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Guided Bone Regeneration in Posterior Maxilla with Membrane Technique. Insertion of an Implant - The entire case
Mengel, Reiner / Foitzik, ChristianOverview: Part 1 - Incision and mobilization of the mucoperiosteal flap - Cleaning the bony defect - Screw insertion for support, membrane application and fixation - Suture closure Part 2 - Opening of the mucosa above the region of augmented bone - Preparation of tunnel and bone bed for an open screw-type endosteal implant (Straumann® implant) - Use of single button sutures for tension-free wound closure Contents: This female patient presented with bone loss due to a radicular cyst at tooth 27 and peri-implantitis at tooth 26. Four months after extraction of the respective tooth and implant, guided bone regeneration (GBR) was carried out using supporting screws and an e-PTFE membrane for augmentation of the posterior tooth region of the maxilla. Four months after GBR the insertion of an implant took place. -
Multiple recession coverage using a modified tunnelling procedure
Zuhr, OttoOverview - Incision technique - Flap creation - Transplant fixation - Suture closure Contents: This video demonstrates the coverage of multiple recessions by means of a modified tunneling technique characterized by the use of a minimally invasive, atraumatic procedure without the creation of vertical incisions -
Immediately loaded implant restorations in the edentulous mandible
Overview: 1. Preoperative planning and template fabrication 2. Implantation technique for the edentulous lower jaw 3. Intraoperative insertion of connecting bar 4. Postoperative construction of a fixed implant-borne prosthesis 5. Insertion of the fixed dental prosthesis on the three implants on the day of surgery. Contents: This contribution describes the insertion of three screw-type endosseous implants and the fabrication of a fixed dental prosthesis for immediate postoperative loading in the edentulous lower jaw. A thorough description of the indications for implantation, the foundations of planning, and the fabrication of various surgical templates to be utilized as planning aids is followed by a demonstration of the technique for preparation and implantation of three screw-type endosseous implants in an edentulous lower jaw. Selection of the implant site for immediate postoperative insertion of the connecting bar is illustrated in detail. The production of a fixed dental prosthesis for immediate postoperative loading is also shown comprehensively and in detail. At the end, the video demonstrates how to test the functional efficiency of the dental prosthesis by evaluating masticatory function under stress., -
Incremental layering composite restoration in the anterior maxilla
Dietschi, DidierMorphological abnormalities such as peg-shaped laterals are quite frequent dental problems which must be addressed by restorative means. An ideal aesthetic correction can be achieved with minimal or no-loss of tissue, what is known as "Minimally Invasive Dentistry", a concept becoming popular also in Aesthetic Dentistry. This video demonstrates the reconstruction of two lateral incisors with direct composite application, following the "Natural Layering Concept", which implies the use of separate dentin and enamel increments, mimicking the natural tooth anatomy. Step by step procedures will be detailed, which include shade selection, placement of the rubber dam, adhesive procedures, dentin and enamel build-up and finishing-polishing procedures, which finalize the restorative work. By following a precise and meticulous operative protocol, perfectly natural looking restorations can be produced, in a predictable way. -
Connective tissue graft for recession defect coverage and vertical osseous defect in the anterior mandible
Heinz, Bernd / Jepsen, SørenContents: 1. Removal of free connective tissue graft from palate 2. Suturing to close graft removal site 3. Making the incision for coronal sliding flap 4. Cleaning and smoothing root surface with instruments 5. Removal of granulation tissue 6. Setting the free connective tissue graft into position 7. Graft fixation 8. Mobilizing the coronal sliding flap 9. Flap fixation -
Combined implant treatment with soft and hard tissue management
Schlee, MarkusProcedure - 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. -
Restoration of Anterior Teeth with Porcelain laminate Veneers
Bastek, Siegfried / Fiechter, PaulContent: Preparation of teeth; Composite build-up for larger lesions; Smoothing of preparation surfaces; Placement of retraction cords; Impression-taking with A-silicone; Placement of temporary; Preparation of model; Preparation of laminate veneers; Final adhesive bonding of laminate veneers. -
Bone Transfer
Streckbein, RolandContent: 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. -
Implant-borne Immediate Prothesis on Laser-Welded Bar
Drobig, FelixDescription of baseline situation; Exposure of underlying bone; Insertion of four implants; Impression-taking; Bar construction; Welding the individual components, Correction of tension; Finishing the bar; Adjusting the prosthesis; Implant placement. -
Access-Flap for Treatment of Aggressive Periodontitis
Beck, FrankContents. Aggressive periodontitis leads to early and extensive loss of periodontal supporting tissue. Controlling the infection is of serious importance to avoid further loss of attachment. The surgical procedure is difficult, especially if the tissue is already severely damaged. The challenge for the surgeon is to protect and conserve the tissue as much as possible. -
Rubber Dam - a Practical Exercise
Lambrechts, PaulContents: Demonstration of rubber dam application. -
Gestieltes Bindegewebstransplantat bei verzögerter Sofortimplantation
Wagner, WilfriedGliederung - Implantatinsertion mit Bohrschablone - Gestieltes Bindegewebstransplantat Inhalt: Zur Verbesserung der ästhetischen Voraussetzungen kann im Zusammenhang mit der Implantation eine Weichgewebeaugmentation mit einem palatinal gestielten Bindegewebstransplantat erfolgen. Das sichert gleichzeitig die Wundabdeckung bei einer submukösen Einheilung und kommt ohne zusätzliche ästhetisch störende vestibuläre Entlastungsinzisionen aus. In die ehemalige Extraktionsalveole des Zahnes 21 wird ein Nobel Biocare-Relace-Implantat eingebracht. Mit der vorbereiteten Bohrschablone erfolgt eine Orientierung an der palatinalen Alveolenwand, um den vestibulären Knochen nicht zu schädigen. Nach stabilem Einbringen des Implantates wird dann auf der gleichen Seite durch palatinale Inzision ein freies Bindegewebe transplantiert. Es ist mesial gestielt und wird stabil über die Implantatregion nach vestibulär mit einem Vicrylfaden eingenäht. Um die ästhetische Weichteilkonturierung nach Einheilung des Implantates zu erleichtern, wird das Weichgewebe im Überschuss augmentiert.