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Results 1 - 20 of 51 for 'Stephen J. Chu, DMD, MSD, CDT'

Search Results: 14 Videos10 Lectures20 Articles6 Online Courses1 XPert

"The Great Debate" on Tooth Replacement Premium Member Content

"The Great Debate" on Tooth Replacement
Bucco-palatal collapse of the post-extraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in this session with some of the leading clinical research teams in the field. A conceptual debate format discussing the virtues of "Early Placement" at 6 weeks (Buser & Belser Team) vs. "Immediate Placement with Dual Zone Protocols" at time of extraction (Chu & Tarnow Team) vs. "Partial Extraction Therapy" PET (Gluckman & Salama) also at the time of extraction is led by Professor Homa Zadeh of USC. This interactive session explores the current status and poses questions for the future use and indications of each proposed therapy.

Presented By:: Prof. Dr. Urs C. Belser;Daniel Buser, DDS;Howard Gluckman, BDS, MChD;Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Dennis P. Tarnow, DDS;Homa Zadeh, DDS, PhD
Presentation Style: Video
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The "Dual-Zone" Approach in Immediate Implant Placement Premium Member Content

The "Dual-Zone" Approach in Immediate Implant Placement
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described have enabled practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. This protocol allows for efficient management of the patient and an attempt to maintain all original contours of the extraction site. Multiple case and retrospective case studies will be cited to support this concept.

Presented By:: Dennis P. Tarnow, DDS;Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
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Modern Day Challenges with Implants in the Esthetic Zone Premium Member Content

Modern Day Challenges with Implants in the Esthetic Zone
This presentation will address treatment planning strategies with multiple tooth sites incorporating teeth, immediate implants with tooth replacement, and pontics in the esthetic zone. Innovations in implant macro design, to achieve more consistent screw-retained definitive restorations, and devices / strategies in provisional restoration fabrication to save time will be presented.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
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Modern Day Esthetic Challenges with Implants in the Esthetic Zone Premium Member Content

Modern Day Esthetic Challenges with Implants in the Esthetic Zone
Current trends in implant therapy advocate clinical techniques thereby allowing treatment efficiency consisting of condensed clinical procedures, fewer patient appointments, and shortened overall treatment time. Even though there is overwhelming literature to support positive outcomes in regards to implant survival through immediate implant therapy and tooth replacement strategies, esthetics questions still loom, specifically how to handle multiple tooth sites in the esthetic zone. This presentation will address treatment planning strategies with multiple tooth sites incorporating teeth, immediate implants with tooth replacement, and pontics in the esthetic zone. Innovations in implant macro design, to achieve more consistent screw-retained definitive restorations, and devices / strategies in provisional restoration fabrication to save time will be presented.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
Community Rating:
 
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Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2 Premium Member Content

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration. Tissue support, emergence profile and The provisional restoration phase of implant therapy has become one of the most critical steps in immediate or delayed placement for several reasons including the following...

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2 Premium Member Content

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2
A step-by-step protocol will be presented in how to fabricate the proper screw-retained provisional restoration from the fabrication of the acrylic shell to managing and capturing the proper supportive subgingival contour.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
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Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series
To measure the buccal plate reconstruction of extraction sockets with labial plate dehiscence defects using a bone allograft in combination with an absorbable collagen membrane and a custom-healing abutment at the time of tooth removal. Implants placed into sockets with labial plate dehiscence defects demonstrated radiographic reformation of the labial plate dehiscence defect at 6 to 9 months post-treatment. The net gain in labial plate on CBCT in L1 and L2 was 3.0 mm, where 0 mm existed at pre-treatment. The minimum amount of labial plate thickness of 2.0 mm was achieved in all treated sites, evaluated radiographically at 6-9 months post-operatively, in a single procedure, without flap elevation and maintaining the gingival architecture and satisfactory esthetics.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
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Demystify The Gingival Restorative Interface in Oral Rehabilitation Premium Member Content

Demystify The Gingival Restorative Interface in Oral Rehabilitation
Pink esthetic therapy often can encompass single and multiple tooth loss clinical scenarios. The decision-making process of when and how to use interdisciplinary therapy to address a failing single tooth as well as loss of attachment around teeth adjacent to the natural dentition, an implant, or an edentulous ridge can be daunting. A presentation of existing pink determinants that define esthetic outcomes will be outlined in addition to the use of single tooth implants, orthodontic extrusion, and pink ceramics in therapy.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
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Minimally Invasive Tooth Replacement Strategies in the Esthetic Zone: The Evolution of New Age Concepts  Premium Member Content

Minimally Invasive Tooth Replacement Strategies in the Esthetic Zone: The Evolution of New Age Concepts
Modern Tooth Replacement Strategies are more concerned about esthetics than ever before especially in light of recent research that clearly defines the risk of resorption, ridge constriction, tissue recession and color changes that often occur following extraction and implant replacement. This presentation will describe the Dual Zone concepts recently published to address these issues as well partial extraction therapies which may play an expanding and more critical role in the future.

Presented By:: Maurice Salama, DMD;Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
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Flapless Postextraction Socket Implant Placement, Part 2. The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height & Thickness - A Retrospective Study

Flapless Postextraction Socket Implant Placement, Part 2. The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height & Thickness - A Retrospective Study
This article presents the results of evaluating the changes in peri-implant soft tissue dimensions associated with immediate implant placement into anterior post-extraction sockets for four treatment groups: no BGPR(bone graft, no provisional restoration), PR (no bone graft, provisional restoration), BG (bone graft, no provisional restoration), and BGPR (bone graft, provisional restoration). The vertical distance of the peri-implant soft tissue was greater for grafted sites than for non-grafted ones. The facial soft tissue thickness at the gingival third was greater for grafted than for non-grafted sites and for sites with provisional restorations compared to sites without them, respectively. The net gain in soft tissue height and thickness was about 1mm. The increases in vertical and horizontal dimensions for grafted sites were between 0.5 and 1.0mm, as compared to sites with no bone graft and no provisional restoration.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;David Garber, DMD;Henry Salama, DMD;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS; Hanae Saito, DDS, MS
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Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects

Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects
Immediate implant therapy involving implants placed into intact Type 1 extraction sockets has become a consistent clinical technique. The classification of Type 2 extraction sockets, where the mucosal tissues are present but there is a midfacial osseous dehiscence defect, has been described according to the extent of the buccal bone plate absence. The literature has offered different techniques in the treatment of Type 2 sockets; however, the extent of the defect has never been defined or delineated.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Mark N. Hochman, DDS
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Tooth Proportions and Color Management in Modern Cosmetic Dentistry Premium Member Content

Tooth Proportions and Color Management in Modern Cosmetic Dentistry
Comprehensive treatment planning of the complex aesthetic restorative case involving teeth and implants can be challenging. The key to success is to understand and develop predictable strategies in patient care. This presentation will focus on diagnosis of dental and gingival architecture discrepancies. Solutions will focus on interdisciplinary treatment, including orthodontics, periodontics, and restorative dentistry. The latest research in these areas will be presented as well as innovative instrumentation to obtain these goals.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
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Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 1 of 2 Premium Member Content

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 1 of 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
Community Rating:
 
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Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change

Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

Author(s): Dennis P. Tarnow, DDS;Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Christian F.J. Stappert, DDS, MS, PhD, Priv-Doz;Henry Salama, DMD;David Garber, DMD;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS; Hanae Saito, DDS, MS
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Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 1 of 2 Premium Member Content

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 1 of 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration. A step-by-step protocol will be presented in how to fabricate the proper screw-retained provisional restoration from the fabrication of the acrylic shell to managing and capturing the proper supportive subgingival contour.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery

Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery
Protocols and techniques for immediate tooth replacement in the esthetic zone have become more popular and predictable within the past decade. Two different clinical scenarios are presented where immediate temporization of implants placed into healed or augmented ridges is exemplified. The benefits of augmentation prior to implant placement and temporization are that flap elevation is not required; therefore, the blood supply to the labial plate is not compromised, thereby eliminating potential midfacial recession. In addition, the soft tissue subgingival shape of the temporary crown can be non-surgically sculpted at the time of implant placement since the patient is already anesthetized.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS
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Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery Premium Member Content

Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery
Protocols and techniques for immediate tooth replacement in the esthetic zone have become more popular and predictable within the past decade. Two different clinical scenarios are presented where immediate temporization of implants placed into healed or augmented ridges is exemplified. The benefits of augmentation prior to implant placement and temporization are that flap elevation is not required; therefore, the blood supply to the labial plate is not compromised, thereby eliminating potential midfacial recession. In addition, the soft tissue subgingival shape of the temporary crown can be non-surgically sculpted at the time of implant placement since the patient is already anesthetized.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
Community Rating:
 
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Prosthetic Management of Immediate Implant Placement Premium Member Content

Prosthetic Management of Immediate Implant Placement
Implant dentistry is continuously evolving offering new and more predictable forms of therapy with minimally invasive protocols. Innovative techniques now allow for better aesthetics and greater patient comfort. However, these new techniques and therapies continue to raise questions and concerns regarding the risk and rewards of each. Specifically, controversial issues regarding esthetic outcomes related to immediate single anterior tooth implant replacement and immediate provisional restoration will be presented. This lecture will address current concepts, research, and innovations in immediate implant placement and how they can enhance treatment procedures, time, and clinical outcomes for greater patient care and satisfaction.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Video
Community Rating:
 
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The Dual-Zone Therapeutic Concept of Managing Immediate Implant Placement and Provisional Restoration in Anterior Extraction Sockets

The Dual-Zone Therapeutic Concept of Managing Immediate Implant Placement and Provisional Restoration in Anterior Extraction Sockets
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this case enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Dennis P. Tarnow, DDS;Hanae Saito, DDS, MS
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Maxillary Anterior Papilla Display During Smiling: A Clinical Study of the Interdental Smile Line

Maxillary Anterior Papilla Display During Smiling: A Clinical Study of the Interdental Smile Line
The purpose of this research was to quantify the presence or absence of interdental papillae during maximum smiling in a patient population aged 10 to 89 years. The visual display of interdental papillae during maximum smiling occurred 380 of the 420 patients examined in this study, equivalent to a 91% occurrence rate. Eighty seven percent of all patients categorized as having a low gingival smile line were found to display the interdental papillae upon smiling. Differences were noted for individual age groups according to the decade of life as well as a trend toward decreasing papillary display with increasing age. The importance of interdental papillae display during dynamic smiling should not be left undiagnosed since it is visible in over 91% of older patients and in 87% of patients with a low gingival smile line, representing a common and important esthetic element that needs to be assessed during smile analysis of the patient.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Mark N. Hochman, DDS
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