9:00 am – noon
Screw Retained, Site Specific Immediate Implants for Mid-Facial Tissue Preservation
Harold Baumgarten, DMD and Stephen Chu, DMD, MSD, CDT
Post-extraction socket immediate implant placement in the anterior maxilla remains one of implant dentistry’s most challenging procedures. Anatomic challenges often result in implants being placed and angulated in a compromised facial-biased position. This leads to cement-retained restorations or the use of angled abutments, both of which are sub-optimal for preserving mid-facial tissues.
This program will demonstrate why the use of an innovative implant design together with an appropriate screw-retained provisional and final restoration can help maximize bone and soft tissue volume. A dual or co-axis implant design allows for Subcrestal Angle Correction™ leading to properly placed implants and the 100% use of screw-retained restorations. Predictable anterior esthetic outcomes in post-extraction socket immediate implants in the anterior maxilla are achievable and should be considered by all implant specialists.
Upon completion of this presentation, participants should be able to: 1) identify patient candidates for post-extraction socket immediate placement in the anterior zone; 2) incorporate tissue management guidelines for preserving the natural gingival contours post treatment; 3) explain the predictable anterior aesthetics benefits of a unique site-specific implant combined with a screw-retained restoration; 4) execute the surgical techniques necessary to place an immediate implant placed in an anterior socket site through a hands-on exercise; and 5) demonstrate prosthetic provisional restoration techniques to capture subgingival tissue contours around anterior immediate implants through a hands-on exercise.
1:00 – 4:00 pm
Immediate, Fixed Full-Arch Rehabilitation with Subcrestal Angle Correction Without the Need for Cement or Screws
Robert del Castillo, DMD and Gary Morris, DDS
The most technically challenging and expensive prosthetic reconstruction for both the mandibular and maxillary arches is the full-arch, implant-supported fixed prosthesis. This treatment option is very demanding, complex and time consuming. In addition, the procedure is often unaffordable for the average patient. Recent advances in technology and innovation are making this treatment option more common, simplified and a time saving solution. This workshop will teach an advanced treatment solution that incorporates implant designs that allow for complex anatomical conditions to be properly managed. Unique implant designs will help maximize the available bone, overcome anatomical structures and extend the A-P spread. This workshop will also highlight the latest treatment option for fixed full arch, implant-supported restorations, a system that requires no screws and no cement, simplifying the restorative technique and minimizing chair time for the restorative team, with fewer complications and treatment delays.
Upon completion of this presentation, participants should be able to: 1) explain how to maximize available bone by utilizing site-specific implants for Subcrestal Angle Correction; 2) determine the quantity and position of implants for the best outcome; 3) identify the indications and limitations of a fixed attachment system; 4) describe the protocol and procedure for immediate load cases, conversion from removable to fixed restorations, and options for salvaging failed screw retained cases; 5) execute the surgical techniques necessary to place multiple, site specific implants in a full arch setting through a hands-on exercise; and 6) process a full arch, fixed prosthesis without cement or screws through a hands-on exercise.