A 26-year-old female patient wanted to have her teeth straightened. This clinical case describes the extractions of the lower deciduous second molars, followed by immediate implant placement. After the completion of the orthodontic treatment the final restorations were placed.

Sinus grafting is recognized as an effective treatment modality with high implant survival rates having been reported. The lateral approach technique entails opening a lateral window in the bone and elevating the sinus membrane from the inferior aspect of the maxillary si

Sinus graft surgery can be performed as either a one-stage or a two-stage approach.

The decisive factor in choosing a simultaneous approach (one-stage surgery) over a delayed approach (two-stage surgery) typically is based on two factors: 1.) the amount of remaining alveola

Sinus graft surgery can be performed as either a one-stage or a two-stage approach.

With the single-stage surgery, the bone grafting and implant placement are performed in one surgery with the graft placed first, followed by implant placement. In the case of a two-stage surge

A 54-year-old man presented with missing right lower teeth and ridge deficiency. Horizontal and vertical augmentation by GBR (Guided Bone Regeneration) was carried out using the “Tenting Screw Technique”. Two implants and a free gingival graft were placed.

The fourth dimension of surgical reconstruction with implants involves development of an adjusted surgical protocol, which is time dependent and accounts for normal physiological changes of the skull and face. Previous treatment in 3-D did not address the possibilities of these dyn...

Unstable soft tissue seal at implants favors an inflammatory reaction that can lead to facial recession, pocket formation and loss of bone support. The more stable and tight the soft tissue seal, the more predictable the outcome of implant rehabilitation. A major criterion influenc

Rehabilitation with implants in the posterior maxilla is challenging due to the rapid reduction of the available bone which is the result of physiological resorption of the alveolar process together with increased pneumatisation of the maxillary sinus. Augmentation of the sinus...

Today, the time factor plays an increasingly important role in a patient’s treatment decisions and effective solutions are expected from the dentist. This raises issues when deciding on immediate or delayed implant placement even in the posterior zone. Several factors need to be...

Due to bone resorbtion in atrophic maxillary cases, low bone density and reduced bone height is commonly presented in the posterior region. Different techniques have been used to solve these cases, with or without bone augmentation. The pterygomaxillary region has been found to...

In this presentation different ways to treat severe cases will be presented. The presentation will focus on the rationale and long term results for sinus elevation and implant placement in the extremely resorbed maxillae.

Dr. Patrick Palac

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.

For a variety of reasons, there has been an increasing trend towards cement-retained restorations over the last decade, notwithstanding the concomitant increase in biological and mechanical complications. This trend is now rapidly reversing, as clinicians better appreciate the biol...

There are a plethora of materials available for full arch implant supported CADCAM restorations. Often the clinician is faced with the difficult task of choosing the most appropriate combination of materials. This presentation will present a list of factors that are critical in...