MS, DDS, PhD; Professor, Albert-Ludwigs University of Freiburg, Germany, Executive Medical Director (CMO, CTO), Swiss Smile Dental Group, Switzerland

Current Ceramic Rehabilitation

Synopsis: The evolution of dental ceramics has revolutionized our ability to restore patients. Due to their preferred optical and biological properties, all-ceramic materials assessed to be ideal for tooth- and implant-supported restorations. Yet, the rapidly changing face of new material developments and techniques today, presents us with an ever expanding armamentarium to meet the challenges presented to us in restorative dentistry. An interdisciplinary approach, sound knowledge and awareness of new ceramic materials are essential if we strive for good function and long term predictability. To fabricate all-ceramic restorations, monolithic lithium-disilicate and monolithic translucent zirconia are replacing traditional veneering techniques and metal frameworks. This presentation will shortly review planning and preparation concepts for extended esthetic fixed oral rehabilitations, using current ceramic solutions, asking what makes ‘new’ really ‘better’?

Educational Objectives: Upon completion of this presentation, participants should be able to:

  1. Discuss aspects in selecting the ceramic restorative materials to use;
  2. Identify the preparation techniques required by different materials;
  3. Discuss the necessity of a close dentist-technician collaboration.

Successful Biological Tissue Preservation Strategies with Implants in the Esthetic Zone

Implant restorations in the anterior dentition post an extraordinary challenge for the dental practitioner. Minimal invasive and periodontal surgical techniques can remain esthetic hard and soft tissue conditions around implant restorations over time. With the loss of a single tooth, the treatment of the remaining extraction socket becomes the focus. “If you have it, don’t lose it”. Different choices of socket preservation strategies, immediate implant placement concepts and timing of tissue sculpturing will be evaluated. The technique of the ‘Pedicle Gingival Graft’ will be introduced to achieve a surplus of tissue and bone, resulting in better implant tissue conditions and long term stability. Especially in extraction socket type 2, when the option of direct implant placement is limited, new concepts are required. Biomechanical limitations and biological treatment concepts impact on the clinical long-term success of single implant rehabilitations. LESS is often MORE.