Achieving optimal results when treating patients with implant therapy in the aesthetic zone can be challenging. Proper treatment planning and the decision making process is key to achieving predictable aesthetic outcomes for immediately loaded as well as staged implant therapy. In this program, multiple case examples will be presented demonstrating optimal treatment for patients presenting with various, challenging clinical situations. An understanding of prosthetic space requirements for implant-supported restorations will be discussed, as well as, the benefits of digital impressions, through fabrication of custom provisional and definitive prostheses.
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.
该计划是为牙科团队设计，将探索当前的数字技术及其在增强种植牙治疗方面的潜力。将讨论设计定制种植体修复体所需的信息，然后讨论印模方案，包括用于制造患者特定的种植体支持的修复体的简化印模方式。 将会回顾使用口内数字扫描仪进行数据捕获的好处，以及对患者和实践的好处。 将介绍CAD / CAM基台和美学修复体的设计原理。
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.
该计划将介绍创新的治疗方案，这些方案可以加速正畸治疗，并防止由于正畸牙弓扩张而引起的裂开缺损和牙龈萎缩。将讨论该技术的原理以及优缺点，牙槽嵴骨增量的移植材料选择综述，以及在正畸治疗之前和期间应用这些材料和增量技术。
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.
当前的口腔种植发展趋势，使人们更加追求良好美学效果，微创和时间短的治疗方案。 该新技术将让临床医生能够通过简单，可预测的步骤实现这三个目标，同时与采用标准手术步骤的方案成功率保持一致。 如今，可以通过简单，可预测，直接的技术优化以前更具侵入性的治疗方案和解决手术时间长的复杂病例。将介绍和分析临床研究的新方案，实用技巧和初步数据，目的是向学员提供在日常实践中成功运用的知识和使用的工具。
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.
在口腔种植学可获得的大量信息中，很少有时间来解释，理解和实施修复体与其对颌牙的正确关系。 种植牙的咬合可能相对简单，但必须花一些时间来了解一些基本原理。 该课程将有助于阐明良好的咬合管理如何在生物学和修复方面带来长期成功。
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.
牙槽骨缺损，尤其是在上颌前牙区域，会妨碍理想的种植体植入并影响美学效果。 萎缩部位的解剖结构会导致获得性Ⅲ类错牙合畸形，影响手术选择。 在本课程中，有表现出中度至重度上颌萎缩的临床病例，包括鼻底，上颌窦提升手术，以及在植入种植体之前或同时使用口腔自体骨块进行骨增量的情况 。牙槽嵴骨增量术与创建与血小板富集血浆（PRP）或骨髓穿刺液（BMA）混合并覆盖有去血小板血浆（PPP）作为生物膜的支架相结合。
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.
该课程将介绍用种植修复替代无法治疗的单颗磨牙的临床指南。 为了满足当今患者对无法治疗的牙齿的即时修复需求，将着重介绍拔牙，即刻植入种植体与牙槽窝保存以及延期植入的治疗程序。 将讨论用于制作患者个性化基台的简化印模方案，以及使用口内数字扫描仪进行数据捕获的好处。 将介绍支持软组织轮廓的CAD / CAM基台的设计参数。
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.
本课程主要介绍不同无牙颌修复方式（固定、活动及种植修复）所需修复空间。在全口无牙颌的固定或活动修复中，医生及修复技师设计的修复体参数需基于询证医学实践。本课程将涉及相关文献综述，治疗计划制定，修复空间合理以及不足时的临床表征及改进治疗方案。
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.
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，美观和改善生活质量。临床医生能够为即刻负重、全口修复提供更具有预测性的治疗解决方案，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。本节目主要介绍制作和交付永久性修复体的逐步操作指南和逐次预约流程。每次预约都执行特定的程序以获得成功的修复效果。同时也将介绍对长期成功至关重要的交付后患者复诊时间表。
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.
本课程将综述目前关于植体周围炎成因的最新进展。重点将放在识别与种植体周围粘膜炎、植体周围炎、粘接剂引起的植体周围炎，以及治疗不良和失败种植体相关的并发症。强调在问题发展之前进行预防，包括选择种植体系统以帮助减轻植入周围疾病的风险。
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.
通过种植修复获得最佳的预期结果可能是种植牙领域最具挑战性的目标之一。在本期培训教育节目中，将介绍几种具有挑战性的临床病例，包括牙齿缺失，以及美观区周围的牙齿硬组织和软组织。把术前计划强调为避免或尽量降低手术和/或修复并发症的一种措施。将讨论关键的诊断步骤，包括制作手术导板以指导种植体植入位置。文献中有着有关临时修复的临床指南，这些指南对于获得最佳结果至关重要。临时修复对于于基台的选择和设计同样重要，以及如何确定最终修复体的穿龈轮廓。将说明临床情况，其中种植体植入和/或组织穿龈轮廓不理想，并且需要其他外科手术和修复以解决并发症。
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.
牙列缺损或缺失患者通常期望获得快速的修复方式以重塑信心，改善生活质量。全口即刻负重的修复方案能很好的满足患者的需求和期望。本课程将概述该治疗方式，解释如何在种植当天为患者提供种植体支持的螺丝固位临时修复体，以及有关最终修复体的美学及功能重建的考量。
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.
在持续可预测的基础上， 提供种植修复的美学及长期稳定性可能面临挑战。随着一期和二期手术方案逐渐被即刻种植和即刻修复所替代， 生物力学要求和美学要求也在不断发展。本期节目将回顾美学区治疗计划的变化、种植体的三维位置和美学区的即刻修复。
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.
除了实际的临床程序之外，诊断和治疗计划以及决策是临床医生在种植体手术中要考虑的基本要素。 这个过程需要平衡患者的喜好和财务状况与许多临床因素。 团队采用种植体手术需要确保患者满意度及获得最佳结果。该课程将说明在考虑种植体植入之前所需的一些诊断方法。 将通过各种临床案例举例说明和讨论治疗方案。
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.
目前，许多无牙颌患者都可在最短一天之内接受种植外科及修复的治疗。本课程旨在回顾即刻负重相关原则及介绍一种为无牙颌或部分牙列缺损患者提供的包括临时及最终修复体的加速修复诊疗方案。
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.
