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Restoration of Failing Teeth with Implants in the Aesthetic Zone - Surgical and Prosthetic Keys to Success - Part 1

LOD-215-00

Dr. Tidu Mankoo

57 min

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.

Unusual TMD Cases - Unusual Treatment

LOD-196-00

Dr. Ilia Roussou

33 min

In this lecture, we will discuss unusual Temporomandibular Disorders (TMD) cases and unusual treatments.<BR><BR>We will focus specifically on occlusion and how the relationship of the dental arches interacts with the stability of the Stomatognathic system.<BR><BR>Occlusion is one of the most demanding aspects of dentistry, we all know about the term occlusion confusion.<BR><BR>Although occlusion used to be the main etiological factor for Temporomandibular Disorders and many dental treatments were performed in order to address the pain symptoms, nowadays the literature suggest that the static relationship of the dental arches is rarely the etiological factor for an intracapsular TM joint disorders or a masticatory muscles disorders, In some cases though, were the occlusion compromises the orthopedic stability of the stomatognathic system, once the pain symptoms are treated the dental problem needs to be investigated as a possible etiological factor of the TMD symptoms.

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.

The All on 4 Concept - Diagnosis to Delivery - 4 Lecture Set (Parts 1 - 4)

LOD-190-00

Dr. Saj Jivraj

231 min

<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

62 min

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

Stem Cells: Science and Surgical Application

LOD-175-00

Dr. Bradley McAllister

65 min

<p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; ">This presentation will examine the biology of stem cells and show you how you can improve your surgical cases by utilizing stem cells.  This is part of a new movement in molecular and cellular enhancement of bone regeneration surgery. </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; "><br /> </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; ">Learn how to achieve improved healing in your cases.  </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; "><br /> </p> <p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; text-align: justify; ">Many examples are demonstrated.  One involving titanium mesh and a cellular allograft: 4 months later a significant amount of bone is regenerated for placing dental implants.</p>

Soft Tissue Esthetics & Health - 10 Key Factors in Soft Tissue Management

LOD-173-00

Dr. Sascha A. Jovanovic

62 min

<p style="margin: 0px; text-align: justify;">There are 10 key criteria that are important in implant therapy to achieve optimal soft tissue outcomes. The criteria are divided into 2 areas. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The first area involves the biomaterial elements in therapy, while the second involves procedural issues. The biomaterial elements of implant surface, the implant neck, abutment material, the sub gingival abutment design, and abutment reconnection will be discussed. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The procedural elements covered are implant spacing, implant vertical positioning, bone and soft grafting and provisional management. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This presentation will focus on the 10 key criteria as applied in implant therapy for selected patients. </p>

Fixed Hybrid Prosthesis utilizing Zirconia - New Materials and Protocols

LOD-165-00

Dr. Stefano Conti

31 min

<p style="margin: 0px; text-align: justify;">This presentation will focus on a hybrid prosthesis, utilizing zirconia and the role of prosthetic gingiva in esthetic implant dentistry. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">We will see a pretty new treatment option that will give us the possibility to have complete control on the esthetic in a way that we have never been able to do before. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Some the questions that we will answer in this presentation are: <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Why should we provide a hybrid prosthesis for our patients instead of a traditional one? <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Is this prosthetic option really predictable in achieving a natural esthetic for long term success? <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Which materials should we use Today, and why?</p>

Aesthetic Periodontal Surgery to Enhance Restorative Results

LOD-162-00

Dr. James Kohner

48 min

This course provides a complete overview covering the various principles and clinical procedures needed for crown lengthening in the Aesthetic zone. We cover indications, contraindications, and methods of managing surrounding bone.<br><br><strong>Topics include:</strong><ul><li>How to handle hard and soft tissues</li><li>Proper surgical techniques</li><li>Preservation of esthetics in the final tissue contours and relocation of all structures that comprise the biologic width, namely: sulcus, junctional epithelium, connective tissue fibers, and bone.</li></ul><br><br>The role of Lasers for gingival reduction is addressed.