Clinical Videos-Esthetic-Implant-Prosthodontics

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. Success relies on the localized anatomy, selected technique, and factors related to patient's healing response and post-op behavior. 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. 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. 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.

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. 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. 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. 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. 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). 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. 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.

Previsualization in Esthetic Dentistry - A Useful System for Truly Informed Esthetic Treatment

CV-047

Dr. Francesco Mintrone

7 min

Previsualization is a useful system for truly informed esthetic treatment. The constant increase in esthetic demand, driven by the false images of beauty presented in the media, has resulted in a greater need among clinicians to avoid creating false expectations and to provide a precise description of treatment plan. In this video, Dr. Mintrone will demonstrate previsualization in case involving a 33 year old female looking to close the diastema between her two front teeth and improve overall esthetics.

Zygomatic Implants - Treatment Plan

CV-046

Dr. Francesco Mintrone

8 min

Zygomatic implants are indicated where: 1. sufficient anterior bone remains for the installation of standard implants, and the posterior alveolar crest has resorbed to the extent that additional implants would require the support of onlay or inlay grafts, and 2. Where an anterior onlay graft is reuired for implant placement and the need to extend the graft posteriorly can be eliminated by placing the Zygoma implant. In this video Dr. Mintrone will walk you through a case where 4 zygomatic implants are placed in a 71 year old female edentulous patient with extreme atrophe in the upper arch and where the conventional implant will not be able to be positioned in the anterior area. Unfortunately, computer-aided guided surgery for the Zygomatic Implant is not available yet, making the entire case much more challenging.

Horizontal Ridge Augmentation in a thin Posterior Mandible Using GBR and a Bone Graft Mix of Particulate Autogenous Xenograft and rhPDGF - Part 1

CV-045

Dr. Sascha A. Jovanovic

10 min

This high-quality clinical video demonstrates 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). This video demonstrates in detail the surgical steps with microsurgical techniques to perform a horizontal ridge augmentation in the mandibular posterior zone using a resorbable membrane (Bio-Gide) and a combination of particulated autogenous bone with xenograft (Bio-Oss) and rhPDGF (GEM-21). The following details are discussed and demonstrated in this video: the evidence and decision making of the technique, the diagnostics and treatment planing, the flapdesign and -elevation, the bone harvest and

Immediate Single-Implant Placement and Loading After Extraction

CV-044

Dr. Stavros Pelekanos

6 MIN

This high-quality clinical video demonstrates the extraction of a fractured tooth of an upper premolar, followed by the immediate placement and provisionalization of an Nanotide Certain implant.

Posterior Crown Restorations, Posterior Inlay Restorations & Easy and Fast Gingiva Retraction

CV-041

Dr. Herbert Dumfahrt

12 min

Watch expert Dr. Herbert Dumfahrt perform three procedures: 1. Posterior Crown Restorations, 2. Posterior Inlay Restorations 3. Easy and Fast Gingiva Retraction. Each procedure is narrated to provide the viewer with a step-by-step understanding of each procedure.

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. 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. 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.

Extraction Site and Vertical Ridge Augementation in the Lower Anterior with rhBMP-2/Titanium Mesh

CV-039

Dr. Sascha A. Jovanovic

42 min

Extraction Site and Vertical Ridge Augmentation in the Lower Anterior with rhBMP-2/Titanium Mesh Learning Objectives: - Describe the use of rhBMP-2 bone graft in an extraction site defect and the addition of a Ti-mesh for space making - Identify in which case a BMP-2 grafting technique should be considered - Discuss the critical steps on the use of Ti-mesh for vertical ridge augmentation procedure Content: This high-quality clinical video demonstrates an extraction site and ridge augmentation procedure and the treatment results in a 35-year old healthy male treated for 2 hopeless teeth in the lower anterior zone using a rh-BMP-2 bone graft (INFUSE), Titanium Mesh and microsurgical techniques. This video demonstrates in detail the surgical option to perform an atraumatic extraction of 2 periodontal affected lower teeth, and the simultaneous augmentation of the extraction sockets and the vertical and horizontal missing bone with 1.4 cc rhBMP-2 and a Titanium Mesh application with bone tacks. The 6-months re-entry is demonstrated with removal of the Ti-mesh, the evaluation of the quality and quantity of regenerated bone and the placement of a dental implant. As a follow-up the clinical photos and radiograph are shown of the final restoration and esthetic outcome. The patient is presented from initial start of treatment to the follow-up appointments during healing and narrated throughout by Dr Sascha Jovanovic.