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.
LOD-215-00
Dr. Tidu Mankoo
The purpose of this two part series on Restoration of Failing Teeth with Implants in the Aesthetic Zone is to help you predictably achieve a highly esthetic outcomes that restore function and stand the test of time.<BR><BR>This lecture will present the sound biological principles that can help you approach the treatment of challenging cases where your patient has a seriously compromised dentition.<BR><BR>Surgical and prosthetic considerations will be discussed. Is the tooth maintainable? Is it more predictable to maintain the compromised tooth or extract and place an implant?<BR><BR>We should always try to save the tooth if possible, but determining this requires analysis of the patient: How old is the patient? What is the tooth's dental history? What is the structural integrity of the tooth? What is the periodontal status? What are the functional demands?<BR><BR>This lecture will present and discuss the key elements that we must consider when thinking about implants in the esthetic zone.
CAD/CAM Fabricated Complete Dentures: From Concept to Reality
LOD-214-00
Dr. Charles Goodacre
This presentation will show the procedures used to record the clinical information needed for the fabrication of conventional complete dentures using CAD/CAM technology as well as the fabrication process itself.<BR><BR>Recently, the technology has been applied to implant overdentures and fixed complete arch provisional prostheses used in conjunction with the immediate loading of dental implants and these procedures are shown.
Peri_implant soft tissue management
LOD-213-00
Dr. Roland Glauser
Original protocols for placing and restoring dental implants included a strictly staged approach as the standard modus operandi.<br><br>Following a submerged healing period, implants were connected to the oral environment with a so-called 2nd-stage surgery. Over the past 2 decades, implants placed immediately following tooth extraction as well as implants placed in demanding aesthetic conditions have been introduced as a standard treatment modality.<br><br>With this, additional time points and techniques have been introduced to properly manage peri-implant soft tissues. This presentation will review original and current flap and tissue grafting techniques for a state-of-the-art site development.<br><br>Furthermore, the clinical decision making on different time points for soft tissue management will be introduced.
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.
Horizontal Augmentation Techniques: Ridge Expansion
LOD-211-00
Dr. Daniel Cullum
Why would you want to use ridge expansion? Ridge expansion allows us, through varying techniques, to make cuts in the bone, to bend the bone, and to create a 4-wall bony defect that we can place a tapered implant into with viable bone surrounding it. It allows us to restore a more natural arch form, increase vestibular depth, and help to place implants in a more restorative driven position.<BR><BR>Ridge expansion allows us to have unique healing vs. grafting "turn-over", and it allows us to have special clinical applications that we can't achieve with any other technique. It shortens the healing interval and reduces pain. For our patients it is a very minimally invasive approach. However, these techniques have a steeper learning curve and require special instrumentation to complete.<BR><BR>This lecture will show you how ridge expansion can enhance your practice and your patient care.
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.