Soft Tissue Grafting for Implant Complications in the Esthetic Zone
LOD-204-00
Dr. Paul Lin
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.<BR><BR> 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.<BR><BR>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.
Implants in the Anterior Region - Surgical Techniques for Ultimate Esthetics
LOD-203-00
Dr. Spyros Karatzas
The current advances in regenerative dentistry give us the ability to achieve a perfect harmony between hard and soft tissues around teeth, as well as the smile and the rest of the face. Periodontal plastic surgery in combination with implant placement can correct the mucogingival problems created from tooth loss, and reconstitute tissues in order to achieve a natural esthetic appearance of the soft tissues around restorations. We will describe the basic biologic principals that play a role in the wound healing and the appearance of the soft tissues around teeth and implants, and we will try to understand the factors that determine the predictability of the outcome.<BR><BR>Several surgical techniques that can improve the final esthetic outcome will be presented in detail. The timing of implant placement together with several augmentation procedures will also be evaluated to identify the predictability of each procedure.
Current Trends for Indirect Procedures- The Ultimate Ceramic Veneer Concept
LOD-201-00
Laminate ceramic veneers are a predictable treatment option for esthetic anterior restorations. When bonded to enamel this modality of treatment allows the clinician to obtain a long-term stable result.<BR><BR>Utilizing current laboratory techniques associated with a strict clinical protocol makes it possible to deliver very thin restorations, with minimal loss of hard tissue.<BR><BR>This presentation shows a an innovative technique named Ultimate Ceramic Veneer (UCV). For this technique tooth preparation is laboratory guided and performed after final impression. Based on the wax-up and the mock the ceramist prepares the cast only where there is no space for the ceramic. The Ultimate ceramic veneer (UCV) is a very conservative approach to create minimally invasive restorations.
High End Implant Solutions for Patients with an Angle Class II Downhill Dentition
LOD-199-00
Dr. Egon Euwe
This lecture will discuss the treatment of a very difficult group of patients. Those patients presenting class II failing dentition
Advances in Post Extraction Single Tooth Implant Cases in the Esthetic Zone
LOD-198-00
Dr. Egon Euwe
We have all been in the situation where we must extract a tooth with a problem, and replace it with an implant.<BR>What is the most predictable protocol for dealing with these cases? We actually know now that it is a mistake to try to fill the extraction socket completely with the implant body.<BR><BR>So we have moved away from the implant size that would completely fill the extraction socket. And, now, instead, we leave space for the buccal bone. And, we must respect that space. Another important aspect is that the provisional is essential for shaping soft-tissue emergence. We have to do eveything we can to transfer this emergence to the final restorations. And, we have to know how to avoid collapse of the soft tissue envelope we have developed with this provisional. One of the treatment goals, beyond preservation of crestal bone, is also the shaping of the palatal area of the tooth. That should be done as accurately as the buccal portion.<BR><BR>Cement rentention is a real danger, and we should be aware of that. By copying the shape of the provisional that has been extensively tested in the mouth of the patient onto the final restoration we have full control of the soft tissue contour around the implant supported resotration that mimicks the root and the shape of the natural tooth.<BR><BR>So we really create the illusion of a natural tooth. Join Dr. Euwe as he discusse the advances in the field of post-extraction implant supported restorations.
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
Complete Zirconia Restorations - Implant Supported
LOD-189-00
Dr. Fernando Rojas-Vizcaya
The most frequently encountered problem with fixed detachable dental prostheses is loosening or fracture of the prosthetic screws. Other problems include wear, separation or fracture of the resin teeth from the metal/acrylic prosthesis, chipping or fracture of porcelain from the metal/ceramic or zirconia/ceramic prosthesis, and fracture of the framework in some free-end prostheses.<BR><BR>For this type of prosthesis it is necessary to place the implants in a position that enables occlusal or lingual access so as not to impair the esthetics. When we make our restoration out of 100% zirconia we avoid the chipping. This lecture will discuss monolithic zirconia for fixed detachable restorations.<BR><BR>It's a new concept working with this type of material, and doing this type of restoration. But esthetic outcomes and promising clinical results will be presented. Beautiful cases will be displayed where complete ziconia is used to restore the pink and white esthetic of our patients when esthetics is a very important concern.<BR><BR>You will see:<BR>how to work in your office with this type of restoration;<BR>how you need to evaluate;<BR>how you need to work with the prosthesis that you receive from your dental technician;<BR>how you need to check the mouth of the patient, and how from the block of zirconia you can make your monolithic zirconia restoration.<BR><BR>You will learn, step-by-step: how to achieve the color in the prosthesis; how the dental technician can create a beautiful pink and white esthetic. All the occlusal surfaces, the incisal edge, the full prosthesis is all made from a block of zirconia. And, all without chipping.
LOD-188-00
Dr. Saj Jivraj
Section 4 - Prosthetic principles and techniques for fabrication of the final prosthesis. <BR>Complications and maintenance. <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
LOD-186-00
Dr. Saj Jivraj
<p style="margin: 0px; text-align: justify;">PART 3: Clinical Patient Presentations. Surgical and Prosthetic Protocols for Fabrication of a Full Arch Immediate Load Prosthesis.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">a. Clinical treatment presentation of a dentate patient. </p> <p style="margin: 0px; text-align: justify;">Diagnosis, treatment planning and fabrication of the immediate load prosthesis.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">b. Clinical treatment presentation of an edentulous patient. </p> <p style="margin: 0px; text-align: justify;">Diagnosis, treatment planning and fabrication of the immediate load prosthesis.</p>
A New Common Sense Approach to Full Mouth Rehabilitation Using Direct Composite and Limited Implants
LOD-185-00
Dr. Jose Luis Ruiz
<div style="text-align: justify;">All of us have patients who have destroyed their teeth usually due to occlusal disease...patients who have missing teeth. And, unfortunately, many of these patients do not have the funds to pay for a full mouth rehabilitation. And, even if they did, we do not believe that the full-mouth rehabilitations are ideal anymore.<br /> <br /> We see journal articles showing patients who have virgin teeth, and in the end they are treated with a full mouth of crowns. We know from experience in our practices that these patients do not do very well: The margins below the gums cause our patients to have unhealthy gums; and, then when they have caries below the gums, trying to treat this becomes a nightmare. That is why using minimally based super-gingival dentistry is the best for our patients. We do not have to grind the teeth. We can use new adhesive dentistry. And we can give our patients excellent results without having to destroy their natural teeth.<br /> <br /> We will examine cases where patients who might have traditionally been treated with full-mouth rehabilitation, are instead treated with bonded dentistry. In one case we will use direct composites and some indirect composites and almost no grinding on the natural teeth. Meanwhile, we are able to provide the patients with the esthetics and the function that the patient needs.<br /> <br /> We will discuss the seven signs and symptoms of occlusal disease which is a very practical way to learn how to diagnose occlusal disease on your patients.<br /> <br /> We will talk about smile design using the Dento-Facial Esthetic Diagnosis System.<br /> <br /> We will also cover the 3 Golden Rules of Occlusion which are the engineering principles that we need for durability.</div>