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Vestibuloplasty and mucosal graft in implant site re-entry following maxillary reconstruction
Schultze-Mosgau, Stefan -
Implant placement in the anterior mandible with bone augmentation
Hürzeler, Markus B. -
3D planning and template-guided implant insertion in the edentulous jaw
Kirsch, Axel / Ackermann, Karl-Ludwig / Neuendorff, GerhardContents: - Surgical procedures for anchoring a diagnostic guide - Inserting four provisional implants - Impression and bite registration, fabrication of the master cast - Tooth-setup for the temporary restoration - Registering the setup in a silicone index - Duplicating the setup in radiopaque resin for CT imaging - Implant planning using a 3D record of the CT image - Fabricating a transfer template based on the CAD treatment plan using the CAMLOG® Guide System - Inserting the guiding sleeves into the template - Fabricating the final restoration prior to inserting the implants - Vario SR abutments with Vario SR titanium copings for a passive fit - Fabricating a cast titanium framework to reinforce the restoration - Surgical procedures demonstrating the definitive implant insertion - Insertion of six implants for immediate loading - Providing a controlled-clearance fit between the implants and the denture base -
3D planning and template-guided implant insertion in the partially edentulous jaw
Kirsch, Axel / Ackermann, Karl-Ludwig / Neuendorff, GerhardContents: - Planning and preparing a transfer stent - Introduction to on-screen 3D planning - CAD-designed transfer stent - Integrating the CAMLOG® Guide guiding sleeves - Fabricating a therapeutic restoration - Positioning the lab analogs on the master cast using the transfer stent - Titanium bridge frameworks for the temporary restoration - Surgical procedures: implant placement with the transfer template - Hydrocolloid impression taking and bite registration - Temporary insertion of the therapeutic provisional, demonstrating of a passive fit - Definitive CAMLOG abutments - Scanning the abutments, designing the crowns on-screen, machine driven milling of the zirconia crowns, veneering - Preparation for the delivery of the definitive restoration - Connecting the abutments, checking the torque, cementing the crowns, functional checks - Evaluating the completed restoration and assessing the teamwork of the dentist and dental technician -
Immediate placement and all-ceramic restoration in the anterior maxilla - a customized interdisciplinary treatment approach
Happe, Arndt / Nolte, AndreasContents: - Patient presentation and esthetic analysis - Careful extraction of a non-salvageable tooth - Miniplast splint as a surgical template - Harvesting bone from the implant bed - Placing a CONELOG® implant at site 11 - Obtaining a corticospongeous bone cylinder at site 48 - Alveolar augmentation and reconstruction of the buccal bone lamella - Harvesting a connective-tissue graft - Tunneling the vestibular mucosa, various suturing techniques - Insertion of the provisional restorations - 3 months later: Preparing, impression and arbitrary transfer with a bite fork and facebow, temporary restoration - Master cast, new wax-up, determine the emergence profile - Fabricating a hybrid abutment, Scanning the custom abutment, on-screen crown design - Fabricating a zirconia abutment and a feldspathic ceramic veneer - Conditioning and adhesive attachment of the components, final intraoral check - Try in and adhesive cementation -
Microsurgical lateral sinus floor elevation (LSFE)
Nölken, RobertOutline: - Incision - Flap mobilization - Lateral sinus fenestration - Elevation of the Schneiderian membrane - Implant bed preparation - Bone chip harvesting at the mandibular angle - Filling of sinus lift lumen with autologous bone chips - Implant insertion - Covering the lateral sinus cavity with collagen membrane - Wound closure List of materials - Zeiss Pro Dent microscope with beam splitter and Panasonic 3 CCD camera - Scalpel holder (Ustomed) with Swann-Morton blades 15C and 12D - Narrow rasp (Hu-Friedy) - Micro-vacuum (Luer Lock Suction Tip, American Dental Systems) - Disposable vacuum tube set (Bexamed) - Disposable draping, Lindau (Aescologic) - Piezosurgery with diamond ball (Mectron) - Microforceps (Hu-Friedy) - Excavator (Martin) - Periodontometer, 1-mm gradation (Hu-Friedy) - OsseoSpeed implant set, Dentsply Implants: Marking drill; Twist drill, 2 mm; Depth gauge; Pilot drill, 2/3.2 mm; Twist drill, 3.2 mm; Tapered drill, 3.2/5 mm; OsseoSpeed TX implant, 5.0 × 11 mm; Closure screw, 4.5/5 mm - Columbia curette (Ustomed) - Micross scraper (Meta) - Needle holder (Ustomed) - Langenbeck wound retractor (Ustomed) - Kelly scissors (Ustomed) - Buchanan endodontic hand plugger (American Dental Systems) - Resorbable collagen membrane (Resodont, Resorba) - Ethilon 5-0 FS-3 (Ethicon) - Prolene 6-0 DA-2 (Ethicon) -
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Implant placement in the lower posterior area with immediate provisionalization
Hürzeler, Markus B. -
Mandibular Distraction Osteotomy
Schleier, Peter / Schultze-Mosgau, StefanProcedure - Indications and preoperative planning - Incision technique and osteotomy - Placement of distraction apparatus - Wound closure and postoperative regimen Materials: V2-Alveolar distractor, Medartis (Switzerland) 2,0mm Screws for Osteosynthesis, Medartis (Switzerland) Vicryl Suture, Ethilon (USA) -
Regenerative Treatment on Tooth 14 und 24
Eickholz, PeterProcedure: - Incision - Flap Design - Removal of the granulation tissue - Application of the PrefGel on the root surface - Application of the Enamel -Matrix -Protein (Emdogain) - Suture (Offset-Suture) - Identical procedure on the opposite side (1st quadrant) Materials: Retractor Micro Surgical Scalpel Handle Mini Scalpel Blades 4 x Gracey Curettes Periosteal Trombelli Periosteal Prichard Microsurgical Needle Holder Castroviejo Scissors Tweezers Microsurgical Tweezers Gore Tex CV-5 Sutures Gore Tex CV-6 Sutures Emdogain 0,7 ml PrefGel -
Operative Therapy for Retained Teeth in the Maxilla
Schultze-Mosgau, Stefan / Neukam, Friedrich Wilhelm / Basting, GerdContent: In adolescence, the exposure and orthodontic classification of retained teeth, especially canines and premolars, represents a useful therapy measure. Techniques for surgically exposing vestibularly and palatally retained teeth are demonstrated using the tubed pedicle flap technique. Because epithelialized mucous membrane is covered in the tubed pedicle flap technique, a renewed growth of the exposed tooth is prevented and a classification of the tooth with orthodontic appliances under sight control is enabled. Depending on the retention form, the extent of movement, and the patient's age, exposure may no longer be possible under some circumstances, indicating the need for operative removal of the retained canine or premolar. Preoperative localization methods, vestibular and palatal operative access paths, and surgical techniques for atraumatic removal are demonstrated. Operative techniques for the atraumatic removal of retained maxillary third molars also are shown. For the gentle removal of retained maxillary third molars, it is very important to record their topographic positional relationship to the maxillary sinus and to select the cutting direction and most suitable osteotomy technique. Outline: - Techniques for exposing maxillary canines or premolars for orthodontic classification - Operative removal of retained maxillary canines - Operative removal of retained maxillary third molars