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Periodontal Preserve Therapy (Examples)
Clotten, StefanContent: - Periodontal maintenance therapy for teeth 34 and 35, including the regeneration of a bone defect using bone replacement material, collagen membrane and sutures. - Curettage for treatment of periodontal pockets. - Treatment of gingival pressure sores caused by tight-fitting orthodontic apparatus. - Incision of buccal attachment to relieve gingival pressure for elimination of gingival recession. -
REAL-TIME NAVIGATION: THE BEGINNING OF A NEW ERA IN GUIDED IMPLANT SURGERY
Objectives: To demonstrate that dynamic guided surgery is as predictable as conventional surgery. Methods: Partially edentulous patients requiring a fixed rehabilitation were selected for this pilot study. No specific contraindications were established, and smokers were not excluded. An impression was taken pre-operatively using an irreversible hydrocolloid (Cavex CA37®) to fabricate a diagnostic cast for moulding the surgical stent (NaviStent®). Afterwards, a standard cone-beam CT (CBCT) scan was made with the NaviStent® in place using a Planmeca Promax 3-D Max®. Images were converted into DICOM files and transformed into a 3-D virtual model using the Navident® software. The potential implant locations were planned in a prosthesis-driven way. For preparing the osteotomy, the drilling axis of the handpiece and the twist drills were calibrated. The osteotomies were prepared at low speed using a high level of cooling. The navigation software guided the drilling procedure in real time. Before installing implants, an extra calibration procedure was performed for tracking the implant. The aim of this pilot study was to determine the clinical outcome up to 12 months post-operatively for implants installed using the Navident® guided surgery system. Results: Partially edentulous men (n = 6) and women (n = 7) were included in this pilot study (mean age 52.15 years; range 20–75). Out of these 13 patients, two were current smokers of more than 10 cigarettes per day. Twenty implants were inserted. No mechanical or biological complications occurred during the surgical procedure, and no major complaints were reported, such as hemorrhage, sinus pathology or severe post-operative pain. No implants were lost up to 1 year after insertion, resulting in 100% implant survival. Conclusions: Based on the results of this pilot study, real-time navigation is a promising technique. However, there is not yet enough evidence to show that the method is as safe and predictable as conventional implant surgery. -
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Soft Tissue Management in the Aesthetic Zone
Daniel ThomaExpert presenter PD Dr. Daniel Thoma is a Head of Academic Unit at the Clinic for Fixed and Removable Prosthodontics and Dental Material Sciences, University of Zurich, Switzerland. Long-term successful outcomes with implant therapy are based on a number of parameters. Among these, the critical assessment of the peri-implant soft tissues and subsequent therapeutical interventions are considered key factors. -
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Esthetic and Restorative Dentistry - Ceramic Materials
Terry, Douglas A. -
Live surgery Surgical treatment of bone necrosis
Schultze-Mosgau, StefanOutline: - Surgical wound debridement - Sequestrotomy - Preparation of the soft-tissue bed - Plastic, tension-free, saliva-proof wound closure List of materials Basic surgical tool set: - Surgical blade - Preparation scissors - Pair of tweezers - Suture materials -
Aesthetic upper anterior implant placement case
Dr. Dominik BüchiDr. Dominik Büchi performed a ridge preservation to keep the soft tissue volume. He then placed an implant 8 weeks later with simultaneous GBR. The final emergence profile was created by a fixed provisional crown. -
Covering a Recession with a Soft Tissue Transplant
Heinz, Bernd / Jepsen, SörenObjectives: Use of a soft tissue graft for recession coverage at tooth 23 and for gingival augmentation. Content: 1. Incision around tooth 23, intra-sulcular preparation, mobilization of coronal sliding flap, and pre-flap preparation. 2. Root smoothing, reduction of ground cavity with diamond burs from Perioset system. 3. Preparation and harvesting of connective tissue flap from palate, Emdogain application, and wound closure. 4. Placement of interrupted interdental sutures for fixation of connective tissue flap. -
Implantation with Simultaneous Augmentation
Grunder, UeliProcedure: - Case evaluation - Incision technique - Implant placement - Membrane adjustment and fixation - Introduction of replacement material - Flap mobilization - Suture technique Contents: Implantation was desired for replacement of a missing upper canine tooth and the adjacent lateral incisor tooth. The initial case evaluation revealed a relatively narrow gap between these two teeth in addition to extensive hard and soft-tissue defects. We selected an incision technique that made it possible to do the augmentation work yet subsequently achieve a tension-free flap closure. Since the bony defect was large while the available space was limited, we had to go for the best possible compromise in regard to implant insertion. After the implants had been inserted, augmentation was carried out using a non-absorbable, titanium-reinforced membrane, bone replacement material, and an absorbable membrane. Extreme flap mobilization was needed to achieve flap closure. An optimal suture technique was used to complete the surgery. -
Cell-to-Cell Communication - Inflammatory Reactions
Stadlinger, Bernd / Terheyden, HendrikVisualizing the invisible while experiencing a fascination with science is the great challenge that Cell-to-Cell Communication, representing an all-new genre, has set out to meet. A spectacularly sophisticated computer animation in HD quality depicts the highly complex processes of intercellular interaction during an inflammatory periodontal reaction complete with the messenger molecules implicated. The various cell types constitute the main cast of the film, using a finely tuned communication process in their quest to destroy the bacterial invaders, with messenger molecules as supporting cast. A stunning didactic and dramatic experience! Outline: - Biofilm - Gingivitis and the Innate Immune Defense - Periodontitis and the Adaptive Immune Defense - Cleaning and Regeneration -
Fiberglass frameworks in removable prosthodontics
Bücking, Wolfram -
Bone Spreading, Bone Condensing
Streckbein, RolandContent: Surgical flap creation and elevation; Use of drill template for exact determination of implant position; Implant site creation; Site preparation / tapping; Bone compaction; Insertion of the implants; Impression-taking; Wound closure; Later implant insertion; Dental lab work; Creating the model with laboratory implants; Shaping the bar frame; Adapting the laser welded frame to the model; Manufacturing the tooth replacement, Fitting the bar into the tooth replacement; Finishing work. -
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Short and narrow implants, how far can we go?
Christoph Hämmerle, José NartIn this webinar moderated by Prof Ronald Jung and Dr. Adrián Guerrero the expert presenters Prof. Christoph Hämmerle and Dr. José Nart discuss about the importance and benefits of using short and narrow implants.
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Placement of Two Endosseous Implants in the 11 - 21 Region
Hildebrand, DetlefProcedure: - Incision - Flap Design - Application of the template - Implant Placement - Suture - Application of the provisionary Materials: E-Woo Picasso Trio: Digital Panoramic, Cephalometric and Dental CT (3in1) -
Implantation with Simultaneous Augmentation
Grunder, UeliProcedure: - Case evaluation - Incision technique - Implant placement - Membrane adjustment and fixation - Introduction of replacement material - Flap mobilization - Suture technique Contents: Implantation was desired for replacement of a missing upper canine tooth and the adjacent lateral incisor tooth. The initial case evaluation revealed a relatively narrow gap between these two teeth in addition to extensive hard and soft-tissue defects. We selected an incision technique that made it possible to do the augmentation work yet subsequently achieve a tension-free flap closure. Since the bony defect was large while the available space was limited, we had to go for the best possible compromise in regard to implant insertion. After the implants had been inserted, augmentation was carried out using a non-absorbable, titanium-reinforced membrane, bone replacement material, and an absorbable membrane. Extreme flap mobilization was needed to achieve flap closure. An optimal suture technique was used to complete the surgery. -
Bone Transfer
Streckbein, RolandContent: Description of system and instruments. The patient had a considerable bone deficit at tooth 21. Augmentation was therefore required and was carried out using calibrated instruments. The augmentation site was prepared using instruments that matched the tools used to harvest the cylindrical bone graft at the donor site. This perfect match between the augmentation region and the bone transplant accelerated osseointegration, there by shortening the required waiting time for implant placement.
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Temporary License for non-BC Dentists
1. Fill in the CDSBC application form a MINIMUM of 4 weeks before your first surgery. Note that the application form requires a specifically sized photograph and needs to be notarized. 2. Confirm that you have the minimum $2 million malpractice that covers you in BC/Canada. If you DON'T, you need to fill in and submit the CDSPI form as well. 3. Minimum 3 weeks before surgery, contact the CDSBC [Karen Walker] to request a temporary license for the specific date of your surgery. She will process your credit card and provide your temporary license by email. CDSPI Malpractice form, copy the link below and paste into your web browser: https://www.cdspi.com/CDSPI_Public/assets/pdf_eng/app_malp.pdf See link below for Temporary Registration: -
Answers to open questions - for better treatment of patients
Are you interested to attend Osteology Monaco 2016? Check out the symposium website atwww.osteology-monaco.organd register now! Professor Myron Nevins, USA, is one of the Chairmen of Osteology Monaco 2016. In an interview he explained what he considers the most important topics to be addressed in the scientific programme, and why dentists should visit the international Symposium in April 2016. Professor Nevins, the Scientific Program of the 2016 Osteology Symposium with its motto Learning the WHY and the HOW in regenerative therapy addresses the many open questions that dentists still face in everyday work in the practice. Which are the most important questions in oral regeneration to be discussed in Monaco? Myron Nevins:All regenerative procedures require surgical skills, knowledge of the appropriate steps and the use of biomaterials that have proven to be successful. It is important that clinicians and practitioners not only understand the basics, but also hear about the latest developments and techniques in oral regeneration. With the International Osteology Symposium, we aim to provide this information, as well as answering as many open questions as possible. The programme covers a broad range of topics in oral regeneration, which are especially important to you? Myron Nevins:I would like to point out the two interactive sessions we have organized for Osteology Monaco. On Friday the focus will be on decision-making after tooth extraction, the second session on Saturday is about treatment of demanding gingival recessions two very important topics for practitioners. We have invited renowned experts to discuss these topics and provide answers to questions regarding indications, surgical techniques, tips and tricks. Questions can be submitted in advance, but the audience is also welcome to ask during the session. One topic of the scientific programme is teeth for a lifetime. What does this involve? Myron Nevins:Keeping ones teeth a life long means never becoming edentulous. This can be accomplished predictably with the patients natural dentition or by supplementing with implants. But in this session we will focus on the preservation of the patients own teeth, i.e. how we can preserve periodontally compromised teeth, how regenerative therapies improve tooth prognosis, as well as the advances and limitations in treating furcation defects. An extensive poster exhibition and a research forum will present the latest results in basic and clinical research. How important are these results from research for the practitioner? Myron Nevins:It is necessary to first perform pre-clinical research that can then be translated into clinical research to then be applied in practice for the patients benefit. This process takes a significant period of time and has to clear regulatory hurdles. At the Osteology Symposium in Monaco a platform is provided for researchers to present and discuss their results with other researchers on the one hand, but also to encourage the exchange between scientists and practitioners, on the other, which is important for both groups working hand-in-hand towards the same goal: to provide optimal treatment for patients. If your colleagues ask you why they should attend Osteology Monaco, what do you tell them? Myron Nevins: Dentists should attend Osteology Monaco to help provide better treatment for their patients by learning about the latest developments in oral regeneration, through discussions and interaction with their colleagues. Thank you for the interview, Professor Nevins. -
Tendency of skeletal class 3 and a missing front tooth
Dr. Dominik BüchiIn this clinical case session you are going to learn how to plan and execute treatment in a partially edentulous patient situation applying implants within the overall reconstructive treatment concept. In particular you will learn the importance of the preparatory phases of therapy and to plan and treat with the prosthetic aim in mind.





