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Esthetic and Restorative Dentistry - Ceramic Materials
Terry, Douglas A. -
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 -
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. -
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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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. -
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. -
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 -
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. -
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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. -
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. -
Fiberglass frameworks in removable prosthodontics
Bücking, Wolfram
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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 -
Veneerpräparation bei starken keilförmigen Defekten
Kopsahilis, NikolaosGliederung: - Anamnese / Befund - Dentaler Status, PA-Status, Funktionsbefund - PA-Therapie, Funktionstherapie - Konservierende Behandlung - Zahnersatz (a. Seitenzahnbereich, b. Frontzahnbereich). Materialliste Fäden: Gingi-Plain, Z-Twist, non-impregnated (Gingi-Pak) Abformmaterial: Impregum Penta Soft (3M ESPE), Permadyne Garant 2:1 (3M ESPE) -
Regenerative Procedures for Optimized Esthetics at Tooth 11
Schlee, MarkusContents: - Exploration - Incision and Flap Mobilization - Palatal Flap Preservation with Interdental Tissue Preservation - Detoxification and Concrement Removal at 11 - Harvesting of Autogenous Bone Chips from the Spina Nasalis - Conditioning of the Root Surface with EDTA-Gel - Application of Emdogain and Filling of the Bone Defect - Wound Closure Synopsis After Finishing the Initial Treatment for Aggressive Periodontitis, Regenerative Treatment of a Tunnel-Shaped Pocket at Tooth 11 was attempted. Rotation and Crowding of the Buccally Inclined Tooth represented a favorable Etiological Factor. The patient did not wish to receive Orthodontic Treatment to eliminate this Causal Factor after Completion of Primary Treatment. Treatment was therefore limited to the Surgical Regeneration Attempt. The Interdental Space was larger than 3 mm and the Bone Pocket was a mostly Three-Walled Structure, so the Chances of Success were considered to be good. Exploration was first performed to identify the Course of the Defect Margins. Exact knowledge of the Bone Anatomy in all three Planes is essential to successful Incision Planning. A Tunnel-Shaped Defect delimited by Bone in the Region of Tooth 11 with good chances of Periodontal Regeneration was found. A major Challenge of this Procedure is the need to keep the Defect completely covered with Soft Tissue throughout the Healing Process. Cortellini's Papilla Preservation Technique was used for this Purpose. After Incision and Flap Mobilization, it became evident that the Defect only had two Walls in the Coronal Region and that Bone was lacking in the Buccal Region. According to the current Data on Periodontal Regeneration, the Attachment Gain achieved using an Enamel Matrix Protein (Emdogain®) alone can be just as good as that achieved using Emdogain and Bone Graft Material combined. Still, we elected to use a Combination Technique in the Present Case because it provides better Papillary Support. The Graft Material consisted of Autogenous Bone Chips from the Spina Nasalis, which can easily be harvested by Means of the Piezo Technique After gentle Detoxification, the Root Surface was treated with Emdogain. The Defect was then filled with Autogenous Bone Chips and closed by Microsurgical Suture Techniques. Six months after Surgery, Partial Regeneration of the Papilla can be seen.
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Osteology Researcher Grants: New publications from funded studies
The results of two pre-clinical studies funded by the Osteology Foundation have been published recently in the peer-reviewed journal Clinical Oral Implants Research. The two studies reveal important findings that will help to better understand the mechanisms of bone loss and soft-tissue regeneration. Supporting research into all aspects of oral tissue regeneration is a core task of the Osteology Foundation. Over recent years, the Foundation has supported a number of pre-clinical and clinical studies that have led to about 30 publications in international peer-reviewed journals. In 2014 the results from two pre-clinical studies supported by the Osteology Foundation were published in the high-ranking journal Clinical Oral Implants Research. Both studies provide important insights into basic mechanisms in bone loss and tissue regeneration. Pre-clinical rat model for studies on osteoporosis A study by Xi Ling Liu and co-workers from Hong Kong investigated the skeletal site-specific response to ovariectomy in a rat model (Liu 2014). The investigators examined changes in bone density and microcarchitecture in different bone sites and found significant differences, which is highly relevant for other studies using this animal model for osteoporosis-related studies. After 36 weeks the researchers observed that jaw bones and cranial bones in ovariectomized rats only showed a minor reduction in bone mineral density, whilst long bones, lumber vertebra and ilium in the same animals showed significant bone loss compared to the baseline. A significant deterioration of the trabecular structure was detected in the long bones and vertebra, while jaw bones remained relatively stable. Overall, femur and tibia displayed the largest bone loss. Relevant information for further studies using the model The study by Liu et al. assessed for the first time the systemic site-specific bone loss and microarchitecture changes in ovariectomized rats, a widely used animal model that mimics the estrogen-deficiency-induced bone loss, and one which is approved by the FDA for osteoporosis. The results provide valuable information for the selection of bone sites and observation times in further studies using this animal model for osteoporosis studies a topic that is becoming increasingly important, since osteoporosis, along with the aging of the population, has developed into a relevant health burden. Crosslinked and non-crosslinked collagen matrices A different topic investigated the study by Daniel S. Thoma and his co-workers from Zurich (Thoma 2014). Their study, which was also funded by a Research Grant from the Osteology Foundation, investigated in a rat model whether the crosslinking of a collagen matrix, as well as the addition of recombinant human platelet-derived growth factor-BB (rhPDGF-BB), influenced tissue integration, angiogenesis and degeneration of the collagen matrices. Four treatment modalities were tested in an ectopic model in rats and compared for the study: the cross linked matrix with and without rhPDGF-BB, and the non-cross-linked matrix with and without rhPDGF-BB. In 50 rats, the four combinations were planted in four unconnected pouches on the back of each animal. Descriptive histology and histomorphometric assessments were performed at 2, 4, 8, 16 and 24 weeks after the surgery. Angiogenesis and stability of the collagen matrices The study showed that the compact layer of the non-cross linked matrix delayed angiogenesis and connective tissue formation, while the spongeous cross-linked matrix facilitated early vascularization and also demonstrated network presence over a longer time span. No statistically significant effects of rhPDGF-BB were observed for any of the evaluated parameters. Different characteristics for different indications These results revealed that both types of matrices can be successfully incorporated into the tissue. However, the matrix composition influenced the healing patterns. The study therefore revealed important information on the use of the two different collagen matrices for different indications, since they provide different characteristics due to their different designs. These are important findings that help to evaluate the efficacy of different matrices for different indications and to understand why such differences exist. References Liu XL, Li CL, Lu WW, Cai WX, Zheng LW. Skeletal site-specific response to ovariectomy in a rat model: change in bone density and microarchitecture. Clin Oral Implants Res. 2014 Mar 5. doi: 10.1111/clr.12360. Thoma DS, Nnni N, Benic GI, Weber FE, Hmmerle CH, Jung RE. Effect of platelet-derived growth factor-BB on tissue integration of cross-linked and non-cross-linked collagen matrices in a rat ectopic model. Clin Oral Implants Res 2014 Sep 30. doi: 10.1111/clr.12496. Further information Published studies supported by Osteology Research Grants Information on Osteology Research Grants -
Treatment of a fenestration defect with GBR and CT graft
João Batista Cesar Neto -
All about Hard Tissue Research - the Research Academy in Kiel
The 13 participants of the intensive course came from 10 countries from all-over the world to gain deeper insights into histology in oral bone regeneration. The Expert Module of the Osteology Research Academy comprises 13 hours of practical (in the laboratory) and 7 hours of theoretical advanced training on the following topics: Pre-clinical and clinical studies in bone regeneration MicroCT, histomorphometry and digital image analysis Bone anatomy, histology, physiology and bone pathophysiology Hard tissue sample preparation Data presentation: from the raw picture to the figure Asked about their experiences during the course the participants gave the following feedback: The professionalism and enthusiasm of all people involved, and the course have been an excellent steppingstone for someone like me who has been out of the research field since my postgraduate studies. Steven Soukoulis, Australia An inspiring course with great content that will be applicable for my future research. Monica Misawa, Brazil In very much enjoyed the workshops, tips and tricks for future projects and the 1:1 discussion with the experts. Dominic Ho, Hong Kong The next Expert Module will take place 7-9. November 2016 in Vienna. Further information For the third time the Osteology Foundation has organised the Osteology Research Academy Expert Module in Kiel. The course on Hard Tissue Research was held in collaboration with the Department of Maxillofacial Surgery at the University of Kiel.





