The online webinars, in collaboration with the Dental Tribune Study Club, include enriching online training presented by world-renowned specialists and will emphasize clinical techniques and procedures.
Dogmas in Implant Dentistry – Part II
Speaker: Dr. Kyle Stanley
Wed, 4 August, 1:00 PM EST (New York)
Implant and abutment level restorations. Is there a difference in crestal bone stability?
Speaker: Prof. Tomas Linkevičius
Mon, 13 September, 1:00 PM EST (New York)
This is a two-part series lecture. The second part will take place in August 4th, 2021. The presentation will showcase proven research and thought-provoking ideas regarding dogmas in implant dentistry.
By picking apart old dogmas regarding materials, design, maintenance, etc., we can understand the periimplant biology and limit complications in the long term. Both surgeons and restorative doctors must understand these principles for the patient to benefit.
This webinar aims to discuss the therapeutic possibilities in cases of implants already installed improperly and to define simple protocols for reversing unsatisfactory results.
Today, we have a growing understanding of how to avoid situations of implant failure in the aesthetic area. With the evolution of scientific papers, technology and digital workflows, working in a predictable way in this sector has become something accessible to everyone. But still, we face a lot of cases of failure, both biological and aesthetic. Cases that we have worked on in the past, or that are indicated by other colleagues in our offices.
During this presentation, we will show how to work with a fast and predictable digital workflow combining implants, surgical periodontics and aesthetic rehabilitation.
In this new world that we live in combining specialties with fast procedures has become something fundamental for the success of aesthetic rehabilitation.
When we are faced with an interdisciplinary case involving cosmetic surgery and are seeking dentistry-based, non-reactive results, the use of digital planning for a correct and fast guided execution, combined with prosthetic rehabilitation, offers the patient and staff a more predictable, quick and less invasive treatment.
This presentation will showcase proven research and how to avoid problems by utilizing surgical and restorative workflows on combination with technology.
By picking apart old dogmas in implant dentistry, we can understand the periimplant biology and complications in the long term. Both surgeons and restorative doctors must understand these principles for the patient to benefit.
Implant placement through digitally designed guide stents becomes more and more popular as the accuracy, the efficacy and handling of these procedure is evolving fast.
On the other hand, CAD CAM prosthetic implant restorations have been already used since many years with the help of well-developed lab scanners and software’s already implemented in the everyday lab work. The last missing link, the use of intraoral scanners seems to gain more and more the trust of the practitioners in the daily practice.
The aim of the presentation is to analyze the implant abutment design and the digital workflow in the esthetic zone through scientific evidence and daily experience as well as the indications and the limitations of the digital process depending on existing materials and known procedures. Chairside intraoral scanning, handling digital impressions, usual mistakes and all the full process from digitization to manufacture and final cementation through all the design steps will be clarified. Clinical cases will be presented discussing different clinical approaches, showing the synergy of older and newer biological concepts in the treatment workflow.
The success of implant-supported restorations in the esthetic zone is measured not only by the degree of osseointegration of the implants, but also by how well the restorations blend with the supporting tissues and the surrounding dentition. Adequate management of the peri-implant soft-tissue in terms of abutment design and abutment material, and their integration with different restorative materials is paramount for achieving such success.
This presentation will focus on abutment material selection and abutment design. It will address challenges faced by restorative dentists and dental technicians while selecting and designing abutments for screw- and cement-retained implant-supported restorations. The role of CAD/CAM technology as well as the use of titanium and zirconia for custom abutments will be discussed to facilitate functional and aesthetic successful outcomes in the everyday dental practice.
In order to achieve a natural-looking result of artificial implant restorations, we must analyze the operative site and plan for a long term healthy integration of the restorative complex and the implant fixture within the surrounding living tissues.
At the smile zone our primary goal is also to obtain natural-looking peri-implant soft tissue embracing a natural-looking functioning crown.
The accumulated insights over the last 20 years on bone and tissue response (and alterations) around implants, enable biologic-based implementation of different surgical and restorative approaches, so that the abutment-crown complex has more chances to blend in with the surrounding tissue and the dentition in complete health and harmony. Unfortunately, this goal is not always predictable and achievable.
In this presentation, surgical and restorative approaches will be demonstrated through clinical cases, to enable a comprehensive understanding of the present limitations and the various options available today to maximize the successful results of implants-based restorations especially at the smile zone.
The root shape prior to extraction needs to be duplicated, so that the pressure that surrounds the root is maintained. This technique, in combination with the different soft tissue graft procedures, will result in the aesthetic solution that will recreate the volume we had before the extraction was done.
Nowadays, we have amazing digital technology, that can definitely help us in the planning and execution of the case. This is a way to know, before we start with a case, the amount of tissue we need for the best aesthetic result.
Soft tissue is not only for aesthetics. The functional maintenance of implants is as important as the aesthetic outcome. When to use, and the type of graft to use are decisions we need to make in order to obtain not only aesthetic, but also stable functional results.