The evolution of digital dentistry has provided dental professions with a new standard in delivering restorations with both aesthetic and functional outcomes. The combination of CAD/CAM technology and intraoral scanners allows restorative clinicians in collaboration with the dental laboratory to design and fabricate patient-specific restorations for optimal outcomes. This program will review today’s digital technologies; provide an overview of the benefits and limitations of intraoral scanners; and the design principles used in abutment design and restoration fabrication to optimize aesthetics.
All members of the dental implant team play an important role in educating patients about available treatment options. Whether they are missing one tooth or are edentulous or partially edentulous, every patient deserves the right to hear his or her treatment options. Team members should be knowledgeable about the modality of treatment and treatment sequencing for implant therapy. This program will guide participants through the steps involved in identifying
potential candidates for implant therapy, through educating patients about the benefits, and includes the communication skills necessary to confidently discuss implant therapy with patients.
Dental implant therapy has become a well-accepted modality of treatment for missing or hopeless dentition. However, the maintenance of osseointegration is as important as achieving it. The frequency of peri-implant mucositis and periimplantitis has been increasing and now presents different challenges for the dental implant team. This program will define and illustrate peri-implant mucositis and peri-implantitis, as well as describe and illustrate specific recare protocols designed to help ensure optimal, long-term outcomes of implant-supported prostheses and patient satisfaction.
When patients present for implant therapy with ideal tooth position, great care must be taken to maintain or sometimes rebuild tissue for optimal aesthetic outcomes. Many times, however, patients present for treatment with less than ideal tooth position. This program outlines a treatment planning protocol that allows the practitioner to efficiently determine a patient’s treatment options for comprehensive treatment. Case examples will be presented to demonstrate how this protocol can be applied, including one case of a patient presenting for implant therapy with non-ideal aesthetics.
This program will present the fundamentals of fixed prosthodontics through complex implant cases. Three-dimensional radiography, proposed prosthesis form, residual intraoral anatomy, and extraoral facial form must all be considered to arrive at a comprehensive evaluation and implant treatment plan for a completely edentulous arch. Clinical case examples which may be well suited for a removable prosthesis will be presented. The maxillary edentulous arch
includes additional considerations not applicable to the mandibular arch. This program will guide participants through recognition of critical issues that will lead to dependable outcomes.
Full arch implant treatment has become a well-accepted treatment modality for edentulous patients and patients with terminal dentitions. The frequency of peri-implant mucositis and periimplantitis has been increasing and now presents different challenges for the dental implant team. This program will define and illustrate peri-implant mucositis and peri-implantitis, as well as describe and illustrate specific recare protocols. Clinical cases will be presented, along with current recommendations for continuing care from the professional literature.
This program designed for the dental team, will explore current digital technologies and their potential for enhancing dental implant treatment. Information needed to design a custom implant restoration will be discussed, followed by impression methods, including a simplified impression protocol for fabrication of patient-specific implant-supported restorations. The benefits of using an intraoral digital scanner for data capture will be reviewed, as well as, the benefits for patients and the practice. Design principles for CAD/CAM abutments and aesthetic restorations will be presented.
Clinicians face many challenges which may compromise successful implant outcomes. Systemic conditions, various medications, and nicotine use may create situations which decrease implant success. Examples include the effects of diabetes upon the periodontium, and the detrimental effects of smoking on implant healing and osseointegration. Sites where implants have previously failed may be particularly problematic. Selection of the proper implant in these conditions is crucial to achieving a positive result for patients.
Digital technologies have had a dramatic impact on all disciplines of dentistry, particularly in the fields of prosthodontics and surgery. The evolution of digital technologies has provided dental professionals with the possibility of following a completely digital workflow beginning from diagnostic treatment planning to prosthesis fabrication. Clinical data acquisition using intraoral scanners has bridged the digital gap between the clinical practice and the dental laboratory. While these latest digital tools offer new and different workflows compared to conventional techniques, it is imperative that clinical efficiency and restoration accuracy not be compromised. This presentation will provide a practical and pragmatic overview of the digital tools and technologies used in a modern prosthodontic practice. The use of intraoral scanners and workflows required for simple reconstructions to comprehensive full arch rehabilitations in both conventional and implant-based applications will be presented.
This program will focus on new techniques and digital technologies for the fabrication of implant-supported restorations, including data capture with the use of a coded healing abutment for fabrication of CAD/CAM abutments. Benefits and limitations of intraoral scanners currently available will be discussed, along with advanced design principles used in CAD/CAM abutment design. This program is indicated for all members of the implant team and will emphasize the requisite communication desired amongst the surgeon, restorative dentist, and laboratory technician to ensure optimal patient outcomes.
This program will cover several aspects of implant dentistry to guide dentists in optimizing implant therapy for partially edentulous patients. Participants will gain the general understanding necessary for development of a treatment plan for multiple edentulous cases. Special considerations will be discussed as to how to choose the ideal implant and optimal components for a given case while ensuring a stable and aesthetic result. A coded abutment impression system and numerous options associated with its use will also be covered.
Ce programme couvrira plusieurs aspects de la dentisterie implantaire pour aider les dentistes à optimiser le traitement implantaire pour les patients partiellement édentés. Les participants acquerront la compréhension globale nécessaire à l’élaboration de plans de traitement adaptés à divers cas de patients édentés. Une attention particulière sera portée sur la manière de choisir l’implant idéal et les composants optimaux pour un cas donné tout en assurant un résultat durable et esthétique. Le système de prise d’empreinte de piliers codés et de nombreuses options associées à son utilisation seront également abordés.
The success of dental implant therapy is based upon achieving osseointegration, as well as, achieving optimal aesthetics, function, and harmony consistent with the existing dentition. A critical soft-tissue dimension is required for long-term success of the gingival margin, peri-implant health and restorative aesthetics. This presentation will describe how to improve comfort, enhance aesthetics, and reduce the number of visits with the restorative dentist by providing an immediate fixed provisional restoration. Indications of periodontal plastic surgery around dental implants will be presented, as well as, treatment planning considerations, timing, and different types of soft-tissue grafting including the use of a dermal allograft.
The implant dentist and patient still want the same things: restorations that look good, done as quickly and affordably as possible and remaining trouble free over the long term. This program will address the treatment plans that have allowed these positive outcomes over the last 30 years and
contrast them with those that have had less optimum outcomes. Likewise implant strength, anti-rotational features, torque control, and occlusion unique to contemporary implant systems will be discussed. Particular emphasis will be given to practical applications of digital technology to make procedures quicker and easier. Clinically relevant research conclusions on early and immediate loading will be highlighted. Current controversies on tilted implant protocols, bioactive surface coatings, immediate provisional restorations, splinting, and screw vs. cement retention will be emphasized.
Delivering aesthetic implant restorations on a predictable basis can be challenging. Immediate implant placement and immediate restoration have allowed clinicians to maximize aesthetic results for their patients while expediting their therapy. This program will review digital smile design, treatment planning considerations, implant selection, implant placement, and immediate restoration of dental implants in the aesthetic zone.
All too often, implant-supported restorations, whether large or small, are designed and fabricated only to find upon insertion that there is inadequate space for the definitive restoration. This leads to complications such as structural insufficiency, poor contours, unsatisfactory aesthetics and issues with phonetics. The purpose of this presentation is to propose a systematic clinical approach which highlights the importance of pre-treatment threedimensional restorative space assessment and its critical clinical relationship to the decision making process when choosing various implant prosthetic designs.
This presentation will describe techniques for the delivery of screw-retained and cemented implant restorations, including benefits and limitations of each restoration type. Topics to be discussed include: methods of seating abutments and tightening screws including appropriate torque values; application, and methods for minimizing excess cement and the significance of failing to control cement around implant-supported restorations; and procedures for verifying and adjusting occlusal and interproximal contacts.
Dental implants are highly predictable when treatment protocols are followed. Peri-implantitis is a disease that threatens implant survival long-term. For clinicians, there is no clear consensus on how to prevent and treat this fast-growing problem. This presentation will provide an overview of the diagnosis of peri-implant disease and treatment considerations. The decision tree for different treatment modalities will be highlighted, including different prosthetic treatment options including CAD/CAM restorations to optimize plaque control and maintain health around implant-supported restorations.
The surgical success of dental implants has become quite predictable. Strategies and techniques exist today that has changed older paradigms of implant therapy, and allow implant treatment to be accelerated. These include the immediate placement of dental implants at the time of extraction, as well as the immediate provisional restoration of implants at the time of placement. This presentation will focus on the parameters which must be considered during the
diagnostic phase to assure successful and precise implant placement at these different phases of treatment. Included will be a clinical and research-based review of the indications and contraindications for immediate implant placement, and immediate loading of dental implants placed into “healed” extraction sites.
The terminal dentition presents significant diagnostic and treatment planning challenges. Loss of teeth caused by severe periodontal disease, as well as caries, often results in disfigurement, infection and loss of function. Severe bone loss may ensue. The multiplicity of treatment options available to treat the failing dentition will be elucidated with a clear algorithm which allows the doctor to guide the patient decision-making process. With the predictability of implant therapy, patients previously without hope can be restored to health and aesthetics.
Patients with debilitated dentition or who are edentulous, often seek rehabilitation with implant therapy to quickly regain their confidence and quality of life. Immediate full-arch restoration can be an excellent solution for meeting patient demands and expectations. This program will provide an overview of this treatment modality and demonstrate a step-by-step, practical approach to delivering provisional full-arch prostheses on the day of implant placement, and later creating an aesthetic, functional definitive prosthesis.
This program will present an introduction to innovative, new treatment approaches that may accelerate orthodontic treatment, and prevent dehiscence defects and gingival recession caused by orthodontic arch expansion. The rationale for this technique will be discussed, as well as advantages and disadvantages, and a review of graft material selection for alveolar ridge augmentation, and the application of these materials and augmentation techniques prior to, and during, active orthodontic treatment.
Les techniques et les matériaux de régénération des tissus durs et mous ont changés au cours des 20 dernières années et ont considérablement changé la pratique de la chirurgie implantaire et reconstructive. L'accent a été mis sur la réalisation de gains dimensionnels des tissus durs et mous résultant en améliorations substantielles des résultats esthétiques. Cependant, une attention limitée a été accordée à la qualité des tissus régénérés. Le rôle des échafaudages de tissus durs et mous au cours des procédures de régénération sera discuté, ainsi que leur impact potentiel sur la qualité des tissus et l'amélioration des résultats.
Osteoporosis, oral cancer, and co-morbidities are on the rise. Patients with these conditions are most often denied dental implant therapy, due to lack of consensus on whether implant therapy can be done successfully. Trabecular Metal™ Technology has been used for more than two decades in orthopedic surgery, especially in patients with osteoporosis, cancer, and comorbidities. The Trabecular Metal Dental Implant has been tested in animal models and human cases for more than five years. Clinical cases presenting the Trabecular Metal Dental Implant for enhanced secondary stability in poor bone quality, and in medically compromised patients will be presented, as well as revision and rapid recovery indications.
Vertical and horizontal ridge augmentation in the posterior and anterior jaws, has represented a significant challenge. The use of titanium mesh housing 100% allograft on a deficient alveolar ridge is proving to be a valid and predictable technique providing the biological parameters sufficient for pre-implant periodontal, hard- and soft-tissue support for a functional prosthesis. Clinical adversities will be discussed, including anatomical limitations, which are inherent in securing a rigid nonresorbable membrane in order to maintain the space for the success of allograft. Three dimensional printing of the bony and dental anatomy allows for visualization and tactile examination, without the presence of the patient, and has shown to be a significant advantage that ameliorates these clinical challenges.
Este programa se centrará en las pautas de tratamiento para el logro de la estética en la Implantología. Se enfatizará el enfoque de planificación de tratamiento de arriba hacia abajo para la preparación de casos y se destacarán las tecnologías avanzadas centradas en el contorno y la preservación de los tejidos. Este enfoque de la planificación del tratamiento brinda a los médicos la oportunidad de brindar resultados estéticos óptimos a sus pacientes en rehabilitación oral.
This program will illustrate through clinical examples, long-term success and failures associated with prosthetic implant restorations. Original concepts in diagnosis, treatment planning, and therapies will be compared to modern day treatment concepts and principles, especially regarding advances in equipment and technologies. Evidenced-based treatment successes will be illustrated for fixed, removable, and single-unit implant restorations.
The introduction of intraoral digital scanners for use with coded healing abutments has eliminated the need for traditional impressions. Instead, the scanner data can be used to create a three-dimensional digital model of a coded healing abutment in the patient’s mouth. Abutment design can be greatly enhanced, and the interval between impression making and delivery of the computer-milled titanium definitive abutment/restoration can be significantly compressed. This program will review the steps involved in using intraoral scanning technology to create definitive, CAD/CAM patient-specific implant supported restorations. Benefits and limitations of scanners currently available will be discussed, along with design principles used in CAD/CAM abutment design.
Current trends in implant dentistry lead to the search for aesthetics, minimal-invasiveness, and short treatment times. This program will present new techniques that allow the clinician to achieve these three objectives with simple, predictable procedures while maintaining a success rate equal to a standard-staged approach. Complex cases previously treated with more invasive procedures, and long treatment times can be solved today with simple, predictable, straight forward techniques. New protocols, practical tips, and preliminary data from clinical studies will be presented and analyzed with the aim to give to the participants’ the knowledge and tools to successfully implement in their daily practice.
In the sea of information available in implant dentistry, there is little time taken to explain, understand, and implement the proper interaction of a prosthetic with its counterpart. Occlusion in implant dentistry can be relatively simple but time must be taken to understand some basic principles. This program will help shed some light on how a well-managed occlusion can lead to greater long-term success, both biologically as well as prosthetically.
While adequate bone is the ultimate requirement for implant and tooth success, adequate gingival tissues are also essential for ideal aesthetics and health. This presentation will focus on the parameters which must be considered during the diagnostic phase and treatment phase to assure biologic and aesthetic success around teeth and implants. The use of soft-tissue allograft to augment soft tissue around teeth and implants will be discussed. Treatment options will be illustrated and discussed through a variety of clinical case examples.
This program has been designed for the dental team and will focus on digital technologies for the fabrication of CAD/CAM abutments for implant-supported restorations with the BellaTek® Encode® Impression System. The benefits and limitations for this system will be explained in terms of patient comfort and efficiencies for patients, staff members, and dental laboratory technicians. This technology is considered to have a wow factor for the practices that have adopted it.
This program for the dental laboratory technician will focus on new digital technologies for the fabrication of patient-specific CAD/CAM abutments for implant-supported restorations with the BellaTek® Encode® Impression System. The benefits of becoming an Encode Empowered Laboratory will be explored including scan and design control, reduced turnaround times, access to proprietary software for abutment design, abutment material flexibility, and cost effective milling options. The communication between the restorative dentist and commercial dental laboratory will be discussed, including the workflow starting from data capture with an intraoral scanner, through abutment design and fabrication of the restoration.
Este programa para el técnico de laboratorio dental se concentrará en las nuevas tecnologías digitales para la fabricación de pilares CAD/CAM específicos del paciente para restauraciones con implantes con el sistema de impresión BellaTek® Encode®. Se explorarán los beneficios de convertirse en un laboratorio potenciado por Encode, que incluye control de diseño y escaneo, tiempos de respuesta reducidos, acceso a software propietario para el diseño de pilares, flexibilidad del material del pilar y opciones de fresado rentables. Se discutirá la comunicación entre el dentista restaurador y el laboratorio dental comercial, incluyendo el flujo de trabajo a partir de la captura de datos con un escáner intraoral, a través del diseño del pilar y la fabricación de la restauración.
Ce programme est conçu pour les techniciens de laboratoires dentaires et se concentrera sur les nouvelles technologies numériques pour la fabrication de piliers CAD-CAM sur mesure pour les restaurations sur implants avec le système d'empreinte BellaTek® Encode®. Les avantages d’utiliser Encode® au Laboratoire seront explorés, notamment le contrôle de la numérisation et de la conception, réduction des délais d'exécution, l'accès à un logiciel propriétaire pour la conception des piliers, la flexibilité du matériau des piliers et la rentabilité des options de fraisage. La communication entre le dentiste prothétique et le laboratoire dentaire sera discutée, y compris le flux de travail à partir de la capture des données avec un scanner intra-oral, à travers la conception du pilier et la fabrication de la restauration définitive.
Alveolar bone deficiency, especially in the anterior maxillary area, can prevent ideal implant placement and jeopardize the aesthetic outcome. The anatomic configuration in the atrophic site creates acquired Angle Class III malocclusion influencing the surgical choices. In this program, clinical cases demonstrating moderate-to-severe maxillary atrophy are described, including a combination of sub-nasal, sinus elevation procedure, and cases where intraoral autogenous bone blocks are used for ridge augmentation prior to, or simultaneously with dental implant placement. The ridge augmentation procedures are combined with the creation of a scaffold mixed with plateletrich-plasma (PRP) or bone-marrow aspirate (BMA) and covered with platelet-poor-plasma (PPP) as a biological membrane.
This program will present clinical guidelines for the replacement of hopeless single-unit posterior teeth with implant-supported restorations. To meet today’s patient demands for immediate replacement of hopeless teeth, the treatment sequencing for extraction, immediate implant placement vs. socket preservation and delayed placement, will be highlighted. A simplified impression protocol for fabrication of patient-specific abutments will be discussed, as well as the benefits of using an intraoral digital scanner for data capture. Design parameters for CAD/CAM abutments that support the soft-tissue contours, will be presented.
Dental implant therapy has evolved and changed drastically over the years, but particularly over the last decade. With the development of new technology and better understanding of bone physiology and regeneration, clinicians can deliver immediate implant reconstructions with a high degree of predictability. The Zimmer Biomet RevitaliZe Patient Solutions approach is a graftless, affordable, and predictable treatment modality to deliver both functional and esthetic full-arch dental implant rehabilitation. This program will provide participants with a comprehensive understanding of this protocol and its clinical applications.
This program will illustrate and explain the four main implant loading protocols available to clinicians in 2018. Historical prospectives will be discussed and illustrated with clinical images and literature citations. The scientific rationale will be highlighted that resulted in early loading, immediate full arch occlusal loading and immediate non-occlusal loading protocols for single- unit implant restorations. Clinical examples will be shown illustrating the benefits/limitations associated with each protocol.
This program will present digital pathways that integrate CAD/CAM frameworks and bars with implant-supported interim and definitive prostheses. One of the digital pathways to be illustrated will allow clinicians a fully digital option when treating patients with full arch restorations including CBCT scans, virtual treatment planning with CAD/CAM dentures, along with computer generated guides and framework design.
This program will provide a literature-based, systematic approach aimed at helping clinicians with treatment planning and the decision-making process for patients who would benefit from implant-supported overdenture therapy. The discussion will include an overview of the key clinical steps necessary for providing this care.
Ce programme fournira une approche systématique basée sur la littérature visant à aider les cliniciens dans la planification du traitement et le processus de prise de décision pour les patients qui bénéficieraient d'une thérapie par prothèse sur implants. La discussion comprendra un aperçu des principales étapes cliniques nécessaires à la prestation de ces soins.
This program will review the advantages and disadvantages of screw-retained versus cement-retained implant-supported restorations with an emphasis on cement-retained prostheses. Clinical reports regarding prosthetic and biologic potential complications associated with cement-retained restorations will be reviewed including incidences of peri-implant mucositis, peri-implantitis, occlusion, and crestal bone loss. The benefits and limitations of cement-retained single- and multiple-implant restorations will be illustrated, along with techniques to assure optimal fit between abutments and implant restorative platforms. Guidelines will be presented for proper techniques to employ for the fabrication and placement of cement-retained restorations.
The goal of implant therapy is to provide, in an efficient manner, a restorative solution that is long lasting, functional, and aesthetically pleasing. Proper diagnosis and treatment planning make this possible and lead to favorable outcomes. This program will include the presentation of a systematic approach to the examination of the patient and consideration of the biologic and mechanical requirements of implants and restorative materials, as well as the parameters for design and location of occlusal and interproximal contacts of implant restorations and their influence on outcomes.
Ideal dental and medical care involves treatment of the entire patient. However, this is not always the case. Health care providers, including both dentists and physicians, are often taught to perform procedures, not comprehensive patient care. Dental school training oftentimes focuses on the mastery of individual skills and technical procedures. The upshot of the current dental model is a reduced acceptance of treatment that is not in the patient’s or health care provider’s best interest. The mission is to establish healthy relationships based on trust and shared decision-making among the patient, doctor, and staff. This begins with a comprehensive examination and treatment plan, with the understanding that a healthy periodontium is the foundation of a healthy mouth and hence all dentistry.
This program will identify restorative volume (space) requirements for full arch fixed/removable, implant restorations. Literature citations will be identified and used for clinicians and dental laboratory technicians to make evidence-based decisions regarding restorative treatment parameters involved in treating full arch patients with fixed and removable implant restorations. Treatment planning guidelines will be identified, as well as clinical scenarios where adequate restorative volume (space) has been generated. Clinical situations where adequate restorative volume (space) was not provided will also be identified; clinical remedies will be illustrated.
Este programa identificará los requisitos de volumen restaurativo (espacio) para las restauraciones de implantes de arco completo fijo/removible. Citas bibliográficas se identificarán y se utilizarán para que los clínicos y los técnicos del laboratorio dental tomen decisiones basadas en la evidencia con respecto a los parámetros de tratamiento restaurativo involucrados en el tratamiento de pacientes con arco completo con restauraciones de implantes fijos y removibles. Se identificarán las pautas de planificación del tratamiento, así como los escenarios clínicos en los que se haya generado un volumen de restauración (espacio) adecuado. También se identificarán las situaciones clínicas en las que no se proporcionó un volumen restaurativo adecuado (espacio); se ilustrarán remedios clínicos.
The evolution of digital dentistry has provided dental professionals with new processes in fabricating and delivering restorations for both aesthetic and functional outcomes. The combination of CAD/CAM technology and intraoral scanners allows restorative clinicians, in collaboration with dental laboratory technicians and designers, to design and fabricate patient specific restorations for long-term aesthetics and function. This program will review today’s digital technologies; provide the clinical rationale for integrating digital workflows into dental practice; provide an overview of the benefits and limitations of intraoral scanners; and illustrate design principles used in CAD/CAM abutment design.
Patients with debilitated or missing dentitions often seek rehabilitation to quickly regain masticatory function, aesthetics, and quality of life. Clinicians can now predictably offer treatment solutions for immediate full arch restorations to meet patient demands and expectations. This is followed by the design, fabrication, and delivery of the definitive prosthesis. This program will present the step-by-step and appointment by-appointment procedures for constructing and delivering the definitive prosthesis. Specific procedures are performed at each appointment to achieve a successful restoration. A post-delivery follow-up schedule that is essential for long-term success will be presented.
Patients with debilitated or missing dentitions often seek rehabilitation to quickly regain masticatory function, aesthetics, and quality of life. Clinicians can now predictably offer treatment solutions for immediate full arch restorations to meet patient demands and expectations. This is followed by the design, fabrication, and delivery of the definitive prosthesis. This program will present a step-by-step approach to fabrication of the provisional restoration as well as the definitive restoration, from a laboratory perspective.
Les patients dont la dentition est affaiblie ou manquante demandent souvent une rééducation pour retrouver rapidement la fonction masticatoire, l'esthétique et la qualité de vie. Les cliniciens peuvent désormais offrir des solutions de traitement prévictibles pour des restaurations immédiates de l'arcade complète afin de répondre aux demandes et aux attentes des patients. Ceci est suivi par la conception, la fabrication et la livraison de la prothèse définitive. Ce programme présentera une approche étape par étape de la fabrication de la restauration provisoire ainsi que de la restauration définitive, dans une perspective de laboratoire.
牙列缺损或缺失的患者通常寻求修复重建治疗，以迅速恢复咀嚼功能，美观和生活质量。 临床医生现在可以预先提供即刻全口修复的治疗方案，以满足患者的需求和期望。 然后是最终修复体的设计，制作和交付。该课程将从技工的角度，逐步介绍临时修复体及最终修复体的制作方法。
This program will concentrate on treatment guidelines for the achievement of aesthetics in implant dentistry. The top-down treatment planning approach to case preparation will be emphasized and advanced technologies focused on tissue contouring and preservation will be highlighted. This approach to treatment planning affords clinicians with the opportunity to deliver optimal aesthetic outcomes to their patients in oral rehabilitation.
Este programa se centrará en las pautas de tratamiento para el logro de la estética en la Implantología. Se enfatizará el enfoque de planificación de tratamiento de arriba hacia abajo para la preparación de casos y se destacarán las tecnologías avanzadas centradas en el contorno y la preservación de los tejidos. Este enfoque de la planificación del tratamiento brinda a los médicos la oportunidad de presentar resultados estéticos óptimos a sus pacientes en rehabilitación oral.
This program will thoroughly review current knowledge about the causes of peri-implant disease. Emphasis will placed on recognizing complications related to peri-implant mucositis, peri-implantitis, and cement-induced peri-implantitis, as well as treating ailing and failing implants. Prevention of problems before they develop will be stressed, including the selection of an implant system to help mitigate the risk of peri-implant disease.
Achieving optimal, predictable results with implant restorations may be one of the most challenging goals in implant dentistry. This program will present several challenging clinical scenarios involving missing teeth, as well as the surrounding hard and soft tissues in the aesthetic zone. Preoperative planning will be emphasized as a means of avoiding or minimizing surgical and/or restorative complications. Critical diagnostic steps will be discussed, including fabrication of surgical guides to optimize implant placement. The literature is replete with clinical guidelines relative to provisional restorations being critical in obtaining optimal results; provisional restorations are also important regarding abutment selection and design features, as well as establishing contours of the definitive restorations.
This program will provide an overview of basic to intermediate implant restorative options; immediate restorative protocols will also be illustrated; it has been designed for clinicians to comfortably and predictably provide patients with implant restorative treatment options in the anterior aesthetic zone. The program will include treatment planning and design/fabrication of surgical guides. This seminar will also identify areas where custom implant impression copings should be considered for use for anterior implant restorations where the copings are used to capture soft tissue emergence profiles of the peri-implant soft tissues.
This program will present a review of the literature regarding the use of cement- and screw-retention for single and multiple-unit implant restorations. Clinical reports regarding prosthetic and biologic complications associated with these types of restorations will be reviewed including incidences of screw loosening, screw fracture, peri-implant mucositis, peri-implantitis, occlusion, and crestal bone loss. The benefits and limitations of cement retained single- and multiple-implant restorations will be illustrated, along with techniques to assure optimal fit between abutments and implant restorative platforms. Screw mechanics are extremely important for long term success of single- and multiple-unit implant restorations. Preload and torque will also be addressed. Guidelines will be presented for clinicians to use in determining when cement-retained restorations would be the treatment of choice.
Patients with debilitated dentition often seek rehabilitation to quickly regain their confidence and quality of life. Immediate full-arch restoration can be an excellent solution for meeting patient demands and expectations. This program will provide an overview of this treatment modality, including a step-by-step, practical approach to delivering a provisional full-arch prosthesis on the day of implant placement, as well as the steps necessary to develop an aesthetic, functional definitive prosthesis.
This program will give the participants the opportunity to learn about different surgical protocols and techniques for complex treatment including sinus augmentation with simultaneous implant placement. Various sinus augmentation techniques will be explored including lateral window and crestal techniques as well as the use of piezo surgery. Various grafting materials will be discussed as well as the use of short implants to avoid the need for sinus augmentation in some cases.
Este programa les dará a los participantes la oportunidad de aprender sobre diferentes protocolos quirúrgicos y técnicas para tratamientos complejos que incluyen el aumento de los senos con la colocación simultánea de implantes. Se explorarán varias técnicas de aumento de seno, incluyendo técnicas de ventana lateral y crestal, así como el uso de la cirugía piezoeléctrica. Se tratarán diversos materiales de injerto, así como el uso de implantes cortos para evitar la necesidad de aumento de seno en algunos casos.
Peri-implantitis is an emerging problem that affects between 11% and 47% of implant patients. It is generally accepted that peri-implant mucositis is a precursor to peri-implantitis. The anatomy of the peri-implant tissues largely depends on the position of the implant, the implant system used, and the clinical/prosthetic protocol followed. The design of the definitive implant abutment can be digitally enhanced to respect the biological space and prevent peri-implant breakdown. This program will review current knowledge about the causes of peri-implant disease, prevention strategies to prevent problems before they develop, including the selection of an implant system to help mitigate the risk of peri-implant disease.
La periimplantitis es un problema emergente que afecta a entre el 11% y el 47% de los pacientes con implantes. Generalmente se acepta que la mucositis periimplantaria es un precursor de la periimplantitis. La anatomía de los tejidos periimplantarios depende en gran medida de la posición del implante, del sistema de implante utilizado y del protocolo clínico / protésico seguido. El diseño del pilar definitivo del implante puede mejorarse digitalmente para respetar el espacio biológico y evitar la descomposición del periimplante. Este programa revisará el conocimiento actual sobre las causas de la enfermedad periimplantaria, estrategias de prevención para prevenir problemas antes de que se desarrollen, incluida la selección de un sistema de implante para ayudar a mitigar el riesgo de enfermedad periimplantaria.
Patients with debilitated or missing dentitions often seek rehabilitation to quickly regain masticatory function, aesthetics, and quality of life. Clinicians can now predictably offer treatment solutions for immediate full-arch restorations to meet patient demands and expectations. This program will show participants a step-by-step, practical approach to delivering provisional prostheses on the day of implant placement. Design and fabrication of the definitive prosthesis will also be discussed, as well as the appropriate timeframe for delivery.
This webinar will present a review of the literature regarding the use of cement- and screw-retention for single- and multiple-unit implant restorations. Clinical reports regarding prosthetic and biologic complications associated with these types of restorations will be reviewed including incidences of screw loosening, screw fracture, peri-implantitis, occlusion, and crestal bone loss. The benefits and limitations of screw-retained, single- and multiple-unit implant restorations will be illustrated, along with techniques to assure optimal fit between abutments and implant restorative platforms. Screw mechanics are extremely important for long-term success of screw-retained restorations. Preload and torque will also be addressed. Guidelines will be presented for clinicians to use in determining when screw-retained restorations would be the treatment of choice.
Delivering aesthetic immediate and long-term implant restorations on a consistently predictable basis can be challenging. As single and two-stage protocols have given way to immediate implant placement and immediate restoration, biomechanical requirements and aesthetic demands have evolved. This webinar will review changes in treatment planning, implant site preparation and immediate restoration of implants in the aesthetic zone.
Este Proporcionando restauraciones estéticas inmediatas e implantes a largo plazo de forma sistemáticamente predecible cual base puede ser un reto. Como los protocolos de una y dos etapas han dado paso a colocación de implantes y restauración inmediata, requerimientos biomecánicos y estéticos. Las demandas han evolucionado. Este programa revisará los cambios en la planificación del tratamiento, el sitio del implante. Preparación y restauración inmediata de implantes en la zona estética.
In addition to the actual clinical procedures, diagnosis and treatment planning, as well as decision making, are essential elements for clinicians to consider in implant treatment. This process requires balancing patient preferences and finances with a number of clinical factors. The team approach to implant therapy is essential to ensure patient satisfaction and optimal outcomes. This webinar will illustrate some of the diagnostics needed prior to considering implant treatment. Treatment options will be illustrated and discussed through a variety of clinical case examples.
This webcast will present the biologic events regarding socket sites post extraction of teeth. It will include a classification of socket and alveolar ridge defects, as well as decision making regarding the best time to graft, and the criteria for graft material selection; the biology of healing for different graft materials and the lengths of time required for healing. This program will be of particular interest for general practitioners regarding diagnosis and assessment of clinical conditions and whether or not the patient needs to be referred to a surgical specialist. The goal of comprehensive treatment will be to meet individual patient needs, with excellent sustainable esthetic and functional outcomes. Numerous clinical cases will be illustrated.
Some dental patients present with the singular goal of ending painful dental emergencies. Or they may be seeking limited solutions to cosmetic problems. However dentists have a responsibility to offer such patients a thorough plan for restoring their mouths to optimal health. This webinar will describe the use of a six-step protocol for phasing comprehensive dental therapy.
This program will concentrate on treatment guidelines for achieving optimal aesthetics in implant dentistry. This treatment planning approach will emphasize case preparation with appropriate diagnostics, assessment, and development of custom treatment options on a case-by-case basis. Advanced technologies that focus specifically on tissue contouring and preservation will be highlighted.
Medication-Related Osteonecrosis of the Jaw (MRONJ), first identified in 2002, adversely affects patients’ quality of life, producing significant morbidity. Cases continue to increase. It may affect patients undergoing intravenous cancer-related therapy or, more rarely, patients treated with oral or IV bisphosphonates for osteoporosis. This webinar will review current definitions of MRONJ, strategies for diagnosing, staging, and managing it, and the relevance to treatment planning dental implant therapy.
CAD/CAM implant frameworks have proven to be more accurate, biocompatible, and longer lasting, with fewer complications than cast-metal frameworks. This webinar will review advances in CAD/CAM protocols and their resulting benefits, including decreased labor costs, improved long-term results due to better physical properties, improved accuracy, and decreased frequency of prosthetic complications.
Las estructuras de implantes CAD/CAM han demostrado ser más precisas, bio-compatibles y de mayor duración, con menos complicaciones que las estructuras de metal fundido. Este programa revisará los avances en los protocolos CAD/CAM y sus beneficios resultados, incluyendo la reducción de los costos laborales, los mejores resultados a largo plazo debido a las mejores propiedades físicas, la mayor precisión y la menor frecuencia de complicaciones protésicas
Prosthetically driven implant solutions in the anterior aesthetic zone require the presence of adequate bone. Understanding the effects of tooth loss and the subsequent bone response supports grafting of the extraction site for both delayed and immediate implant procedures. This webinar will present the biologic rationale for extraction-site grafting, along with a simple and predictable surgical procedure.
Las soluciones de implantes impulsadas por prótesis en la zona estética anterior requieren la presencia de un hueso adecuado. La comprensión de los efectos de la pérdida de dientes y la respuesta ósea posterior apoya el injerto del sitio de extracción para los procedimientos de implante inmediatos y retrasados. Este programa presentará los fundamentos biológicos para el injerto en el sitio de extracción, junto con un procedimiento quirúrgico simple y predecible.
Many edentulous patients can now undergo outpatient surgical and prosthetic procedures and return to nearly normal masticatory function in as little as one day. This program will review the principles associated with immediate occlusal loading and illustrate an accelerated prosthodontic treatment protocol used for treatment of edentulous and partially edentulous patients with interim and definitive prostheses.
Muchos pacientes desdentados ahora pueden someterse a procedimientos quirúrgicos y protésicos ambulatorios y regresar a la función masticatoria casi normal en tan solo un día. Este programa revisará los principios asociados con la carga oclusal inmediata e ilustrará un protocolo de tratamiento protésico acelerado utilizado para el tratamiento de pacientes edéntulos y parcialmente edéntulos con prótesis provisionales y definitivas.
This webinar will explore current digital technologies and their potential for enhancing dental implant treatment. A simplified impression protocol for fabrication of patient-specific implant-supported restorations will be discussed, as well as the benefits of using an intraoral digital scanner for data capture. Principles for designing CAD/CAM abutments and aesthetic restorations will be presented.
Ce webinaire explorera les technologies numériques actuelles et leur potentiel pour améliorer le traitement par des implants dentaires. Un protocole d'impression simplifié pour la fabrication de restaurations sur implants spécifiques au patient sera discuté, ainsi que les avantages de l'utilisation d'un scanner numérique intra-oral pour la capture de données. Les principes de conception des piliers CAD/CAM et des restaurations esthétiques seront présentés.
Dental practitioners and their staff are faced with treatment planning decisions to replace missing teeth. Geared toward the entire dental team, this program presents information that can enable participants to offer their patients a highly successful alternative to restoring edentulous spaces. This program, reviewing myriad scenarios seen in everyday practice, explores the possibilities and benefits implant dentistry can afford to patients.
Les dentistes et leur personnel sont confrontés à des décisions de planification de traitement pour remplacer les dents manquantes. Destiné à toute l'équipe dentaire, ce programme présente des informations qui peuvent permettre aux participants d'offrir à leurs patients une alternative très réussie à la restauration d'espaces édentés. Ce programme, qui passe en revue une multitude de scénarios observés dans la pratique quotidienne, explore les possibilités et les avantages que la dentisterie implantaire peut offrir aux patients.
†Clinicians have financial relationships with Zimmer Biomet Dental resulting from speaking engagements, consulting engagements, and other retained services.
† † Clinician(s) had a financial relationship with Zimmer Biomet Dental at the time of the original broadcast.
Zimmer Biomet Dental is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.
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DISCLAIMER: Participants must always be aware of the hazards of using limited knowledge in integrating new techniques or procedures into their practice. Only sound evidence-based dentistry should be used in patient therapy. The information in this course is of a general nature and does not represent or constitute medical advice or recommendations and is for dental education purposes only. Zimmer Biomet Dental does not practice medicine or dentistry. Each clinician should exercise his or her own independent judgment in the diagnosis and treatment of an individual patient, and this course and information does not purport to replace the comprehensive training clinicians have received.
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