Clinical Videos

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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.

Vertical Ridge Augmentation in the Posterior Mandible using rh-BMP-2, Autograft, Xenograft and Titanium Mesh - Part 1

CV-049

Dr. Sascha A. Jovanovic

21 min

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.

Implant Placement 12 months after Horizontal Ridge Augmentation in a thin Posterior Mandible Using GBR and a Bone Graft Mix of Particulate Autogenous Xenograft and rhPDGF (Part 2)

CV-048

Dr. Sascha A. Jovanovic

13 min

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.

Solving a Thin Gingival Biotype in the Upper Anterior with a Connective Tissue Graft and a Pouch Flap Procedure

CV-042

Dr. Nelson Carranza

8 min

<p style="margin: 0px; text-align: justify;">Solving a Thin Gingival Biotype in the Upper Anterior with a Connective Tissue Graft and a Pouch Flap Procedure</p>

Treatment of Multiple Gingival Recessions using a Tunneling approach, Alloderm and Emdogain

CV-033

Dr. Andre Saadoun

8 min

This high-quality clinical video by Dr Andre Saadoun demonstrates a root coverage procedure in a 32-year old healthy female over 3 natural teeth in the esthetic zone using an acellular dermal graft (Alloderm), Emdogain and microsurgical techniques.<br><br>This video demonstrates in detail the surgical option to use a periodontal tunnel/pouch Alloderm graft and Emdogain procedure to cover and increase the thickness of soft tissue over 3 upper teeth with exposed roots. A split thickness tunnel flap preparation, the root modification and the placement of 1 large Alloderm graft with Emdogain is demonstrated . The patient is presented from initial start of treatment to the follow-up appointments during healing and narrated throughout by Dr Andre Saadoun.

Treatment of Single Gingival Recession with Application of Alloderm and Emdogain

CV-032

Dr. Andre Saadoun

12 min

This high-quality clinical video by Dr Andre Saadoun demonstrates a root coverage procedure in a young, healthy female over natural teeth in the esthetic zone using an acellular dermal graft (Alloderm), Emdogain and microsurgical techniques.<br><br>This video demonstrates in detail the surgical option to use a periodontal pouch Alloderm graft and Emdogain procedure to cover and increase the thickness of soft tissue over an upper canine with an exposed root surface. A split thickness pouch flap preparation, the root modification and the placement of an Alloderm graft with Emdogain is demonstrated . The patient is presented from initial start of treatment to the follow-up appointments during healing and narrated throughout by Dr Andre Saadoun.

Periodontal Surgery for Esthetic Crown Lengthening

CV-027

Asst. Prof. Pintippa Bunyaratavej

24 min

Periodontal Surgery for Esthetic Crown Lengthening

Modified Free Connective Tissue Graft

CV-025-03

Dr. Istvan Urban

8 min

This high-quality video demonstrates the treatment of a patient with an anterior maxillary vertical ridge defect. The treatment shows the diagnosis, treatment planning and the step for step of the clinical technique vertical augmentation utilizing GBR and autogenous particulated bone graft. Part one of the surgical video demonstrates flap management, chin bone harvest, connective tissue harvest from the palate, Titanium reinforced membrane placement simultaneously with connective tissue graft. Part two of the surgical video demonstrates membrane removal after uneventful healing and implant placement. Part three demonstrates free connective tissue graft procedure to correct the resulted mucogingival distortion.

Periodontal Crown Lengthening of 10 Maxillary Front Teeth

CV-013

Dr. Sascha A. Jovanovic

23 min

Periodontal Crown Lengthening of 10 Maxillary Front TeethEdentulous Patient 12 Lecture Certificate Series

Treatment of the edentulous upper jaw with CT-based NobelGuide solution, All-on-4 implant placement and immediate prostheses insertion

CV-006

Dr. James Chow

17 min

This high-quality video demonstrates the surgical placement of 4 dental implants in the edentulous maxillary jaw with the computer based NobelGuide software and prosthesis and the All-on-4 implant placement concept. The video footage shows the step-for-step from anatomy review, model analysis, surgical guide placement, soft tissue punch procedure, bone preparation, surgical drill sequence, implant placement and final torque, immediate prosthetic full-arch treatment and radiographic follow-up.