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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. -
Esthetic and Restorative Dentistry - Ceramic Materials
Terry, Douglas A. -
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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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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. -
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. -
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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. -
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 -
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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. -
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 -
Fiberglass frameworks in removable prosthodontics
Bücking, Wolfram -
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. -
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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Innovative CAD/CAM treatment approaches for implant-supported fixed restorations
Beuer, Florian / Stimmelmayr, Michael / Schweiger, JosefOutline: - Patient presentation - Preparing the implant bed, implant placement, checking implant positions - Securing the insertion posts to the index for fabrication of the cast - Suturing details - Delivery of the adapted long-term provisional - Fabricating the cast and the gingival mask, transferring the pontic emergence profiles to the gingival mask, mask adaptation - The master cast under the strip scanner with scan bodies on the laboratory analogs - CAD crown design and virtual anatomic shaping - CAM fabrication of a zirconia abutment - Adhesively connecting the zirconia abutment to the titanium base - Reentry, split-thickness flap, vestibuloplasty, connecting the zirconia abutments to the implants - Mucosal graft to restore a soft-tissue defect - Intraoral impression of the abutments - Fabricating the definitive lithium disilicate crowns: virtual crown design; CAM milling, characterization of the crowns - Delivery, final adjustments, presentation of the treatment outcome -
Vier anteriore Implantate im zahnlosen Unterkiefer
Horrichs, Leon G.Gliederung - Versorgungsplanung/Positionierung - Präparation - Bohrungen und Gewindeschneiden - Implantatversorgung - Wundverschluss Inhalt: Mit Bohr-/Rontgen-Schablone wird die Position der Implantate bestimmt (Regio 34-32-42-44). Anschliesend wird mit dem Peeso-Bohrer durch die Bohrschablone die Position im Mucoperiost markiert. Nach Inzision wird das Mucoperiost zur Seite geschoben. Die Implantatposition wird mit dem Twist-Drill ∅ 2 mm aufbereitet es folgten Piliotbohrung ∅ 2/3 mm, Twist-Drill ∅ 3mm und ∅ 3/5 mm, Counterbohrung und Gewindeschneiden. Die Implantate werden mit 40-50 N eingedreht. Die anschliesende Nahtversorgung erfolgt mit GORE-TEX® Nahtmaterial. -
Implantation im unteren Seitenzahnbereich und sofortige provisorische Versorgung
Hürzeler, Markus B.
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HYBRID SCAFFOLDS COMPOSED OF BETA-TRICALCIUM PHOSPHATE (TCP), poly (D,L- lactic acid) (PDLLA) AND COLLAGEN FOR ALVEOLAR BONE AUGMENTATION
Objectives: Dimensional changes occur in the alveolar ridge after tooth loss, due to bone resorption. Bioactive ceramic scaffolds are available for bone alveolar augmentation, but their mechanical properties are still an issue during implantation. The aim of this study was to characterize the mechanical properties of synthesized β-TCP hybrid scaffolds coated with bioabsorbable collagen or PDLLA. Methods: β-TCP powder was obtained by reactive milling. Scaffolds were produced by the replica method from polyurethane foam patterns. Type I collagen or poly (D,L- lactic acid) (PDLLA) were used to coat the scaffolds by dip coating. The hybrid scaffolds were then divided into four groups: non-coated (GA); double immersion in collagen type I (GB); double immersion in PDLLA (GC); and ten immersions in PDLLA (GD). Samples were characterized by compressive tests, x-ray diffraction and scanning electron microscopy with energy dispersive x-ray analysis (SEM/EDS). Statistical analysis was performed by two-way ANOVA(p Results: Chemical and microscopic analyses revealed proper morphology of powder particles and scaffolds with or without polymeric coatings. Hybrid scaffolds of PDLLA had higher compressive strength (0.11 MPa ± 0.054) (p Conclusion: β-TCP scaffolds synthesised by the replica method showed proper morphology and size of interconnected pores. The PDLLA scaffold-coating method increased mechanical strength of the porous ceramic material, showing desirable properties such as high compressive strength, biocompatibility and osteoconductivity. These properties are essential in alveolar preservation procedures for resisting compression from soft tissues and occlusal stress from mastication. -
EFFECTS OF LOW LEVEL LASER THERAPY ON BONE REGENERATION OF INTRABONY DEFECTS – HISTOLOGICAL STUDY
Objectives: The aim of this study is to assess the histological effectiveness of a low level laser therapy (LLLT) with respect to the acceleration of bone regeneration after surgical treatment of intrabony defects. Methods: Twenty patients with intrabony defects, aged between 20-45, non-smokers, good health condition present at the time of the surgery, were randomly divided in two groups. Informed consent was obtained. Each patient had at last one periodontal defect treated by bone allograft. The test group received a postsurgical treatment with low lever laser therapy (LLLT). The equipment used was OsseoPulse AM300 (extra oral light emitting diode), at an intensity of 20mW/cm2 for 20 minutes per day for 21 consecutive days. The control group received no treatment with LLLT. The bone formation were evaluated in both groups at baseline and 6 months postoperative by the means of a biopsy of tissue followed by a histological analysis. Results: The histological study of the control sample harvested 6 months postoperative showed of irregular fragments of bone in loose fibrous connective tissue. The diagnosis of this tissue sample are evaluated to be a vital lamellar bone with chronic inflammation of the narrow spaces. The histological study of the test sample at 6 months after regeneration showed bone formation without inflammatory cells and occasional nonviable bone consistent with regenerating bone. No evidence of the grafted material is present. Conclusion: With all the limitations regarding the number of patients and the follow up period, the histological analysis showed that the intrabony defects regenerated by bone allograft and treated with LLLT produces more significantly bone that the non-treated defects. Histological study suggests that in 6 months there is new bone formation in the defects treated with LLLT. Clinical data indicate the possibility of more rapid wound closure and subsequent healing in zones treated with LLLT as compared with control - inflammatory cells and occasional nonviable bone consistent with regenerating bone. No evidence of the grafted material is present. -
Hand-over of presidency in Zurich
On the occasion of the Osteology Board Meeting on June 22, 2015 in Zurich, the presidency of the Osteology Foundation was officially handed over from Christoph Hmmerle to Mariano Sanz. Professor Christoph Hmmerle served as president of the Osteology Foundation for 12 years, ever since it was established. Looking back at his term of office, he said in an interview prior to the meeting in Zurich: The Osteology Foundation has grown to be a highly respectable organization over recent years. I think the key elements for this success have been the excellent teamwork among the members of the Foundation Board, the dedication of those working in the office and, very importantly, the support and the academic freedom granted by the Founder. Read the full interview with Christoph Hmmerle Even though his term of office as president of the Osteology Foundation has ended, Christoph Hmmerle will remain a member of the Board for two more years, contributing to the development of the Foundation and its activities with his great experience and knowledge. Professor Mariano Sanz, who in Zurich officially took over as new president of the Osteology Foundation, has been a member of the Board for 12 years, he also served as Chairmen of the Education Committee and Member of the Executive Board for several years. For him, the Foundation and its activities are therefore already familiar - with Mariano Sanz, the Osteology Foundation is in the best hands, said Christoph Hmmerle. Mariano Sanz thanked him, and said that in the past 12 years Christoph Hmmerle has done a superb job. Not only as a result of his vision and work, but also through his personal and social skills has the Foundation become a friendly family of leaders all striving for the same objective, which is to fulfil the mission of the Osteology Foundation. Mariano Sanz does not intend to change the strategy of the Osteology Foundation. We will continue the successful work, and wherever possible extend it to other parts of the world, he said in an interview, and added: we shall consolidate our accomplishments, but at the same time open up to new technologies and improve communications media with the goal of widening our reach in order to better fulfil our mission. Read the full interview with Mariano Sanz





