A GBR Experience Journey with d-PTFE Membranes

LOD-295-00

Dr. Melle Vroom

English

In the eighties and nineties various regenerative materials have been introduced in the fields of periodontics and Implant dentistry. Many of these materials make use of the principle of guided tissue regeneration (GTR), which also includes guided bone regeneration (GBR). The then used non-resorbable e-PTFE membranes could lead to good results and has shown its efficacy in several studies. A considerable disadvantage of this type of membrane however, was that in case of an exposure of an e-PTFE membrane infections often arose and so this led to a (partial) failure. As literature has reported exposure rates from 15%-50% for this type of membrane, this can be seen as a major complication. The introduction of a “new” non-resorbable d-PTFE membrane will eliminate this disadvantage as this type of membrane is non permeable to bacteria. So in case of an exposure, and assuming the right measures are taken, sufficient amounts of bone can still be regenerated. In this presentation a GBR experience journey through time will be presented. The focus will be on the usage of non-resorbable d-PTFE membranes and the conditions that have to be met to achieve successful GBR outcomes. Various indications are illustrated with clinical cases. Also techniques to simplify fixation of the membrane will be discussed. Furthermore, preliminary results of an ongoing study in which this fixation technique is studied will be presented.

Four Implants Per Jaw - What We Have Learned in 10 Years

LOD-294-00

Dr. Blackie Swart

English

Four Implants Per Jaw - What We Have Learned in 10 Years

Full Digital Workflow - What has Changed? What will change?

LOD-293-00

Dr. Roland Glauser

English

Full Digital Workflow - What has Changed? What will change?

The Role of Cements in Dental Implant Restorations

LOD-284-00

Dr. Chandur Wadhwani

English

Restoring dental implants can be extremely challenging. It is imperative to understand available options related to crown retention, confirmation of fit of components and maintenance of implant restorations over time. The AAP, AAO, and the AARD have all stated that excess cement often leads to peri-implant disease and is considered a major risk factor for implant longevity. While many techniques and products have been developed specifically for cement-retained implant restorations, some are potentially detrimental to implants. Dentists are not always fully aware of the issues and implications of using inappropriate materials or methods.<br /> <br /> This presentation will explore the problems and challenges encountered by the restorative dentist, and to formulate clinical guidelines based on current research.<br /> <br /> <strong>Learning Objectives:</strong><br /> Understand the science behind the best practice of implant restoration.<br /> Understand what we need from implant cements, and how formulate a hierarchy of cement selection.<br /> How to best to detect excess cement and prevent failures.<br /> How to develop an all-encompassing cementation protocol for implant restorations.<br /> How to decide upon cemented versus screw-retained prostheses in various clinical situations.<br /> How to assess truly healthy peri-implant soft tissues.<br />

Cellular and Molecular Grafting Approaches

LOD-283-00

Dr. Bradley McAllister

English

Cellular and Molecular Grafting Approaches

The Diagnosis and Surgical Management of Peri-Implantitis

LOD-282-00

Dr. Bradley McAllister

English

The Diagnosis and Surgical Management of Peri-Implantitis

The Importance of Using Authentic Components

LOD-280-00

English

The Importance of Using Authentic Components

Immediate Loading - Part 2: All-on-4 Expanded Applications

LOD-279-00

Dr. Steven Parel

English

Immediate Loading - Part 2: All-on-4 Expanded Applications

Immediate Loading - Part 1: The All-on-4 and More

LOD-278-00

Dr. Steven Parel

English

As experience with osseointegration increases, the application of various treatment modalities for both conventional and compromised patients also expands. A natural benefit of this growth in the learning curve is a better appreciation of emerging concepts for treatment planning with immediate loading. Angled or tilted implants used to support edentulous arch restorations have become a standard in implant dentistry. Early concerns regarding off-axis loading producing detrimental forces have been addressed with more recent publications presenting sound evidence as to the efficacy of this approach. As a result, treatment plans can now be created that eliminate the need for grafting, shorten overall treatment time, and allow for immediate loading in a much broader spectrum of patient presentations. Tilting of implants can also provide improved anterior –posterior spread and enhanced cross-arch stability, with the ultimate effect being a reduction in the number of implants needed (as few as 4 in the edentulous arch) for support in many cases. Longer implants can now be placed with the same effect for cross-arch stabilization, but with anchorage in areas remote from the oral cavity (zygoma) with documented high rates of success. With the use of CBCT scans for accurate diagnosis of osseous anatomy and determining the capability of existing bone to allow immediate loading, this approach is now even more controlled and precise.<br /> <br /> This presentation will focus on current clinical experience using available bone receptor sites to place implants for maximum desired effect with Immediate Loading.<br /> <br /> Additionally presented will be an analysis of present success rates that have provided the basis for creating a treatment planning protocol to avoid complications.

Soft Tissue Grafting for Implant Complications in the Esthetic Zone (CHINESE LANGUAGE ONLY)

LOD-276-00

Dr. Paul Lin

Chinese

In this lecture, discover how to utilize Soft Tissue Grafting for correcting implant complications. Utilize 5 pink dilemmas to analyze the implant complications in the esthetic zone. Determine what the problem is: Is it a buccal concavity problem? Marginal recession? Papilla loss? Asymmetry? Or is it a color & texture problem? Utilize several soft tissue techniques: free gingival graft; connective tissue graft; modified roll technique; and modified VIP-CT technique. For the purposes of correction Dr. Lin breaks down implant complications into 7 categories. The steps for managing implant complications are similar to periodontal therapy. With proper case selection, patient selection, and procedure selection you will be able to achieve management of complications by soft tissue in a predictable way.