Esthetics in a Diseased Periodontium - Tips & Tricks

LOD-263-00

Dr. Giorgio Tabanella

Periodontal tissue destruction related to periodontitis, trauma, biologic width violation, mucogingival deformities as well as iatrogenic dentistry may lead to multiple tooth loss. The rehabilitation of neighbouring teeth in aesthetically demanding areas when associated with advanced soft and hard tissue loss may represent a surgical and aesthetic clinical challenge.<br /><br />Preservation or creation of a soft tissue scaffold needed to create the illusion of a natural tooth is often difficult to achieve when the potential for tissue regeneration is reduced. Furthermore the placement of a dental implant in the aesthetic zone with neighbouring teeth with a damaged periodontium can be a real difficult task especially when there is no room for error: the diagnosis will lead clinicians to the correct way of treating patients.<br><br><span style="font-size:9px">Release: 12/20/2014 | Expires: 12/20/2017</span>

Paradigm Shift: Soft Tissue Concept

LOD-245-00

Dr. Iñaki Gamborena

In this lecture presentation Dr Gamborena will discuss the Soft Tissue Concept and what it is about. We can face a lot of problems when we get to the surgical part. We can find ourselves with prosthetics and healing abutments that are way too big. Dr Gamborena will share information about a healing abutment that he has been working with for the last 6-8 years, and that has finally entered the market as of fall 2014. He will show how the abutment works and how you can improve the maximization of your space and be able to graft at the ridge with a totally different approach: Following the concept about what we do Today around implants, compensating the volume from bone, shifting into the soft tissue and being able to create prosthetically something beyond what you might be used to so far.<br><br><span style="font-size:9px">Release: 9/2/2014 | Expires: 9/2/2017</span>

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

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 and Successful Maxillary Sinus Augmentation

LOD-192-00

Dr. Toshiro Sugai

In this presentation, we will identify safer and more predictable maxillary sinus augmentation procedures. We will discuss how to utilize CT imaging to evaluate and interpret the 3D anatomy of the sinus, including ostium, superior alveolar artery, and septa. Dr. Sugai will describe how to predictably lift the sinus membrane and avoid complications.

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

Guidelines for Aesthetic Peri-Implant Gingival Tissue (JAPANESE LANGUAGE ONLY)

LOD-178-00j

Dr. Toyohiko Hidaka

Guidelines for Aesthetic Peri-Implant Gingival Tissue (JAPANESE LANGUAGE ONLY)

Bio-Integrated Restorative Dentistry

LOD-177-00

Dr. Costin Marinescu

<p style="margin: 0px; text-align: justify;">We want to achieve long-lasting results for our patients in treatments that are perfectly tolerated by the body, restore good health, and look beautiful.   This presentation will outline the logical flow-chart that Dr. Marinescu utilizes every day in his own practice (Exam >> Diagnosis >> Treatment >> Maintenance) and the interconnection of each individual step with each other.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The Stomatognathic System (the ensemble of bones, muscles, joints, teeth and supporting structures) has two states: Pathological  and Physiological.  How these two conditions influence each other will be discussed, and how important it is for us to find the threshold between the two.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This presentation will also look at occlusion concepts: how teeth come in contact, and the pathways through which they are moving in performing everyday functions like chewing, and how to design our restorations so we can achieve beautiful results but that are functionally tolerated and perfectly integrated with our patients" health.  A history of occlusion concepts will be presented that will cover all the way through to the latest research that are empowering us more and more to offer our patients minimally invasive restorative dentistry that will balance their Stomatognathic System and that will offer a predictability for long term.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Offer your patients the most conservative treatments with the minimum impact and the stability of the Stomatognathic System with a long term impact in quality of life...and a beautiful esthetic result.</p>