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Proceedings of the 2018 Oral Rehabilitation Symposium

This publication contains the proceedings of the Oral Rehabilitation Symposium held at the University of Sydney in June 2018. 21 chapters cover findings on implant osseointegration, occlusion, orofacial pain, TMD and jaw function.

Biomechanics and occlusion
Temporomandibular Joint
Immediate loading / provisionalization
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Patient cases

Two Stage Implant Placement for a Failing Central Incisor with Ankylosis to Labial Bone Plate.

A 45-year-old female patient who was referred re-failing post crown in tooth #21 FDI (#9 US), multiple failed veneers, generalized tooth wear and loss of OVD. The treatment involved the extraction of the root and immediate implant placement with a Connective Tissue Graft.

Anterior implants
Implants in compromised sites
Bone grafting and regeneration
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Patient cases

Multi-disciplinary rehabilitation of an agenesic upper lateral incisor

A 53-year-old female patient with #22 FDI (#10 US), which was endodontically treated and discolored, was esthetically unpleasing. The tooth was hopeless due to root fracture. A treatment plan was formulated to replace the non-vital tooth with an implant.

Radiology
Anterior implants
Soft tissue management
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Patient cases

Esthetic rehabilitation of anterior teeth with orthodontic treatment and porcelain veneers

A 39-year-old male patient with large diastemas. The following case was solved by a combination of orthodontics and prosthodontics, along with tools used to predictably achieve the desired result.

Radiology
Biomechanics and occlusion
Single and multi-unit restorations
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Videos

Gerard Chiche: The evolution of aesthetic possibilities based on zirconia.

 

In this presentation, emphasis will be placed on clinical situations that are best served aesthetically with zirconia. While the main advantage of zirconia is its mechanical strength, it is possible to design the restoration to maximize its esthetic potential and also to blend it...

CAD/CAM
Prosthetic materials
Implant prosthetics
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Videos

Markus Blatz: Demystifying zirconia, understanding the material and its handling.

Unique physical, optical, and biologic properties have made zirconia a preferred material for restorative options from single units to full-mouth rehabilitations. For bilayer restorations with zirconia as a core and framework material, proper selection and application of the...

CAD/CAM
Prosthetic materials
Single and multi-unit restorations
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Videos

Hannes Wachtel - Various treatment options for the terminal dentition and for the edentulous

It has been our experience, over the last ten years, that the vast majority of patients presenting with “terminal dentition” prefer to maintain fixed “teeth”. The All-on-4® treatment concept will meet these requirements. Furthermore treatment time, costs and treatment effort is...

Edentulous treatments
Implant prosthetics
Prosthetics on natural teeth
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Videos

Christian Coachman: Smile design and material selection for white and pink esthetics over implants

Dr Coachman develops how the smile design can be the primary principle of a restorative treatment plan, and how nowadays technologies assist us in achieving predictable esthetic restorations adressing functional and biologic aspects at the same time. Guided surgery is at times...
Digital workflow
Guided Surgery
CAD/CAM
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Patient cases

Esthetic and functional aspects in a full mouth rehabilitation

A 62-year-old male patient with a long history of periodontitis which resulted in extensive gingival recessions compromising the aesthetics. The treatment plan involved a combination of implant-and tooth-supported restorations.

Radiology
Posterior implants
Bone grafting and regeneration
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Patient cases

Implant- and tooth-supported full mouth rehabilitation

A 67-year-old male patient presented with visible black triangles and a cracked tooth in need of replacement. Failing teeth were extracted and replaced by implant-supported restorations, bridges on natural teeth and single crowns or veneers.

Posterior implants
Implant prosthetics
Esthetic zone prosthetics
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Treatment guidelines

Edentulous

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Temporo-mandibular disorders (TMD)

Routine evaluation of a patient’s temporo-mandibular joint function is an integral part of any oral examination.
Moreover, good muscular control and painless coordination of jaw movements are desirable in the management of edentulism...

Temporomandibular Joint
Patient assessment
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Treatment guidelines

Edentulous

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Mouth opening

Most patients’ mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients exposed to sclerodermia, diffuse systemic...

Temporomandibular Joint
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Parafunction

Parafunctional activities can apply high forces to both implant and prosthetic components. These forces can lead to fracture or loosening of screws and abutments, chipping of the veneering material or fracture of the prosthetic reconstruction...

Temporomandibular Joint
Implant designs
Biomechanics and occlusion
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Treatment guidelines

Edentulous

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Local history

The key questions in a complete anamnesis are related to: mouth opening, salivary output, presence of mucosal diseases, gingival health, signs of previous periodontal surgeries, tooth hypermobility, TMJ problems, orthodontic...

Temporomandibular Joint
Local factors
Systemic factors
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Videos

Bernard Touati, Jean-Marc Etienne: Implant esthetics in the digital age

Over the recent years dentistry has undergone a considerable evolution, providing new technologies and materials, and become more digital. The challenge and opportunity is to combine digital technologies, esthetics and function. Dr Touati and Jean-Marc Etienne discuss long distance...

Radiology
Digital workflow
CAD/CAM