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A New Common Sense Approach to Full Mouth Rehabilitation Using Direct Composite and Limited Implants

LOD-185-00

Dr. Jose Luis Ruiz

55 min

<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>

The All on 4 Concept: Diagnosis to Delivery Part 2 - Principles of Graftless Solutions and Surgical Protocols

LOD-184-00

Dr. Saj Jivraj

45 min

PART 2: Principles of Graftless solutions and surgical Protocols<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

Predictability of the Extraction Site Implant Part 2: Maxillary Anterior Implant Case Protocol

LOD-183-00

Dr. Alexandre-Amir Aalam

50 min

<p style="margin: 0px; text-align: justify;">The maxillary anterior tooth implantation is a challenging treatment modality. Multiple treatment protocols are available to the practitioner to assist him in making a rational decision. A successful treatment outcome is largely dependent on the integration of prosthodontic concept and peri-implant soft tissue manipulation.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The purpose of this presentation is to discuss a simple and reproducible treatment algorithm for the rehabilitation of the maxillary anterior sextant.</p>

The All on 4 Concept: Diagnosis to Delivery Part 1 - Diagnosis and Treatment Planning, Concepts of Immediate Loading

LOD-182-00

Dr. Saj Jivraj

58 min

<p style="margin: 0px; text-align: justify;">PART 1: Diagnosis and Treatment Planning, Concepts of Immediate Loading</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">a. Clinical and radiographic evaluation of the patient</p> <p style="margin: 0px; text-align: justify;">b. Specific clinical factors which determine the sucess of treatment</p> <p style="margin: 0px; text-align: justify;">c. Restorative space requirements</p> <p style="margin: 0px; text-align: justify;">c. Principles of immediate loading (Science and Techniques) </p>

Predictability of the Extraction Site Implant Part 1: Do We Need a Buccal Plate ?

LOD-181-00

Dr. Alexandre-Amir Aalam

40 min

<p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; ">Once a tooth extracted, the natural wound-healing cascade paired with irreversible alteration occurs. </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; ">Controversial palliatives treatment modalities have been proposed to reduce the amount of ridge alteration. </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; ">The purpose of this first module presentation will be to redefine, challenge preexisting concepts and to discuss multiple treatment modalities that are available. </p>

Immediate Tooth Replacement: Review, Articles, and Cases

LOD-180-00

Dr. Francesco Mintrone

52 min

<p style="text-align: justify; widows: 2; text-transform: none; background-color: #ffffff; text-indent: 0px; margin: 0px; font: 12px arial,verdana,sans-serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px;">In this lecture we will analyze the immediate tooth replacement technique. <span class="Apple-converted-space"> </span></p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: #ffffff; text-indent: 0px; margin: 0px; font: 12px arial,verdana,sans-serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px;">We will start with a review, discuss the literature and finish with several cases. <span class="Apple-converted-space"> </span></p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: #ffffff; text-indent: 0px; margin: 0px; font: 12px arial,verdana,sans-serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px;"> </p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: #ffffff; text-indent: 0px; margin: 0px; font: 12px arial,verdana,sans-serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px;">Evaluation of the key factors to obtain a predictable result is where to start when we approach a new technique. <span class="Apple-converted-space"> </span></p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: #ffffff; text-indent: 0px; margin: 0px; font: 12px arial,verdana,sans-serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px;">Some detailed high definition video will illustrate the details and demonstrate a completely new type of approach on this matter. <span class="Apple-converted-space"> </span></p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: #ffffff; text-indent: 0px; margin: 0px; font: 12px arial,verdana,sans-serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px;"> </p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: #ffffff; text-indent: 0px; margin: 0px; font: 12px arial,verdana,sans-serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px;">The final goal of our treatment is to obtain a fully mimetic result.</p>

Provisional Restoration - The Overlooked Link to Aesthetic and Functional Perfection

LOD-179-00

Dr. Stefan Paul

48 min

<p style="margin: 0px; text-align: justify;">This presentation is about Provisional Restorations.  You may wonder why.  What is so interesting about Provisional Restorations?  But consider a perfect temporary restoration as the foundation of any restorative excellence you might strive for.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">We have all experience clinical situations where you do a direct temporary restoration based on a silicon mold that you took before you removed the old crown.  Easy, right?  Nevertheless, coming up with the nice marginal fit necessary to create a healthy biological sulcus epithelium which is the prerequisite for a good, easy impression, and good adhesive cementation requires more consideration.  This presentation will examine this in full detail.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">How about a situation where we use an indirect lab made temporary restoration that is a little more complex, including crown lengthening procedures?  This presentation will discuss not only the temporization, but also additional clinical issues.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This presentation will focus on temporaries for veneer-prepared teeth.  What do we do?  How can we make them stay in place, and not fall off every-so-often?</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">We will look at implant retained situations, either using multiple implants where we have use of temporary restorations for a longer period of time, maybe making it necessary to use metal-reinforced temporary restorations.  And, when it comes to really demanding clinical situations where the immediate approach means tooth extraction, immediate placement of implants, and immediate temporization followed then by a final restoration.  What aspects should be taken into consideration to achieve the best possible esthetic result?</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">And, finally, various materials and cements to be used in the temporary approach will also be reviewed.</p>

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

LOD-178-00j

Dr. Toyohiko Hidaka

62 min

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

Bio-Integrated Restorative Dentistry

LOD-177-00

Dr. Costin Marinescu

55 min

<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>

Restorative Excellence - Occlusion on Implant Retained Restorations

LOD-176-00

Dr. Stefan Paul

48 min

<p style="margin: 0px; text-align: justify;">In this in-depth presentation regarding Occlusion on Implant Retained Restorations, we will examine several cases. We will look at a case that is all to common where right after final delivery, major chipping takes place.  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Sometimes we receive an emergency case where perhaps a patient has a bicycle accident.  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">What do we do?  <br /> </p> <p style="margin: 0px; text-align: justify;">Do we place an implant?  <br /> </p> <p style="margin: 0px; text-align: justify;">Do we deliver an immediately fixed temporary restoration?  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">And what occlusion are we going to give in order not to interfere and cause loosening of the implant and losing osseointegration?  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">What about an even more demanding clinical situation, such as a missing canine where the plan is to place an implant and deliver an immediate temporary restoration?  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">What occlusal concept are we going to utilize to prevent interference with good bone healing?  To make it even more demanding we will look at a case where there is an interior gap, canine to canine, where, again implant placement is the plan. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;"> How are we going to design our occlusal schematic so that the patient is not going to clench on these teeth at night, and possibly punch out our implants?  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">And, finally, we will examine a very challenging case where we have a maxillary and mandibular full-arch restoration, and incorporate an occlusal concept of a mixed dentition with implants on natural teeth (vs implants on implants).</p>