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.
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.