Female patient (*1977) treated by Dr. D. Büchi (2009-2011). Functional and aesthetic rehabilitation of the anterior maxillary teeth with full-ceramic restorations.

The patient came to Dr. Thomas Truninger for an esthetic rehabilitation. She was specially bothered by the large black triangles in the anterior maxilla.

Female patient *1958, by J. Tam and N. P. Lang (2009-2012). Periodontitis case with mobile and elongated anterior tooth, which was replaced by a single implant crown.

In this module, Prof. Pascal Valentini will give you a detailed insight into the topic of sinus floor elevation. He discusses important aspects of sinus floor elevation including: anatomical and physiological considerations as preparation for surgery, patient selection, diagnostics (CBCT), surgical technique, grafting material and complication management. These aspects are nicely illustrated by a lot of clinical cases and surgical videos.

Male patient (*1969) with myoarthropathy is looking for an esthetic rehabilitation of his teeth, which are severely damaged by attrition, abrasion and erosion.

Procedure - Soft and hard tissue management - Implantodontic treatment - Case documentation Contents: - History - Patient hadn't seen a dentist for 15 years - Has been on Marcumar since developing a blood clot in 1997 - His general practitioner extracted teeth and performed conservative dentistry during the last year - Heavy smoker (30 cigarettes a day) - Prothrombin time (Quick's value): 40 - Premedication: Augmentan 750/125 tablets.

Content: 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.

Contents - Incision technique for lateral sinus floor augmentation - Creation of a lateral bone window in the facial maxillary sinus wall - Maxillary sinus floor elevation - Chin bone graft harvesting - Retromolar bone harvesting - Sinus floor augmentation using autologous bone, beta- tricalcium phosphate (1:1) and PRP Synopsis: Maxillary sinus augmentation may be indicated in cases where it is desirable to increase the vertical bone stock in the upper lateral tooth region. Maxillary sinus floor augmentation entails the implantation of autologous bone or bone replacement material in the spaces between the bony floor and elevated membrane of the maxillary sinus. This video demonstrates the techniques for palatal incision, access preparation, and exposure of the facial wall of the maxillary sinus. A diamond drill is used to create a bony window in the facial wall of the maxillary sinus taking care not to perforate the sinus membrane. After completely detaching the basal parts of the membrane, the flap is advanced cranially using angular elevation instruments. Regarding the procedure for autologous bone grafting, the steps for incision, prepping and harvesting of monocortical chin bone transplants with a trephine drill are demonstrated. An alternative procedure for harvesting retromolar bone material is also shown. A bone mill is used to particulate the autologous bone material. The autologous bone chips are then mixed 1:1 with beta-tricalcium phosphate (and PRP) and inserted in the sinus floor.

The old reconstructions have to be replaced. But how? A challenging case treated by Dr. Sven Mühlemann, University of Zurich.

Before starting the full-mouth reconstruction, the oral-maxillary sinus fistula (oroantral fistula) has to be closed.

Male patient *1970, by J. Tam and N. P. Lang (2011-2013), University of Hongkong. Periodontitis case with pain and furcation involvement, single implant crown

Missing posterior teeth and old unesthetic reconstructions - see how this case was solved by Dr. Christian Leutert at the University of Zurich.