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.
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.
LOD-205-00
Dr. Todd Schoenbaum
This program provides an overview of the basics of efficient, effective dental photography. Guidelines will be given for equipment selection, appropriate clinical techniques, and camera settings.<BR><BR>Also included are the basics of dental shade photography, use of contrastors, and patient communication. The goal of this program is provide an efficient framework for the beginning dental photographer to select and use their equipment accurately and efficiently.
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.