Alveolar Ridge Reconstruction in the Lower Jaw Using Cortical Bone Plates
CV-073-DOC
In the following video Prof. H
Immediate Loading without Bone Augmentation - Rehabilitation of an Edentulous Jaw
CV-072-DOC
Sufficient primary stability is prerequisite for immediate implant loading. In this surgical video, Dr. Wolfgang Bolz , Munich/Germany, carries out an implantation in the upper jaw with integration of fixed dentures as part of immediate loading.<br><br>A particular anatomical feature of this patient was that her acute periodontitis was accompanied by extremely soft bone. It was nevertheless possible to achieve sufficient primary stability, which is prerequisite for immediate loading. Extraction and degranulation are followed by an incision and preparation of a mucoperiosteal flap. The existing bone edges are removed and the height of the alveolar ridge is reduced. For successful results, immediate loading requires high primary stability. This is difficult to achieve due to the softness of the bone, however it is possible by reducing the distance drilled and repositioning the implant. The bed for the temporary dentures is flattened and smoothed so that as a result of slight pressure during immediate loading, the denture seat can take shape and subsequently be cared for without undue effort. In this patient, a combination of immediate implantation and immediate loading allowed the implants to heal well, also ensuring that conditions in the peri-implant area were stable in the long-term.<br><br><span style="font-size:10px">This video was provided courtesy of <a href="http://www.dental-online-college.com/en/videos/search/detail/immediate-restoration-immediate-loading-without-bone-augmentation-rehabilitation-of-an-edentulous-jaw/" target="_blank">Dental Online College</a></span>
CV-052
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. 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.
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.
CV-049
Dr. Sascha A. Jovanovic
This high-quality clinical video demonstrates the vertical ridge augmentation technique using a bone graft combination with rhBMP-2, Autograft, Xenograft and Ti-mesh in a 71-year old healthy female treated for severe posterior left mandibular vertical ridge resorption.<BR><BR>The patient had received 2 implants in the same area 9 years prior which failed and resulted in vertical and horizontal ridge resorption. One implant in position 19 and tooth # 21 were still in place but presented with advanced bone loss and were planed for extraction/removal 2 months prior to the vertical augmentation technique as a step 1 treatment. The patient had further a stable periodontium and remaining dentition.<BR><BR>This video demonstrates in detail the surgical steps with micro- and macro surgical techniques of step 2: a staged vertical ridge augmentation technique and the placement of a bone graft combination with rhBMP-2, Autograft, Xenograft and Ti-mesh. The following details are discussed and demonstrated in this video: the diagnostics and treatment planing, the flap design, and -elevation, the bone graft protocol with 2.8 cc rhBMP-2 and a 1:1 ratio of autogenous and xenograft, the trimming, placement and fixation of the Ti-mesh, the periosteal flap release and coronal repositioning and the primary closure with PTFE sutures.<BR><BR>As a follow-up the clinical photo is shown of the 4-week uneventful healing outcome. The patient is presented from initial start of treatment to the follow-up appointment during healing and narrated before and after treatment by Dr Sascha Jovanovic. A part 2 of this video will follow and demonstrate the result of the vertical BMP graft and the placement of implants.<BR><BR>For further information on rhBMP-2 science and clinic view the LOD 054 by Dr Wikesjo and the CV-37/38/39 by Dr Jovanovic in the gIDE library.
CV-048
Dr. Sascha A. Jovanovic
This high-quality clinical video demonstrates the implant placement 12 months after a horizontal ridge augmentation procedure and the treatment results in a 50-year old healthy female treated for a thin, knife edge ridge in the mandibular posterior zone using a resorbable membrane and particulated autogenous bone with xenograft and rhPDGF (GEM-21).<BR><BR> This video demonstrates in detail the surgical steps with microsurgical techniques to evaluate a staged horizontal ridge augmentation and the placement of 3 implants. The following details are discussed and demonstrated in this video: the diagnostics and treatment planing, the flapdesgn and -elevation, the bone regeneration result evaluation, three implant placements, the periosteal flap release and coronal repositioning and the primary closure with PTFE sutures.<BR><BR>As a follow-up the panoramic radiograph are shown of the 2-week outcome. The patient is presented from initial start of treatment to the follow-up appointments during healing and narrated throughout by Dr Sascha Jovanovic. A part 1 of this video was released under CV-45 will demonstrate the first step of the treatment and the placement of the Bone Graft mixtur.
Dental Photography: Taking great intraoral photos using an SLR Camera
CV-043
Dr. James Dunn
Dr. Jim Dunn and Dr. Richard Young use a full size SLR, 100mm macro, and a twin flash to take a series of intraoral photographs. Dunn demonstrates the use of retractors, mirrors, occlusal mirrors, anterior contrasters, and occlusal contrasters while Dr. Young narrates and comments on each step.