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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. -
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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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. -
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. -
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 -
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. -
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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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. -
Fiberglass frameworks in removable prosthodontics
Bücking, Wolfram -
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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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Kammaufbau im PA-geschädigten Gebiss
Windisch, PéterGliederung: - Parodontale Regeneration und Alveolarkamm-Augmentation mit Bindegewebstransplantat - Implantatsetzung und Augmentation - Implantatfreilegung und Prothetik Materialliste: Emdogain, Bio-Oss, BioGide, Blockfixierungs-Schraube zum autologen Knochenzylinder, 4/0, 5/0 Nähte, Resolut Membrane, Titan-Pins, autologe Knochenspäne, 2 Replace Groovy Tapered 4, 3X13 mm Implantate -
Regenerative Treatment of Class II Mandibular Furcation Defects
Heinz, BerndProcedure Case description: -Class II furcation defect at teeth 46 and 47 and gingival recessions at teeth 43 and 44 - Root planing using PerioSet - Incision technique - Cleaning furcation defect at tooth 46 - Pref Gel application, rinsing and Emdogain application - Insertion of Bio-Oss into the furcation space with an amalgam plugger after hydration - Condensation of the bone replacement material and application of an absorbable membrane (Bio-Gide) - Atraumatic suture closure using 6/0 Seralene Contents: This video demonstration shows the simultaneous treatment of recessions at teeth 43 and 44 and of class II furcation defects at teeth 46 and 47. After a brief case description, root planning is done using PerioSet. Next, an incision is made and the furcation defects are very carefully cleaned using hand instruments and ultrasonic scalers (Soniflex). The cleaned root surfaces and furcation defects are conditioned with Pref Gel (Straumann) for two minutes. The objective of conditioning is to remove the smear layer, to open the dentine tubules, and to enable surface demineralization. Moreover, this measure serves to optimize the contact between Emdogain and the root surface. After two minutes, the EDTA suspension is removed using physiological saline solution or water spray. Immediately afterwards, Emdogain is applied to the blood and saliva-free root surface. This procedure was also used to treat the furcation defect at tooth 47. Regenerative treatment of tooth 46 was performed since that tooth had a very extensive furcation defect. The defect was filled with Bio-Oss, which was applied using an amalgam plugger. Absorbable Bio-Gide was used for coverage of the furcation entrance. Finally, the wound was closed using loop sutures and single interrupted sutures. -
Dental Explorer 3D (Trailer)
Kohlbach, WolfgangEine neue Dimension in der Patientenberatung eröffnet das komplett neu entwickelte Multimediaprogramm Dental Explorer 3D. Alle restaurativen, prothetischen und implantologischen Versorgungsarten sind neben der 2D-Präsentation auch als 3D-Echtzeit Modelle darstellbar, die frei gedreht und skaliert werden können. Der Dental Explorer 3D setzt einen internationalen innovativen Qualitätsstandard auf der Grundlage des klassischen und mehrfach preisgekrönten Dental Explorers 2.0. Mit einem Mausklick wechseln Sie zwischen den realen 2D-Fotografien und den 3D-Modellen. Über 20.000 Bilddokumente sind in diesem einzigartigen Multimediaprogramm integriert. Hinzu kommen 26 hochwertige 3D-animierte Videoclips zum Schwerpunktthema Implantologie. Sie zeigen eindrucksvoll die verschiedenen Stadien und Alternativen implantologischer Versorgungen, um Ihr Patientengespräch bestmöglich zu unterstützen. Leistungen die beeindruckend sind: - individuelle Darstellung der Versorgungsarten im 2D- und 3D-Modus - alle relevanten prothetischen Versorgungsarten frei wählbar - alle relevanten implantologischen Versorgungsarten auf Gingiva- oder Knochenniveau - stufenloser Transparenzmodus für die Darstellung der Versorgungsarten - individuelle Darstellungsmöglichkeit der Benutzeroberfläche - maximale 3D-Performance durch die direkte Ansteuerung von 3D-Grafikprozessoren - neuartige Darstellung im Picture-Flow mit Screenshot-Funktion - Schnittstelle für die Datenübergabe an die Abrechnungssoftware - PC und MAC kompatibel unter Berücksichtigung der neuesten Benutzertechnologien.
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Zirconia Ceramic Restorations Vennered Using the Overpress Technique, part 2
Bußmeier, UweMaterials Checklist: Zeno Tec System Wieland Software: Dental Designer by 3shape Milling unit: Wieland 4030 Zirconia: ZENO® Zr; zirconia staining: Zircolor Investment material: PressX Zr Investment Press: IMAGINE Press with disposable plungers Ingots: PressXZR SHO-3; veneering ceramic: ZIROX Glaze: PressXZR Body Stain A3 / Glaze -
REGENERATION POTENTIAL OF BLOOD MESENCHYMAL STEM CELLS – A SIMPLE PROTOCOL FOR BONE GRAFTS IN MEDICAL OR DENTAL OFFICES AND SOFT TISSUE OR CARTILAGE REGENERATION
Objectives: Mesenchymal stem cells are considered to have a positive impact on tissue regeneration, but they require many manipulations and invasive procedures, such as cell harvesting from bone marrow. This study aimed to evaluate a protocol for using smart blood concentrate in the form of injectable platelet rich fibrin (i-PRF) provides platelets, inflammatory cells and considerable quantities of mesenchymal stem cells from a simple blood withdrawal procedure with a short spin time. Methods: Autologous blood was withdrawn and centrifuged in specific i-PRF tubes at a very low speed for a short time, producing a supernatant of i-PRF. After flow cytometric analysis, specific markers (CD34–, CD45–, CD44+, CD73+, CD90+, CD105+) were applied to detect mesenchymal stem cells. The supernatant was injected into human knee and temporomandibular (TMJ) joints and in sites for soft tissue and bone regeneration within the oral cavity in a total of 40 patients suffering from TMJ and knee joint disorders. Results: Numerous mesenchymal stem cells (0.4–2.0% of total cells) were present in the supernatant. They were cultured in in mono-culture and co-culture with other mesenchymal cells, such as osteoblasts, fibroblasts and endothelial cells. Injection into a graft included clotting of granulesin 1 minute and produced a solid bone graft without any granule mobility (sticky bone graft). Six injections resulted in cartilage regeneration in 10 patients and significant pain relief was achieved in 10 with TMJ dysfunction. In the other 20, better soft tissue and bone regeneration was achieved compared with control groups who received bone substitute and collagen-based materials without i-PRF. Conclusions: This simple protocol may lead to new clinical applications of stem cells for tissue regeneration. The presence of stem cells within the inflammatory milieu might optimise synergy between mesenchymal stem cells and inflammatory cells for soft tissue and bone regeneration. -
Ästhetik in der Zahnheilkunde - Ästhetische Stiftsysteme
Terry, Douglas A.