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.
The Biodynamics of Osseointegration Facts and Clinical Implications
LOD-207-00
Dr. Peter Schupbach
Dental implants are placed into the alveolar bone, with the expectation that they become osseointegrated and that the periimplant mucosa will heal to the abutment surface and fulfill the primary functions of the periodontal tissues, which are attachment and protection of the soft tissue and the underlying bone.<BR><BR>This requires that the rather rigid ankylotic like connection between implant and bone replaces functionally the sophisticated suspension via the periodontal ligament as offered by the evolution and, that the structural framework of the periimplant mucosa matches the architecture of the gingiva. <BR><BR>The context of an understanding of the elicited host site interfacial healing response will be reiterated for the time period immediately following implant placement up to long term behavior. The role of the implants
Immediate Implant Provisionals in the Aesthetic Zone
LOD-206-00
Dr. Todd Schoenbaum
The success of implant treatment in the aesthetic zone is highly dependent upon the careful prosthodontic management of the periimplant gingiva. An evidence based protocol will be discussed, outlining the fabrication of immediate, screw-retained implant provisional restorations in the aesthetic zone.<BR><BR>This protocol is designed to maximize the potential volume of the periimplant gingiva, minimize reconnections at the head of the implant, and increase the predictability of the definitive restoration.
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.
Implant-Assisted Orthodontics: Moving Toward a Better Tomorrow
LOD-202-00
Dr. Frank Celenza
The use of implants and miniscrews to provide the anchorage necessary for optimal clinical outcomes is an accepted and effective modality. The techniques of
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.
Classification for Minimally Invasive Sinus Bone Grafting (Part 2 of 2)
LOD-195-00
Dr. Samuel Lee
Sinus bone grafting can be intimidating for many clinicians as well as for our patients. In this lecture, we will discuss some common complications that can arise from sinus bone grafting as well as how to manage and avoid complications. Four classifications of sinus morphology will be presented along with guidelines for avoiding morbidity while performing a sinus lift.<BR><BR>A step-by-step demonstration of the Crestal Window technique will be shown along with a narration of the entire process. A demonstration of the lateral window technique will also be shown where the sinus wall opening is made within 3 seconds using a specialized instrument.<BR><BR>Furthermore, the same membrane that is lifted can be placed back into the original location. In this lecture, we will also discuss short and wide implants and when is best to utilize them.
Classification for Minimally Invasive Sinus Bone Grafting (Part 1 of 2)
LOD-194-00
Dr. Samuel Lee
Sinus bone grafting can be intimidating for many clinicians as well as for our patients.<br>In this lecture, we will discuss some common complications that can arise from sinus bone grafting as well as how to manage and avoid complications.<br>Four classifications of sinus morphology will be presented along with guidelines for avoiding morbidity while performing a sinus lift.<br><br>A step-by-step demonstration of the Crestal Window technique will be shown along with a narration of the entire process. A demonstration of the lateral window technique will also be shown where the sinus wall opening is made within 3 seconds using a specialized instrument. Furthermore, the same membrane that is lifted can be placed back into the original location.<br><br>In this lecture, we will also discuss short and wide implants and when is best to utilize them.