LOD-216-00
Dr. Tidu Mankoo
The purpose of this two part series on "Restoration of 'Failing Teeth' with Implants in the Aesthetic Zone" is to help you predictably achieve highly esthetic outcomes that restore function and stand the test of time. This lecture will present the sound biological principles that can help you approach the treatment of challenging cases where your patient has a seriously compromised dentition. Surgical and prosthetic considerations will be discussed. Is the tooth maintainable? Is it more predictable to maintain the compromised tooth or extract and place an implant? We should always try to save the tooth if possible, but determining this requires analysis of the patient: How old is the patient? What is the tooth's dental history? What is the structural integrity of the tooth? What is the periodontal status? What are the functional demands? This lecture will present and discuss the key elements that we must consider when thinking about implants in the esthetic zone.
New Single-Resin Treatment Modality For a Direct Post and Core Build-up
CV-040
Dr. Stefan Paul
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.
Integrating 'Esthetic' Dentistry and Prosthodontics
LOD-068-00
Dr. Kenneth A. Malament
Dentistry that is esthetic to the patient is an important clinical objective. The knowledge within dental technology, dental science and dental practice has dramatically expanded leading to better quality; artistry and more standards based clinical applications. Ceramics are the most consistently predictable esthetic dental material. Today dentists can offer more treatment options for patients complex problems. Metal-ceramics continue to be the state of the art and profoundly affect prosthodontic care and the future. <br><br>Understanding methods to manage simple and complex restorative issues are critical to improving patient acceptance and even long term ceramic success. Methods to integrate the efforts of laboratory technologists and managing occlusion and patients desires can have a profound impact in the practice of dentistry.<br><br>All-ceramic materials were developed to improve ceramic color and marginal fit. Until recently few research reports attempted to study their long term use or factors that relate to their performance without modeling the data. All-ceramic crowns on molars have yet to reach their full potential. Despite substantial improvements in material strength and toughness, they still fail at relatively high rates. Ultimately crown performance is a complex set of interactions between crown material and geometry, the characteristics of the support structure of the cement and crown, and the clinical loading history.<br><br>This presentation will provide a comprehensive look at failure modes and effects in bilayer all-ceramic crown-cement-tooth systems, tying together the influences on resistance to fracture initiation and propagation of ceramic material properties and thickness; crown/tooth geometry; cement modulus and layer thickness; damage induced by shaping, fabrication, clinical adjustments, and sandblasting; and fatigue in the wet intraoral environment. Some counter-intuitive findings will be addressed including changes in fracture behavior with different geometry and the influence of the compliant cement layer beneath stiff cores. Original research will be presented that studied the clinical behavior of over three thousand all-ceramic restorations. Life history and fracture rates were studied over twenty years in relationship to factors that might affect success. Factors such as tooth position, preparation, luting procedures and gender are significant to long term ceramic success.<br><br>Dental implants have become an integral part of dental practice today. Maintaining predictability and high success rates impose great challenges to the dental team. Edentulous ridge defects constitute a major problem. In the past long teeth have been placed into defects to take up vertical space. Gingival and tooth symmetry and the esthetic results were often compromised. Today these conditions as well as the lack of bone can be augmented surgically with soft and hard tissue grafting. This may not always produce a long-term predictable result. Prosthetic techniques will be discussed utilizing newly developed ceramic gingival material and design for fixed prosthodontics.
Achieving Ultimate Aesthetics with Implants in the Aesthetic Zone - Lecture I
LOD-035-01
Dr. Tidu Mankoo
Achieving Ultimate Aesthetics with Implants in the Aesthetic Zone<br>This advanced surgical and prosthetic course will outline the author's contemporary concepts in management of single tooth implants in the aesthetic zone with a view to achieving optimum long term aesthetics and stability. The topic is divided into 3 consecutive lectures designed to be taken as a series. The emphasis will be on the diagnosis, treatment planning and clinical management and an understanding and application of the biological factors that influence our treatment outcomes. The cases will range form simple to complex single tooth cases in both healed ridge and extraction situations following onto the management of multiple adjacent implants, large cases and full arch/full mouth restoration.<br><br>Lecture I:<br>This lecture will present the different techniques to enhance the aesthetic emergence profile of the implant site and the health of the peri-implant tissues. Oral plastic surgical procedures like connective tissue augmentation, mucogingival treatment and special soft tissue flap designs for predictable bone graft coverage will be presented. New techniques for uncovering of implants with hydrokinetic laser therapy without local anesthesia will also be shown.
LOD-041-00
Dr. Didier Dietschi
The dramatic improvement in the overall population oral health as well as the growing concern of patients for tissue preservation and dental aesthetics has rejuvenated 'free-hand bonding' and made it a primary treatment option for the anterior teeth. Today, composite resin restorations offer conservative, biological and esthetic solutions to many problems, which formerly could only be approached by expensive and more invasive ceramic restorations. However, composite systems are based on different layering concepts and as a consequence, the restoration esthetic potential is strictly linked to a perfect understanding of the shading concept and optical properties of the composite masses in relation with those of natural tissues.<br>Based on a thorough observation of natural esthetics and the application of the so-called 'natural layering', together with an appropriate selection of composite brands, the clinicians can produce beautiful natural like direct composite restorations. The lecture will cover fundamental knowledge about colour and optical properties of natural tissues, will overview the indications of composite restorations in the front teeth and will provide a comprehensive description of clinical procedures.
CV-051
Dr. Sascha A. Jovanovic
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.
Achieving Ultimate Aesthetics with Implants in the Aesthetic Zone - Lecture II
LOD-035-02
Dr. Tidu Mankoo
Achieving Ultimate Aesthetics with Implants in the Aesthetic Zone<br>This advanced surgical and prosthetic course will outline the author's contemporary concepts in management of single tooth implants in the aesthetic zone with a view to achieving optimum long term aesthetics and stability. The topic is divided into 3 consecutive lectures designed to be taken as a series. The emphasis will be on the diagnosis, treatment planning and clinical management and an understanding and application of the biological factors that influence our treatment outcomes. The cases will range form simple to complex single tooth cases in both healed ridge and extraction situations following onto the management of multiple adjacent implants, large cases and full arch/full mouth restoration.<br><br>Lecture II:<br>This lecture will deal with immediate implant cases, immediate tooth replacement and implant replacement into complex and compromised extraction sites with a view to optimising the aesthetic outcome. Different forms of provisionalisation will be demonstrated. Advantages and limitations of the technique will be discussed along with the use of a different implant and abutment designs. Concepts for maintenance of soft tissue architecture and stability will be presented.
LOD-215-00
Dr. Tidu Mankoo
The purpose of this two part series on Restoration of Failing Teeth with Implants in the Aesthetic Zone is to help you predictably achieve a highly esthetic outcomes that restore function and stand the test of time.<BR><BR>This lecture will present the sound biological principles that can help you approach the treatment of challenging cases where your patient has a seriously compromised dentition.<BR><BR>Surgical and prosthetic considerations will be discussed. Is the tooth maintainable? Is it more predictable to maintain the compromised tooth or extract and place an implant?<BR><BR>We should always try to save the tooth if possible, but determining this requires analysis of the patient: How old is the patient? What is the tooth's dental history? What is the structural integrity of the tooth? What is the periodontal status? What are the functional demands?<BR><BR>This lecture will present and discuss the key elements that we must consider when thinking about implants in the esthetic zone.
Periodontal Plastic Surgery for Natural Teeth and Implants
LOD-026-00
Dr. Henry Takei
The last decades has witnessed tremendous emphasis on the esthetic aspect of dentistry. The gingival tissues which frames the dentition is an integral part of 'Dental Esthetics'. The clinician must have a good biologic and clinical understanding of both the teeth and gingival tissue in order to attain a healthy and esthetic result. Correcting gingival recession, root exposure, loss of papilla, which leads to poor gingival symmetry, is of major importance in achieving an esthetic outcome. In addition, the emphasis on implants in the esthetic zone requires sound surgical principles to achieve an optimal gingival emergence profile around an implant restoration.
Horizontal Augmentation Techniques: Ridge Expansion
LOD-211-00
Dr. Daniel Cullum
Why would you want to use ridge expansion? Ridge expansion allows us, through varying techniques, to make cuts in the bone, to bend the bone, and to create a 4-wall bony defect that we can place a tapered implant into with viable bone surrounding it. It allows us to restore a more natural arch form, increase vestibular depth, and help to place implants in a more restorative driven position.<BR><BR>Ridge expansion allows us to have unique healing vs. grafting "turn-over", and it allows us to have special clinical applications that we can't achieve with any other technique. It shortens the healing interval and reduces pain. For our patients it is a very minimally invasive approach. However, these techniques have a steeper learning curve and require special instrumentation to complete.<BR><BR>This lecture will show you how ridge expansion can enhance your practice and your patient care.