Clinical Videos-Implant

Anterior Implant Placement with Immediate Temporization Part 1 - Diagnostics, Examination, Planning

CV-054

Dr. Sascha A. Jovanovic

15 min

The single missing tooth patient in the anterior esthetic zone is in need of a solution that stabilizes a crown, supports healthy gingival margins, develops an esthetic emergence profile with full gingival contour and prevents the need for invasive dental treatment of the adjacent teeth. Implant protocols for the single tooth patient depend on bone resorption, gingival biotype, Smile-line, general and dental health, social and professional activities, age, and budget of the patient. Success relies on the bone anatomy, soft tissue management, proper planning, surgical and restorative technique used, and factors related to patient's healing behavior. The referred patient in this video is a healthy, 32-year old non-smoking male with a high lip-line and a single missing upper-right canine with no previous restorative treatment. The canine was previously removed due to boney impaction. 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 Cone-Beam CT scan software and the fabrication of the surgical template and acrylic temporary, choice of zirkonia implant abutment. Part 2 of this patient treatment (available on CV-55) demonstrates the surgical implant placement, a moderate apical bone graft, and an immediate temporization.

Immediate Implant Placement in the Esthetic Zone

CV-053

Dr. Robert Carvalho da Silva

15 min

In this case presentation, Dr Silva will demonstrate, step-by-step, the procedures associated with implant placement from diagnosis to final prosthesis delivery. He will present a useful decision-tree that will serve as useful reference when approaching similar cases.

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. 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. 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. 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. 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. 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. 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. 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. 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.

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.

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.