Lectures

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Pre-designing implant abutments in the esthetic zone following biological width and esthetic criteria - New perspectives

LOD-209-00

Dr. Stavros Pelekanos

50 min

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

Immediate Implant Provisionals in the Aesthetic Zone

LOD-206-00

Dr. Todd Schoenbaum

47 min

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.

Dental Photography - Level 1

LOD-205-00

Dr. Todd Schoenbaum

40 min

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

50 min

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

58 min

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

58 min

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

44 min

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

54 min

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.

Implant placement in fresh extraction sockets. Key decision factors

LOD-193-00

Prof. Mariano Sanz

50 min

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

57 min

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.