Esthetics in a Diseased Periodontium - Tips & Tricks
LOD-263-00
Dr. Giorgio Tabanella
Periodontal tissue destruction related to periodontitis, trauma, biologic width violation, mucogingival deformities as well as iatrogenic dentistry may lead to multiple tooth loss. The rehabilitation of neighbouring teeth in aesthetically demanding areas when associated with advanced soft and hard tissue loss may represent a surgical and aesthetic clinical challenge.<br /><br />Preservation or creation of a soft tissue scaffold needed to create the illusion of a natural tooth is often difficult to achieve when the potential for tissue regeneration is reduced. Furthermore the placement of a dental implant in the aesthetic zone with neighbouring teeth with a damaged periodontium can be a real difficult task especially when there is no room for error: the diagnosis will lead clinicians to the correct way of treating patients.<br><br><span style="font-size:9px">Release: 12/20/2014 | Expires: 12/20/2017</span>
LOD-261-00
Dr. Edmond Bedrossian
In this presentation Dr Edmond Bedrossian follows up on his previous lecture 'A systematic surgical and restorative plan for treatment of the Edentulous Patient with a Fixed Prosthesis' (catalog #141-00). He will begin by highlighting the differences between the tooth-only defect patient, and the composite defect patient. He will step through 4 different cases, explaining each step that is necessary for a predictable outcome.<br /><br />Dr Bedrossian will discuss the interarch space as well as the indications for alveolaplasty: economic, technical, and esthetic.<br><br><span style="font-size:9px">Release: 11/11/2014 | Expires: 11/11/2017</span>
Paradigm Shift: Soft Tissue Concept
LOD-245-00
Dr. Iñaki Gamborena
In this lecture presentation Dr Gamborena will discuss the Soft Tissue Concept and what it is about. We can face a lot of problems when we get to the surgical part. We can find ourselves with prosthetics and healing abutments that are way too big. Dr Gamborena will share information about a healing abutment that he has been working with for the last 6-8 years, and that has finally entered the market as of fall 2014. He will show how the abutment works and how you can improve the maximization of your space and be able to graft at the ridge with a totally different approach: Following the concept about what we do Today around implants, compensating the volume from bone, shifting into the soft tissue and being able to create prosthetically something beyond what you might be used to so far.<br><br><span style="font-size:9px">Release: 9/2/2014 | Expires: 9/2/2017</span>
LOD-216-00
Dr. Tidu Mankoo
The purpose of this two part series on "Restoration of 'Failing Teeth' with Implants in the Aesthetic Zone" is to help you predictably achieve highly esthetic outcomes that restore function and stand the test of time. This lecture will present the sound biological principles that can help you approach the treatment of challenging cases where your patient has a seriously compromised dentition. Surgical and prosthetic considerations will be discussed. Is the tooth maintainable? Is it more predictable to maintain the compromised tooth or extract and place an implant? We should always try to save the tooth if possible, but determining this requires analysis of the patient: How old is the patient? What is the tooth's dental history? What is the structural integrity of the tooth? What is the periodontal status? What are the functional demands? This lecture will present and discuss the key elements that we must consider when thinking about implants in the esthetic zone.
LOD-215-00
Dr. Tidu Mankoo
The purpose of this two part series on Restoration of Failing Teeth with Implants in the Aesthetic Zone is to help you predictably achieve a highly esthetic outcomes that restore function and stand the test of time.<BR><BR>This lecture will present the sound biological principles that can help you approach the treatment of challenging cases where your patient has a seriously compromised dentition.<BR><BR>Surgical and prosthetic considerations will be discussed. Is the tooth maintainable? Is it more predictable to maintain the compromised tooth or extract and place an implant?<BR><BR>We should always try to save the tooth if possible, but determining this requires analysis of the patient: How old is the patient? What is the tooth's dental history? What is the structural integrity of the tooth? What is the periodontal status? What are the functional demands?<BR><BR>This lecture will present and discuss the key elements that we must consider when thinking about implants in the esthetic zone.
Excellence in Dental Aesthetics: New Trends and Materials in Aesthetic Implantology
LOD-212-00
Luc Rutten MDT
Clinicians and dental technicians have access to an astounding array of new technologies, tools and materials to design predictable beautiful smiles.<BR><BR>This presentation puts an emphasis on a close co-operation between prosthodontist, periodontist, implantologist and dental technician. In addition, a focus is placed on different surgical, clinical and prosthetic techniques to achieve successful aesthetics.<BR><BR>Material selection is fundamental in management of complex rehabilitation and on implants. The aesthetic outcome and the natural appearance of the restoration depends on the skills of the dental technician. Understanding of the gingiva of the dental technician will be explained to re-create in a two-way communication an aesthetic end result. New concepts and trends with focus on zirconium dioxide and its excellent long-term behaviour and extraordinary mechanical properties, will be discussed to realize predictable natural oral aesthetics around implants.
Risks Endangering Bone Stability Around an Implant
LOD-208-00
Dr. Georg-H. Nentwig
The risks that endanger bone stability around an implant can be related to trauma, loading, anatomy, implant, reconstruction, or the patient. This lecture will provide hints and scientific background about each one of these aspects so that you can manage and even avoid these risks.<BR><BR>Bone stability is the key for long-term success of an implant. But, there are two areas that must be identified in maintaining this stability. We will emphasize the importance of the implant abutment area where the bone is adjacent to the soft tissue. This bone is critical for supporting the soft tissue and for ensuring the health of the soft tissue and avoiding bacterial contamination.<BR><BR>This lecture will show you what you can do to improve a weak bone to avoid an early functional mistake or failure of the total reconstruction. We figured out that we can add, after the static phase, after the second stage surgery, after the load has started, a bone training phase that can improve the original weak structures so much that you can rely on it's stability even if you apply a more risky restoration.<BR><BR>We will discuss how to avoid esthetic failues, an unpleasent situation for both the patient and the dentist, that are often due to lack of bone right from the beginning.<BR><BR>Finally we will discuss the option to place an implant in a sub-crestal position which is only possible if you use an implant that has a stable cone connection. The cone connection will avoid any bacterial release, and will therefore avoide any bone loss in the cervical region caused by this bacteria contamination. With this concept we can achieve long lasting esthetic results.
Unusual TMD Cases - Unusual Treatment
LOD-196-00
Dr. Ilia Roussou
In this lecture, we will discuss unusual Temporomandibular Disorders (TMD) cases and unusual treatments.<BR><BR>We will focus specifically on occlusion and how the relationship of the dental arches interacts with the stability of the Stomatognathic system.<BR><BR>Occlusion is one of the most demanding aspects of dentistry, we all know about the term occlusion confusion.<BR><BR>Although occlusion used to be the main etiological factor for Temporomandibular Disorders and many dental treatments were performed in order to address the pain symptoms, nowadays the literature suggest that the static relationship of the dental arches is rarely the etiological factor for an intracapsular TM joint disorders or a masticatory muscles disorders, In some cases though, were the occlusion compromises the orthopedic stability of the stomatognathic system, once the pain symptoms are treated the dental problem needs to be investigated as a possible etiological factor of the TMD symptoms.
Implant placement in fresh extraction sockets. Key decision factors
LOD-193-00
Prof. Mariano Sanz
It is well established that tooth extraction will result in an apico-coronal as well as bucco-lingual reduction of the alveolar ridge, mostly in the buccal aspects of the extraction site.<BR><BR>In order to avoid this physiological bone loss some clinicians have advocated the immediate installation of implants in fresh extraction sockets. Different clinical studies have evaluated the impact of this implant placement surgical approach on different outcomes, such as: implant survival, bone crest alterations and aesthetic results.<BR><BR>However, in spite of these reports, there is a lack of well-designed clinical trials that have evaluated these outcomes systematically and there is a lack of knowledge on the possible factors associated with different hard and soft tissue outcomes of this surgical protocol.<BR><BR>This presentation will review the results from clinical trials evaluating the immediate implant placement approach and we hall review the important risk factors (implant design, implant position, implant location, thickness of bony walls, etc.) involved in the clinical outcome.<BR><BR>Finally we shall provide some clinical recommendations on the use of this surgical approach.
Predictable and Successful Maxillary Sinus Augmentation
LOD-192-00
Dr. Toshiro Sugai
In this presentation, we will identify safer and more predictable maxillary sinus augmentation procedures. We will discuss how to utilize CT imaging to evaluate and interpret the 3D anatomy of the sinus, including ostium, superior alveolar artery, and septa. Dr. Sugai will describe how to predictably lift the sinus membrane and avoid complications.