient.

Anterior Implant Placement with Immediate Temporization Part 1 - Diagnostics, Examination, Planning

CV-054

Dr. Sascha A. Jovanovic

15 min

The single missing tooth patient in the anterior esthetic zone is in need of a solution that stabilizes a crown, supports healthy gingival margins, develops an esthetic emergence profile with full gingival contour and prevents the need for invasive dental treatment of the adjacent teeth.<BR><BR>Implant protocols for the single tooth patient depend on bone resorption, gingival biotype, Smile-line, general and dental health, social and professional activities, age, and budget of the patient. Success relies on the bone anatomy, soft tissue management, proper planning, surgical and restorative technique used, and factors related to patient's healing behavior.<BR><BR>The referred patient in this video is a healthy, 32-year old non-smoking male with a high lip-line and a single missing upper-right canine with no previous restorative treatment. The canine was previously removed due to boney impaction. This video will demonstrate the important steps of patients examination, the pre-treatment guidelines and considerations, the first intake and second planning interview and the 3-D planning with Cone-Beam CT scan software and the fabrication of the surgical template and acrylic temporary, choice of zirkonia implant abutment.<BR><BR>Part 2 of this patient treatment (available on CV-55) demonstrates the surgical implant placement, a moderate apical bone graft, and an immediate temporization.

All-on-4 Upper Jaw Implant Surgery - Surgical steps, Implant Placement, 3D treatment planning and immediate fixed hybrid prostheses delivery (Part 2)

CV-052

Dr. Sascha A. Jovanovic

18 min

The edentulous patient is in need of a solution to stabilize a prosthesis to prevent malnutrition, progressive bone loss and social embarrassment.<BR><BR>Rehabilitation concepts for the edentulous patient depend on bone resorption, Smile-line, general and dental health, social and professional activities, age, and budget of the patient. Success relies on the edentulous anatomy, proper planning, surgical and restorative technique used, and factors related to patient's healing behavior.<BR><BR>The referred patient in this video is a healthy, 50-year old non-smoking male with a low lip-line and an edentulous upper jaw with an old ill-fitting denture. The case is shown from the surgical side and the lab technical side. NobelClinician 3-D planning software and surgical template are used to plan the flap design and surgical steps of implant placements.<BR><BR>Alveolar reduction, All-on-4 guide and axial and tilted implant positions are shown with the details of these steps. The fabrication and transition of the denture to a fixed hybrid denture are shown with an exit interview of the happy patient.<BR><BR>Part 1 of this patient treatment (available on CV-51) demonstrates the patient consultation, oral examination, 3D treatment planning and preparation for the surgical step.