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.
Unusual TMD Cases - Unusual Treatment
LOD-196-00
Dr. Ilia Roussou
In this lecture, we will discuss unusual Temporomandibular Disorders (TMD) cases and unusual treatments.<BR><BR>We will focus specifically on occlusion and how the relationship of the dental arches interacts with the stability of the Stomatognathic system.<BR><BR>Occlusion is one of the most demanding aspects of dentistry, we all know about the term occlusion confusion.<BR><BR>Although occlusion used to be the main etiological factor for Temporomandibular Disorders and many dental treatments were performed in order to address the pain symptoms, nowadays the literature suggest that the static relationship of the dental arches is rarely the etiological factor for an intracapsular TM joint disorders or a masticatory muscles disorders, In some cases though, were the occlusion compromises the orthopedic stability of the stomatognathic system, once the pain symptoms are treated the dental problem needs to be investigated as a possible etiological factor of the TMD symptoms.
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
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
The 3D Click Guide - A New Direction for Model-Based Guided Implant Placement
LOD-187-00
Dr. Lambert Stumpel
<p style="margin: 0px; text-align: justify;">Guided surgery holds the promise to place dental implants in predetermined positions; allowing many clinical decisions to be made before the actual surgical procedure. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Computer guided surgery has been made possible through the increased accessibility of (CB) CT technology. It allows clinicians who do not have the experience of placing 1000+ implants per year, to deliver, in selected cases, the same superior care as the master surgeons.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Model based guided surgery has historically been in the shadow of its high tech cousin; until now. The 3 D Click Guide is a modularly adjustable surgical guide system. While primarily a model based system, utilizing minimally invasive bone sounding, it allows easy integration with CBCT as needed. It
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>