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>
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-239-00
Dr. Siamak Abai
Digital advancements in areas such as intraoral scanning, 3-D printing, and CAD/CAM technology are creating efficiencies while expanding the treatment options available to dentists. These tools allow for streamlined treatment and laboratory protocols that can be modified to meet the individual needs of each patient. In this presentation, Dr. Siamak Abai outlines cases where digital intraoral scans are utilized in conjunction with Cone Beam Computed Tomography scans and CAD/CAM software to fabricate guided surgical guides, custom final abutments, and final restorations prior to implant surgery. A model-less workflow is initiated with intraoral scanning, facilitating delivery of final restorations at the time of implant placement. Topics include:<br /><br /> - Impression making considerations for partially edentulous patient<br /> - Treatment planning and utilization of CAD/CAM software for the fabrication of guided surgical guides<br /> - The benefits and applications of intraoral scanning in the partially edentulous patient<br /> - Clinical and laboratory workflows facilitated by digital impressions<br /> - Traditional and digital techniques involved in the fabrication of final abutments and restorations<br /> - Application of CAD/CAM technology in the design and production of restorations<br /> - Prosthesis fabrication from models produced with 3-D printing technology
CAD/CAM Fabricated Complete Dentures: From Concept to Reality
LOD-214-00
Dr. Charles Goodacre
This presentation will show the procedures used to record the clinical information needed for the fabrication of conventional complete dentures using CAD/CAM technology as well as the fabrication process itself.<BR><BR>Recently, the technology has been applied to implant overdentures and fixed complete arch provisional prostheses used in conjunction with the immediate loading of dental implants and these procedures are shown.
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>