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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.

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.

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.

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

CV-047

Dr. Francesco Mintrone

7 min

<p style="margin: 0px; text-align: justify;">Previsualization is a useful system for truly informed esthetic treatment.  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">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.  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">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.</p>

Zygomatic Implants - Treatment Plan

CV-046

Dr. Francesco Mintrone

8 min

<p style="margin: 0px; text-align: justify;">Zygomatic implants are indicated where:</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">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</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">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.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">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.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Unfortunately, computer-aided guided surgery for the Zygomatic Implant is not available yet, making the entire case much more challenging.</p>

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>

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:<br><br>1. Posterior Crown Restorations,<br>2. Posterior Inlay Restorations <br>3. Easy and Fast Gingiva Retraction.<br><br>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.<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.

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.