Full Mouth Rehabilitation (Part 1 of 2) - A Systematic Approach
LOD-243-00
Dr. Francesco Mintrone
This lecture will be focused on the esthetics analysis that should be done every time when approaching an esthetic and functional rehabilitation. <br><br>Starting from the facial analysis and continuing with the dento-labial analysis, phonetic analysis, dental analysis and then finishing with some concepts of occlusion, we will try to provide a guideline to the full oral rehabilitation.<br><br>This presentation will examine, with a step by step approach, the rehabilitation of a case of dental erosion in which all operative stages are guided from the initial esthetic analysis and subsequent previsualization of the final tooth profile before starting any active therapy.<br><br>We will evaluate 3 cases of full mouth rehabilitation where the use of dental implants will become more consistent. In the last case we will focus on the planning phase as a result of aesthetic analysis in the way to place the implants in their perfect tridimensional position to support the esthetic rehabilitation.<br><br>Finally, we will evaluate a novel approach for implant screw-retained restorations in which we will use an adhesive combination of zirconia framework and lithium disilicate.<br><br><a href="http://gidedental.com/product?pid=917">click here</a> for more info on Part 2.<br> <br /> <strong>Learning Objectives:</strong><br /> - Learn how to make an Esthetic analysis to guide the decision process of the esthetic rehabilitation<br /> <br /> - Learn how to proceed to create a correct treatment planning in the full mouth rehabilitation<br /> <br /> - Learn key concepts of digital smile design<br /> <br /> - Learn how to plan the implant’s tridimensional position consequential to the esthetic result we want to obtain <br /> <br /> - Learn how to use the prosthetic esthetic material in a way to decrease the number of complications<br />
Integrated Rehabilitation Using Adjacent Implants in the Esthetic Region
LOD-242-00
Dr. Robert Carvalho da Silva
This clinical case presentation depicts a comprehensive resolution of a complex clinical condition in which periodontic, prosthesis, and implant concepts are utilized. In this scenario, both upper central incisors are extracted and replaced with immediate implants followed by immediate temporization using the patient
NobelActive - Predictable Function and Aesthetics
LOD-219-00
Dr. Ophir Fromovich
This introductory lecture will take you on a journey to see how the NobelActive can help you through various cases ranging from simple to complex.First you will learn about the design, biologic, and feature of the NobelActive implant. We will show you how to utilize NobelActive in cases where there is a severe defect in the molar area after extraction where there is only 1mm, and what you can do in cases where you want to preserve the papilla between two implants.You will be shown the benefits of being able to change direction when placing NobelActive, and when it is best to do this. We will present hard cases: one involving severe atrophy in the mazilla, and another involving two missing congenital laterals in a limited spacing where a 3mm is utilized.You will learn how to best utilize NobelActive in All-on-4 and All-on-6 cases with fixation. We will also present a case where there is a failed implant and how we successfully replace it with immediate loading of a NobelActive.
Implantoplasty: A Patient's Journey
LOD-217-00
Dr. Egon Euwe
This lecture follows a patient's journey to a procedure called implantoplasty. We will take you back in time to the year 2001, back when we treated our patient with an implant supported restoration. It's a fixed bridge, porcelain fused to metal, as these were typically treated 15-20 years ago. It was a passive fit, glued onto single abutments placed on five implants. The patient was wearing a traditional upper-denture with acrylic teeth and a lower fixed bridge with porcelain fused to metal. This caused excessive wear. Now there are better options which will be explained in this lecture. We can improve esthetics of the denture, and we can work with more modern and stronger materials in order to avoid the problem we faced years ago. The patient had also developed peri-implantitis at the site of one of her implants. This, of course, can be quite common. This lecture includes a clinical video that will show the surgical steps that were taken to treat this. The clinical video also includes a free gingival graft that was a part of the procedure. By the end, a stable result is achieved and maintained which will be shown in our patient's follow-up.
Excellence in Dental Aesthetics: New Trends and Materials in Aesthetic Implantology
LOD-212-00
Luc Rutten MDT
Clinicians and dental technicians have access to an astounding array of new technologies, tools and materials to design predictable beautiful smiles.<BR><BR>This presentation puts an emphasis on a close co-operation between prosthodontist, periodontist, implantologist and dental technician. In addition, a focus is placed on different surgical, clinical and prosthetic techniques to achieve successful aesthetics.<BR><BR>Material selection is fundamental in management of complex rehabilitation and on implants. The aesthetic outcome and the natural appearance of the restoration depends on the skills of the dental technician. Understanding of the gingiva of the dental technician will be explained to re-create in a two-way communication an aesthetic end result. New concepts and trends with focus on zirconium dioxide and its excellent long-term behaviour and extraordinary mechanical properties, will be discussed to realize predictable natural oral aesthetics around implants.
New Advances in the Treatment of the Esthetic Zone - The Esthetic Preview
LOD-210-00
Dr. Mario Imburgia
Using aesthetic preview and smile designing techniques in prosthetic and implant dentistry offer the clinician a great tool for different purposes:<BR><ul><li>Designing the patient's smile</li><li>Sharing the digital mock-up with the dental team</li><li>Improving communication with the patient</li></ul>This new approach allows the clinician to increase the predictability of the esthetic result of prosthetic restorations in the aesthetic zone, to optimize the clinical performance of the entire dental team and amazingly improve the communication with the patient.<BR><BR>This lecture will focus on smile design techniques starting from the ground up to new perspectives, applying these techniques to
LOD-209-00
Dr. Stavros Pelekanos
It is a great challenge for the clinician to choose a methodology, abutment design, and type of restoration in order to achieve optimal esthetics and avoid complications in implant rehabilitations. The great variety of materials that are coming in contact with the soft tissues (acrylic, base alloy, gold, titanium, Zirconia) further complicate the decision making, and as they show different soft tissue response and color they seem to affect the final result, especially in patients with thin biotype.<BR><BR>This presentation will focus on the methodology of the prosthetically driven implant placement, especially in demanding esthetic cases, on today
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.