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 Soft Tissue Grafting for Esthetics in Thin Periodontium

LOD-191-00

Dr. Paul Lin

This presentation will discuss the thin periodontium and how to utilize this to achieve predictable soft tissue grafting for esthetics.<br /><br />Soft tissue grafting by root coverage and augmentation can improve the facial esthetics not just for natural teeth, but also for implants.<br /><br />By utilizing the same concept of placing the soft tissue on the thin periodontium we can help augment the tissue around implants and dentures and improve and enhance the facial esthetics.<br /><br />Animations will illustrate this concept and provide insight as to how we take the soft tissue away from the pallate and harvest it in an elegant, more predictable fashion.<br /><br />This will also show how to secure the covering flap so the patient will not experience any pain after the surgery.<br /><br />This presentation is intended to increase your understanding, comfort and confidence in performing soft tissue grafting in a more predictable way.

The All on 4 Concept - Diagnosis to Delivery - 4 Lecture Set (Parts 1 - 4)

LOD-190-00

Dr. Saj Jivraj

<br><strong>PART 1: Diagnosis and Treatment Planning, Concepts of Immediate Loading</strong><BR><br>A. Clinical and radiographic evaluation of the patient<BR>B. Specific clinical factors which determine the sucess of treatment<br>C. Restorative space requirements<br>D. Principles of immediate loading (Science and Techniques)<hr><strong>PART 2: Principles of Graftless solutions and surgical Protocols</strong><BR><BR>A. What is All on 4?<BR>B. Principles of All on 4, armamentarium needed<br>C. Surgical protocols - flap design, implant placement, radiographic evaluation<BR>D. What the surgeon must know prior to placing implants<br>E. Communication between the restorative dentist and surgeon<hr><strong>PART 3: Clinical Patient Presentations<BR>Surgical and Prosthetic Protocols for Fabrication of a Full Arch Immediate Load Prosthesis</strong><BR><BR>A. Clinical treatment presentation of a dentate patient. Diagnosis, treatment planning and fabrication of the immediate load prosthesis<BR>B. Clinical treatment presentation of an edentulous patient. Diagnosis, treatment planning and fabrication of the immediate load prosthesis<hr><strong>Section 4 - Prosthetic principles and techniques for fabrication of the final prosthesis<BR>Complications and maintenance.</strong><BR><BR>A. Fabrication of the final prosthesis from Impressions to delivery<BR>B. CADCAM design of the titanium bar and laboratory procedures involved in fabrication of the final prosthesis<br>C. Commmon complications and how to address them<BR>D. Maintenance

Guidelines for Aesthetic Peri-Implant Gingival Tissue (JAPANESE LANGUAGE ONLY)

LOD-178-00j

Dr. Toyohiko Hidaka

Guidelines for Aesthetic Peri-Implant Gingival Tissue (JAPANESE LANGUAGE ONLY)

Bio-Integrated Restorative Dentistry

LOD-177-00

Dr. Costin Marinescu

<p style="margin: 0px; text-align: justify;">We want to achieve long-lasting results for our patients in treatments that are perfectly tolerated by the body, restore good health, and look beautiful.   This presentation will outline the logical flow-chart that Dr. Marinescu utilizes every day in his own practice (Exam >> Diagnosis >> Treatment >> Maintenance) and the interconnection of each individual step with each other.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The Stomatognathic System (the ensemble of bones, muscles, joints, teeth and supporting structures) has two states: Pathological  and Physiological.  How these two conditions influence each other will be discussed, and how important it is for us to find the threshold between the two.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This presentation will also look at occlusion concepts: how teeth come in contact, and the pathways through which they are moving in performing everyday functions like chewing, and how to design our restorations so we can achieve beautiful results but that are functionally tolerated and perfectly integrated with our patients" health.  A history of occlusion concepts will be presented that will cover all the way through to the latest research that are empowering us more and more to offer our patients minimally invasive restorative dentistry that will balance their Stomatognathic System and that will offer a predictability for long term.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Offer your patients the most conservative treatments with the minimum impact and the stability of the Stomatognathic System with a long term impact in quality of life...and a beautiful esthetic result.</p>

Stem Cells: Science and Surgical Application

LOD-175-00

Dr. Bradley McAllister

<p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; ">This presentation will examine the biology of stem cells and show you how you can improve your surgical cases by utilizing stem cells.  This is part of a new movement in molecular and cellular enhancement of bone regeneration surgery. </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; "><br /> </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; ">Learn how to achieve improved healing in your cases.  </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; "><br /> </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; ">Many examples are demonstrated.  One involving titanium mesh and a cellular allograft: 4 months later a significant amount of bone is regenerated for placing dental implants.</p>

Soft Tissue Esthetics & Health - 10 Key Factors in Soft Tissue Management

LOD-173-00

Dr. Sascha A. Jovanovic

<p style="margin: 0px; text-align: justify;">There are 10 key criteria that are important in implant therapy to achieve optimal soft tissue outcomes. The criteria are divided into 2 areas. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The first area involves the biomaterial elements in therapy, while the second involves procedural issues. The biomaterial elements of implant surface, the implant neck, abutment material, the sub gingival abutment design, and abutment reconnection will be discussed. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The procedural elements covered are implant spacing, implant vertical positioning, bone and soft grafting and provisional management. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This presentation will focus on the 10 key criteria as applied in implant therapy for selected patients. </p>

Aesthetic Periodontal Surgery to Enhance Restorative Results

LOD-162-00

Dr. James Kohner

This course provides a complete overview covering the various principles and clinical procedures needed for crown lengthening in the Aesthetic zone. We cover indications, contraindications, and methods of managing surrounding bone.<br><br><strong>Topics include:</strong><ul><li>How to handle hard and soft tissues</li><li>Proper surgical techniques</li><li>Preservation of esthetics in the final tissue contours and relocation of all structures that comprise the biologic width, namely: sulcus, junctional epithelium, connective tissue fibers, and bone.</li></ul><br><br>The role of Lasers for gingival reduction is addressed.

Functional Crown Lengthening for More Predictable Restorative

LOD-161-00

Dr. James Kohner

<p style="margin: 0px; text-align: justify;">This course provides a complete overview covering the various principles and clinical procedures needed for crown lengthening. We cover indications, contraindications, and methods of managing surrounding bone. </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Topics include: how to handle hard and soft tissues; proper surgical techniques; and relocation of all structures that comprise the biologic width, namely: sulcus, junctional epithelium, connective tissue fibers, and bone. </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Dentists who want to do some or most of their own crown extensions, or those who just want to know more about the subject, will be helped by this course.  Crown extension is one of the most commonly required procedures in restorative dentistry, yet is often underutilized.</p><br />

Comparison and Contrast of Direct vs. Indirect Anterior Restorations in Natural Teeth

LOD-159-00

Dr. Stratis Papazoglou

<p style="margin: 0px; text-align: justify;">This lecture involves the selection of appropriate treatment procedures for anterior aesthetic restorations. First we will review the anatomy of the tooth structure, not because we are going to actually mimic the natural tooth histology, but because we need to know the esthetic target. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Our actual goal will be to create the illusion of the natural tooth using composite resin or ceramic materials with different translucency properties. This lecture will underline the importance of proper diagnosis, in formulation of the treatment plan based on patient age, patient preferences, economic limitations, sound scientific principles, and treatment philosophy of the operator. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Example cases involve closing diastemas with direct procedures, restoration of fractured anterior teeth, restoration of discolored teeth, re-restoration of previously restored teeth, teeth with wear and erosion, teeth with size, shape, and position problems.</p>