Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
The "Dual-Zone" Approach in Immediate Implant Placement

Description:
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.

Date Added:
11/1/2018

Author(s):

Dennis P. Tarnow, DDS Dennis P. Tarnow, DDS
Dennis P. Tarnow is currently Clinical Professor of Periodontology and Director of Implant Education at Columbia School of Dental Medicine. Dr. Tarnow has a certificate...
[read more]

Stephen J. Chu, DMD, MSD, CDT Stephen J. Chu, DMD, MSD, CDT
Dr. Stephen Chu received his doctoral degree from the University of Pennsylvania School of Dental Medicine in 1984 and his master’s degree in restorative dentistry and ...
[read more]






Online Videos / Surgery / Implant / The "Dual-Zone" Approach in Immediate Implant Placement




Questions & Comments
Bharathi Devi Myneni - (4/11/2019 12:52 AM)

Great presentation with lot of information.

Victor Martel - (12/28/2018 2:17 PM)

Awesome information.

Soumi SenGupta - (11/4/2018 3:29 PM)

Wow ..The information here is like taking a drink from a Fire Hydrant!...Thanks gents! First class!

Jean philippe Peyratoux - (10/13/2018 2:20 PM)

Great presentation ; it is good to hear dennis i was one of your student in. New york 25 years ago

ENRIQUE TREVINO - (10/5/2018 2:39 PM)

They are no words to thank you for all that updated information and wonderfull cases, Which GBR membrane would You prefer Dennis for the cone technique? Dr. E. Trevino

Khai Vu - (9/30/2018 1:55 PM)

Great update implant info. Thank you for sharing.

Related Videos
"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
Community Rating:
 
Watch Now>>
Early Implant Placement with Contour Augmentation - Biologic Rationale, Surgical Technique & Long-Term Results Premium Member Content

Early Implant Placement with Contour Augmentation - Biologic Rationale, Surgical Technique & Long-Term Results
Today, the timing of implant placement post-extraction in the esthetic zone is considered an important factor which influences the esthetic treatment outcome. One of these options is early implant placement after 4 to 8 weeks of soft-tissue healing. The purpose of this presentation is to present data and to analyze the stability of esthetic treatment outcomes in patients following single-tooth replacement in the anterior maxilla using the concept of early implant placement with simultaneous contour augmentation. Special emphasis will be placed on assessing the stability of the facial mucosa, since it directly depends on the stability of successful contour augmentation by GBR and to compare it to currently utilized immediate techniques like Dual Zone Therapy (Chu & Tarnow) and Partial Extraction Therapies (Salama & Gluckman).

Presented By:: Prof. Dr. Urs C. Belser;Daniel Buser, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Partial Extraction Therapy (PET) The Final Frontier Premium Member Content

Partial Extraction Therapy (PET) The Final Frontier
Buccopalatal collapse of the postextraction 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 the literature. A slightly different approach, "PET" is to use the tooth itself by purposely maintaining all or a portion of the root in the remaining socket. Root submergence has been reported in the literature for more than 4 decades, and it has been demonstrated that the submerged tooth root retains the periodontal tissues and preserves the bone in pontic sites or below dentures to retain the ridge. The socket-shield technique entails preparing a tooth root section to remain behind on the labial aspect simultaneous to immediate implant placement and has demonstrated histologic and clinical results that are highly promising to esthetic implant treatment.

Presented By:: Maurice Salama, DMD;Howard Gluckman, BDS, MChD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Esthetic Management for Compromised Extraction Sites - Part 1 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 1 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Current Concepts in Immediate Implants Premium Member Content

Current Concepts in Immediate Implants
Immediate implants have several advantages over traditional phased implant placement. Shortened treatment time and a single surgical procedure are among some of these benefits. Although the surgical techniques can be more challenging, immediate implants can be a predictable treatment modality in both the esthetic zone and molar sites. This presentation will discuss immediate implant placement and temporization in the esthetic zone as well as immediate replacement of molar sites using regular platform implants. More advanced technical procedures, including simultaneous sinus augmentation and guided bone regeneration will also be discussed.

Presented By:: David Dara Yarmand, DDS, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Computer-Generated Abutment Using A Coded Healing Abutment: A Two-Year Preliminary Report

Computer-Generated Abutment Using A Coded Healing Abutment: A Two-Year Preliminary Report
This article presents a preliminary clinical evaluation following the placement of 107 dental implants covered with computer-coded healing abutments. The healing abutment system evaluated herein provided information to specific computer software that facilitated the delivery of an anatomical definitive abutment. This system also assisted in the development of a titanium abutment whose characteristics mimicked the natural contours of the teeth being replaced. A two-year postoperative evaluation was performed to evaluate occlusion, gingival integrity, contact areas, inflammation, food impaction, porcelain integrity, radiographic condition and overall patient satisfaction. Improved tissue response and resultant aesthetics were observed.

Author(s): Dean C. Vafiadis, DDS
View Article>>
Bio-Oss Collagen in the Buccal Gap at Immediate Implants - A 6-Month Study in the Dog

Bio-Oss Collagen in the Buccal Gap at Immediate Implants - A 6-Month Study in the Dog
Following tooth extraction and immediate implant installation, the edentulous site of the alveolar process undergoes substantial bone modeling and the ridge dimensions are reduced. Five beagle dogs about 1 year old were used. The 4th premolar in both quadrants of the mandible were selected and used as experimental sites.The outline of the marginal hard tissue of the control sites was markedly different from that of the grafted sites.

Author(s): Dr. Mauricio G. Araújo; Dr. Elena Linder; Dr. Jan Lindhe
View Article>>
Clinical Outcome of Submerged vs. Non-Submerged Implants Placed in Fresh Extraction Sockets

Clinical Outcome of Submerged vs. Non-Submerged Implants Placed in Fresh Extraction Sockets
The aim of this study was to compare the clinical outcome of submerged vs. nonsubmerged tapered implants placed into fresh extraction sockets. The results showed statistically significant differences between the two groups in the mean value of keratinized tissue (KT) height after surgery that was significantly reduced for submerged implants when compared with transmucosal implants. Similar outcomes were found for submerged and non-submerged implants placed in fresh extraction sockets with a horizontal peri-implant defect smaller than 2mm, except for a reduction of KT in the submerged group. Either with a submerged or a nonsubmerged procedure, 1mm of mean soft tissue recession is seen after 1 year when compared with the pre-extraction situation.

Author(s): Luca Cordaro; Ferruccio Torsello; Mario Roccuzzo
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login · Register