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2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

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Page 1: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

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Cultivating Excellence in Comprehensive Dentistry

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video seriesHIGH INTENSITY LEARNING

Page 2: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

2017-2018 LIVE STREAM EDUCATIONThese evening sessions—designed for doctors, staff and hygienists—offer extraordinary value to your members.

World-class speakers are in your meeting room, live on screen, to share information on issues relevant to your office—practice management, aesthetic considerations, implants and more. Each program is

formatted to incorporate time for questions and direct interaction with the speaker.

STEPHEN CHU, DMD, MSD, CDT

TREATMENT PLANNING STRATEGIES FOR RESTORATIVELY COMPROMISED DENTITION: TOOTH SELECTION FOR THE DENTATE PATIENTTeaching Method: Lecture, 1.5 Hours, AGD Subject Code 697 (Implants Diagnosis and Treatment Planning)

Additional Discussion Optional, Teaching Method: Lecture, 1 Hour, AGD Subject Code 697 (Implants Diagnosis and Treatment Planning)

Tuesday, December 5, 2017 6:30pm Pacific

Tuesday, February 13, 2018 6:30pm Central

Tuesday, February 6, 2018 6:30pm Eastern

Comprehensive treatment planning for complex aesthetic restorative cases 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. Interdisciplinary treatment solutions, including orthodontics, periodontics and restorative dentistry, will be discussed. The latest research in these areas will be presented as well as innovative instrumentation to achieve optimal results.

Upon completion of this course, attendees should be able to:

• Analyze and treat tooth size discrepancies as they relate to individual tooth aesthetics, occlusion and the Bolton Analysis.

• Understand the latest studies on tooth size and shape and whether gender differentiation exists.

• Know what aesthetic determinants define gingival aesthetics.

GREGGORY A. KINZER, DDS, MSD

MINIMALLY INVASIVE CONCEPTS AND TREATMENTTeaching Method: Lecture, 1.5 Hours, AGD Subject Code 250 (Operative Restorative Dentistry)

Additional Discussion Optional, Teaching Method: Lecture, 1 Hour, AGD Subject Code 250 (Operative Restorative Dentistry)

Thursday, March 22, 2018 6:30pm Pacific

Tuesday, November 28, 2017 6:30pm Central

Tuesday, November 14, 2017 6:30pm Eastern

It has been said that the goal of dentistry is to make the patient worse at the slowest rate possible. However, the treatment options presented to the patient are often reflective of the skills and biases of the practitioner rather than what might be in the best interest of the patient and their teeth. The chosen treatment should be both minimally destructive and supported by the literature, which requires the practitioner to have knowledge of the success and failure rates reported in the literature. This presentation will help open your eyes to treatment options that may be underutilized when considering treatment today.

Upon completion of this course, attendees should be able to:

• Provide treatment options that preserve teeth and tooth structure.

• Present treatment options that may not be mainstream in today’s practice.

• Discuss success and failure rates with different treatment options in a variety of clinical situations.

Page 3: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

BRAHM MILLER, DDS, MSC, DIPL PROS, FCDS(BC), FRDC(C) AND SONIA LEZIY, DDS, DIPL PERIO, FCDS(BC), FRDC(C)

DENTAL IMPLANT TRENDSTeaching Method: Lecture, 1.5 Hours, AGD Subject Code 690 (Implants)

Additional Discussion Optional, Teaching Method: Lecture, 1 Hour, AGD Subject Code 690 (Implants)

Wednesday, February 21, 2018 6:30pm Pacific

Thursday, November 2, 2017 6:30pm Central

Tuesday, April 10, 2018 6:30pm Eastern

There are several changes impacting this increasingly important market. This presentation will cover current dental implant trends in digital planning, treating edentulous patients, cement alternatives, soft tissue grafting, bone grafting, immediate surgical and restorative protocols, CAD/CAM abutments, advanced aesthetics and complications.

Upon completion of this course, attendees should be able to:

• Understand technology that is changing the surgical and restorative landscape.

• List fixed and removable options for edentulous patients.

• Appreciate the role of grafting soft tissue and bone.

• Know why, when and how to use immediate treatment surgical and restorative protocols.

• Identify how to avoid common problems in placing and restoring dental implants.

MARCO BRINDIS, DDS

ORTHODONTIC MANIPULATION BEFORE IMPLANT PLACEMENTTeaching Method: Lecture, 1.5 Hours, AGD Subject Code 376 (Functional Orthodontics)

Additional Discussion Optional, Teaching Method: Lecture, 1 Hour, AGD Subject Code 376 (Functional Orthodontics)

Tuesday, April 17, 2018 6:30pm Pacific

Tuesday, April 3, 2018 6:30pm Central

Tuesday, February 20, 2018 6:30pm Eastern

This course will address the indications and considerations for orthodontic extrusion and other complex orthodontic movements in the aesthetic zone in preparation for implant rehabilitation to avoid undesirable periodontal amputation that occurs following tooth loss. Participants will learn the proper treatment sequence for this interdisciplinary approach.

Upon completion of this course, attendees should be able to:

• Recognize the options for retention of hard and soft tissues in the aesthetic zone.

• Understand how to sequence orthodontic and implant therapy to maximize aesthetics.

Approved PACE Program Provider FAGD/MAGD CreditApproval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement10/1/2015 to 9/30/2021 Provider ID# 300136

Seattle Study Club, Inc., is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Seattle Study Club, Inc., designates the Live Stream Sessions for up to 2.5 continuing education credits and the Full Day Sessions for up to 4.0 continuing education credits.

Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

Page 4: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

J. WILLIAM ROBBINS, DDS, MA

GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNINGTeaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

Additional Discussion Optional, Teaching Method: Lecture, 1 Hour, AGD Subject Code 734 (Diagnosis and Treatment Planning)

Tuesday, November 7, 2017 6:30pm Pacific

Tuesday, April 24, 2018 6:30pm Central

Tuesday, October 24, 2017 6:30pm Eastern

This course will provide a systematic approach for diagnosis and treatment planning complex interdisciplinary dental patients with a common language that may be used by the orthodontist, periodontist and oral and maxillofacial surgeon, as well as the restorative dentist. The four Global Diagnoses, which dictate all interdisciplinary treatment planning, will be defined. A set of questions will then be presented which will aid the interdisciplinary team in the diagnosis and treatment planning of complex dental patients.

Upon completion of this course, attendees should be able to:

• Describe the four Global Diagnoses.

• Complete a Global Diagnosis form, which will lead to a comprehensive diagnosis.

• Communicate with the interdisciplinary team.

JORDAN GOODMAN

THE RIGHT FINANCIAL MOVES FOR DENTISTS TO PROSPERTeaching Method: Lecture, 1.5 Hours, AGD Subject Code 552 (Practice Management and Human Relations—Financial Management)

Additional Discussion Optional, Teaching Method: Lecture, 1 Hour, AGD Subject Code 552 (Practice Management and Human Relations—Financial Management)

Thursday, November 16, 2017 6:30pm Pacific

Wednesday, October 11, 2017 6:30pm Central

Wednesday, October 4, 2017 6:30pm Eastern

During this engaging session, Mr. Goodman will share priceless financial gems. He will give attendees a quick-paced review of how to prosper financially by providing insight on calculating net worth, analyzing cash flow, keeping records, making goals, managing risk, investing and more.

Upon completion of this course, attendees should be able to:

• Identify how to make the most of their hard-earned dollars.

• Implement the best strategy for their financial personality.

Disclosure of Commercial Support The Seattle Study Club, Inc., The Seattle Study Club Journal, Inc., and/or Dr. Michael Cohen and Suzanne Cohen receive a direct or indirect financial benefit from Nobel Biocare, 3M Oral Care, The Aurum Group, CareCredit, Benco Dental, DSN Software, Millennium Dental Technologies, Inc., Cain, Watters & Associates, P.L.L.C., Harris Biomedical, Heartland Payment Systems, WEO Media, Peter Kertz Productions, Piezosurgery Incorporated, Touch Dental and ClariCare. Mr. Greg Tice is an employee of Seattle Study Club, Inc. Drs. Stephen Chu, Greggory A. Kinzer, Brahm Miller, Sonia Leziy, Marco Brindis, J. William Robbins and Mr. Jordan Goodman do not receive commercial support for these programs.These are lecture, slide and peer discussion-based programs suitable for all dentists regardless of prior experience. For any questions or concerns about these courses contact Audrey Larson, Online Seminar Administrator, at 425.576.8000 or [email protected].

Page 5: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

These micro-learning sessions are not your average recorded lecture! They are pre-recorded 40-minute videos that have been designed to mirror a case study at a business school. Each session brings the

instructor’s knowledge to a study club for an evening via video and also offers a substantial amount of interaction for attendees—helping people grow and change in small bite-sized pieces. The evening,

consisting of video and clinical roundtable interaction, runs approximately 90 minutes. An exceptional collaborative experience awaits you!

HERE’S HOW EACH SESSION IS STRUCTURED

The speaker introduces the topic for about 10 minutes and poses a few questions for discussion.

Attendees discuss the issues at small tables for 20 minutes.

Using sample illustrations, the speaker spends an additional 10 minutes answering the questions posed.

The speaker will then introduce another related topic, following the same timeline above, and will conclude with final thoughts for the evening.

MARCO BRINDIS, DDSNew Ceramic Material Options for Veneers

WAEL GARINE, DDSRealistic Approaches: Restoring the Edentulous Patient

SAJ JIVRAJ, BDS, MSEDWhy All-on-4®? Begin with the End in Mind

SCOTT MACLEAN, DDS, FADI, FACD, FICD, FPFAUnderstanding the Importance of Prosthetic Space when Planning Dental Implants

PARESH SHAH, DMD, MSTo Scan or Not to Scan? A Comparison of Digital and Conventional Workflows

MARCOS VARGAS, BDB, DDS, MSDiastemas and Black Triangles

HIGH INTENSITY LEARNING SERIESDiscussion-Based Micro Learning from Accomplished Clinicians

Page 6: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

NEW VIDEO ENHANCED CASEFLIXThese cases include video footage of the treating clinician presenting the patient and actual treatment rendered.

CASE 56—VIDEO ENHANCED*RESTORING THE AGING SMILEThis patient presents with concerns about his facial contours due to the aging process. Initially, aesthetics of his dentition were not a concern. However, after viewing his photographs during the treatment planning process, his appearance has become more important. Advanced bone loss posteriorly presents significant challenges to restoring stable function. This complex interdisciplinary case addresses periodontal, occlusal and orthodontic issues.

NEW

CASE 78—VIDEO ENHANCED*ENCOUNTERING DILEMMAS WITH FULL MOUTH FAILING RESTORATIONS AND OCCLUSAL DESTRUCTIONThis 67-year-old male presents with a long-span traditional bridge in the maxillary arch that was loose. It was very difficult for him to chew with comfort. The patient has undergone extensive treatment in the past. Severe cervical caries noted with numerous deficient and failing restorations. Posterior pockets of 4-5 mm were present with Class I and II furcation involvement. The patient had multiple missing teeth throughout his mouth with severe wear compromising his function.

NEW

CASE 80—VIDEO ENHANCED*IDENTIFYING THE ETIOLOGY OF WEAR PATTERNSThis 47-year-old male presents with the chief complaint: “I have a loose front tooth, I’m ashamed of my appearance and would like to have a smile that shows my teeth.” Radiographs revealed a horizontal mid-root fracture on tooth no. 8. The patient has a Class I molar relationship that postures to Class III due to the palatally inclined incisors. He has unique parafunctional habits (nail biting and utilizing his front teeth as a third hand to hold string and wire) that affect his anterior teeth. On initial evaluation there was clicking but no discomfort in the temporomandibular joint.

NEW

*Available for the 2017-2018 academic year.

• Advanced posterior periodontitis—AAP type IV.• Heavy function in the molar region.• Generalized severe recession with areas of erosion.• Class II deep overbite.

• Generalized worn dentition.• Caries.• History of significant endodontic therapy.• Multiple failing restorations.

• Vertical dimension challenges.• Unique parafunctional habits.• Severe anterior wear.• Envelope of function considerations.• Generalized recession throughout.

Each Caseflix option includes everything you need to host a lively treatment planning session. Every case includes a slide presentation (some require a facilitator, others are video-based), study models when applicable, handouts with relevant information about the case and treatment planning worksheets. These complete treatment planning session

packages are a great way to integrate this important aspect of study club programming into your academic year!

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NEW STANDARD CASEFLIXCASE 49*RESIDUAL IMPACT TO THE DENTITION FROM PREVIOUS CLEFT PALATE AND LIP REPAIRThis patient’s cleft lip and palate had been repaired when she was three months old. She presents with an implant restoration in site no. 7. A fair cosmetic result had been achieved; however, she had not been interested in additional dentistry to improve the aesthetics of her smile. External resorption was discovered on the distal aspect of tooth no. 8 during a routine hygiene appointment three years after the restoration was placed. At this time, she has become more concerned about aesthetics, as there is discoloration evident adjacent to the gingival line of tooth no. 8. This case features biomechanical, functional and aesthetic components.• External resorption.• Localized gingival recession.• Crown length discrepancies.• Altered passive eruption on teeth nos. 8-10.• Eight-year follow-up.

NEW

CASE 101—VIDEO ENHANCEDPERIODONTALLY COMPROMISED PATIENT WITH PARTIAL EDENTULISM AND SIGNIFICANT MALOCCLUSIONPresented by Dr. Vince Kokich, Sr.

This 38-year-old female works for a dental supply company and has not seen a dentist for two years due to anxiety over potential pain. She is concerned about the crowding and irregularity of her maxillary and mandibular incisors, and has referred herself to an orthodontist. She is single with a good job, and, if convinced of the necessity, is willing to have ideal treatment. Her primary goals are to preserve her teeth and improve her smile.

CASE 102—VIDEO ENHANCEDMANAGING TOOTH WEAR AND DIMINISHED VERTICAL DIMENSIONPresented by Dr. Vince Kokich, Sr.

This 41-year-old female is unhappy with the appearance of her dentition and is concerned about her short maxillary anterior teeth. However, the general dentist cannot restore the teeth in their present position without encroaching on the pulps due to the extent of her upper and lower anterior tooth wear. She is a stressful individual with some moderate TMJ symptoms. She has funds to afford ideal treatment.

CASE 103—VIDEO ENHANCEDDEFICIENT JAW GROWTH DUE TO ECTODERMAL DYSPLASIA COMPLICATIONS—TREATMENT SEQUENCING CHALLENGESPresented by Dr. Christian Coachman

This 21-year-old female presents for treatment after undergoing 15 years of orthodontic treatment to maintain space due to her diagnosis of ectodermal dysplasia. Her chief concerns were poor aesthetics and the severe emotional trauma of undergoing so many years of orthodontics, starting at the age of 6 years old. She was ashamed of her teeth and felt she could not smile due to her compromised aesthetics and tooth size.• Lack of jaw growth, especially deficient in the maxilla.• Low smile line and restricted lip mobility.• Edge-to-edge posterior bite.• Patient’s mental stress towards further dental therapy.

*Available for the 2017-2018 academic year.

KOKICH, SR., & COACHMAN VIDEO CASEFLIXThese fully guided treatment planning sessions are hosted (via video) by the clinician who treated each case. In each

option, the clinician walks through every aspect of the case and shares insights to aid in the treatment planning process.

SPECIAL

EDITION

Page 8: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

CASE 5—VIDEO ENHANCEDEVALUATING AND TREATING THE SEVERELY COMPROMISED PERIODONTAL PATIENT WITH CONTEMPORARY AND CONSERVATIVE THERAPIESThis 54-year-old male presents after considering treatment with several other dentists. Each had proposed a different treatment plan for him. The patient has neglected care in the past and exhibits poor oral hygiene. He is motivated to change his habits and to save his teeth.

CASE 52—VIDEO ENHANCEDTHE COMPROMISED PATIENT—FULL MOUTH PERIODONTAL AND RESTORATIVE CONCERNSThis 58-year-old male presents with concerns regarding the aesthetics and function of his maxillary teeth. He is seeking a comprehensive evaluation and treatment options to address his dental condition. He had a history of various extractions, endodontic therapy and selective restorative treatment that had been completed throughout his life. The patient was willing to consider all treatment options that did not involve a removable prostheses and wanted to retain as many of his teeth as possible. This Caseflix includes a video featuring the treating clinician and the lab technician sharing the details of active treatment on this challenging case.

COMPREHENSIVE CASES

CASE 12—VIDEO ENHANCEDMISSING TOOTH NO. 11— REPLACEMENT WITH A SINGLE IMPLANTTreating Clinician: Dr. Paresh Shah

At the time of surgery, the surgeon strayed from the proposed treatment plan and decided to extract tooth no. 10. Two implants were placed too close in proximity for proper restorations to be fabricated. Now what do you do?

CASE 13—VIDEO ENHANCEDSLIGHT DISCOMFORT OF TOOTH NO. 11 AND EXTENSIVE DENTAL TREATMENT—SAVE OR EXTRACT?Treating Clinician: Dr. Bob Margeas

This patient is concerned about losing her tooth. She is apprehensive about the possibility of having to wear a removable appliance if the tooth can not be salvaged and has a real concern about the cost of treatment. Tooth no. 11 is an abutment for a five-unit fixed partial denture (teeth nos. 11-15) with pontics at site nos. 12 & 14. The current bridge is 12 years old. There are porcelain veneers on the four anterior teeth. There is slight sensitivity to cold and percussion testing on tooth no. 11.

SINGLE AREA DILEMMASWhen evaluating patients who want to spread their treatment out over time or are only willing to treat one area, we are

left to consider our options of how to handle these cases that are less than ideal. We have selected two single area dilemmas to help sharpen verbal skills with these types of patients and become more comfortable with these types of scenarios.

Pairing these together for a long evening session is an ideal opportunity to practice thinking on our feet and making on-the-spot decisions for treatment while a patient is in the chair—things we all face every day.

When purchased together, the fee for these single area dilemmas is reduced to $995 each.

VIDEO ENHANCED CASEFLIXThese cases include video footage of the treating clinician presenting the patient and actual treatment rendered.

Page 9: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

CASE 10FULL MOUTH RECONSTRUCTION ELDERLY PATIENT: RESTORING HIS SMILE OF YOUTHCase components include periodontal initial therapy, endodontic treatment, clinical crown lengthening, gingival grafting, implants for missing teeth, core build-ups and full-mouth restorative reconstruction.

CASE 19TREATMENT OPTIONS FOR TREATING ORTHODONTIC AND RESTORATIVE CONCERNSCase components include pre-surgical orthodontics, bilateral sagittal split osteotomy, sinus grafting, implant therapy, crown lengthening on teeth nos. 18-21, conventional crown and bridge, veneers and individual implant supported crowns.

CASE 20TREATING AN ANTERIOR AESTHETIC CASE WITH MODERATE INCISAL WEARCase components include periodontal initial therapy, anterior aesthetic concerns, orthodontics-posterior forced eruption, temporary anchorage devices and veneers.

CASE 15—INTRODUCTORYUNDERSTANDING OCCLUSAL CONSIDERATIONS OF SEVERE WEAR CASESThis version of Case 15 is great for getting the discussion started in treating these types of complex patients. It will take you through the basic diagnostic records required in order to determine the diagnosis and ultimately the ideal treatment plan for this type of patient.

STANDARD CASEFLIX

CASE 15—ADVANCEDUNDERSTANDING OCCLUSAL CONSIDERATIONS OF SEVERE WEAR CASESThis version of Case 15 is an in-depth comprehensive look into what documentation and diagnostic records are required to start evaluating complex patients. You will experience this session by looking through the eyes of a prosthodontist presenting his board patient. This session is sure to challenge the most veteran clinician. Her chief complaint; “I think I am in trouble with my teeth and I feel that this is my last chance to save them.”

CASE 30RESTORING A PATIENT WITH LACK OF POSTERIOR SUPPORTCase components include periodontal maintenance, extractions, implant therapy, provisionalization, anterior aesthetics and conventional crown and bridge—splinted and individual.

Page 10: 2017-2018 · GLOBAL DIAGNOSIS—A NEW VISION OF DENTAL DIAGNOSIS AND TREATMENT PLANNING Teaching Method: Lecture, 1.5 Hours, AGD Subject Code 734 (Diagnosis and Treatment Planning)

CASE 44COMPLEX CASE UTILIZING THE ENTIRE INTERDISCIPLINARY TEAMCase components include orthognathics, orthodontics, periodontal maintenance, endodontic re-treatment, bone grafting, implant placement, implant supported crowns replacing missing teeth, conventional fixed restorations and an 11-year patient follow-up.

CASE 60TREATING MALOCCLUSION, CARIES AND AESTHETIC CHALLENGESCase components include orthodontics, bilateral sagittal mandibular osteotomy, extractions, periodontal aesthetic crown lengthening, soft tissue grafting, implant tooth no. 19 and maxillary and mandibular restorative therapy with five-year patient follow-up.

CASE 62EXAMINING AND EXPLORING SEVERE TOOTH WEAR, DEEP OVERBITE AND RETROINCLINED MAXILLARY ANTERIORSCase components include a challenging restorative space, orthodontic intrusion of the incisors, anterior temporization during orthodontic treatment, glass crowns and maxillary and mandibular abraded incisors and canines restored with veneers.

CASE 37FAILING ANTERIOR BRIDGEWORK IN A SEVERELY RESORBED MAXILLACase components include extraction of hopeless teeth, periodontal gingival grafting and a subepithelial connective tissue graft for ridge augmentation with no orthognathic procedures, no implant therapy, provisionalization with removable partial, fixed conventional bridgework.

CASE 50TREATING THE COMPROMISED PATIENT WITH CONGENITALLY MISSING TEETHThis 34-year-old female patient presents with a chief complaint that her existing provisional bridge is not aesthetically pleasing and does not match the other side of her mouth. She also mentions her small teeth and wants a solution for that problem. She has multiple congenitally missing teeth throughout. A recent encounter with her dentist left her emotionally distraught. Upon delivery of the definitive bridge, which had an unpleasant cosmetic result, she broke down in tears. She reached out for a second opinion at this time. Psychologically, the patient is feeling vulnerable in moving forward with any type of comprehensive treatment plan. Posterior cross bite noted right side. There is mobility of the retained primary teeth “C” and “H.”

HYGIENE CASEFLIXCASE 40—INTERMEDIATETREATMENT OF A FAILING DENTITION WITH LACK OF POSTERIOR SUPPORTCase components include extractions, change of vertical dimension, mandibular removable partial denture, maxillary individual and splinted restorations and treatment limitations.

CASE 57—INTRODUCTORYMANAGEMENT OF PERIODONTAL PATIENTS WITH A HIGH RISK FOR CARIESCase components include non-surgical periodontal management, sinus elevation and bone augmentation, and implant therapy for multiple teeth—splinted and individual supported crowns with a four-year follow-up.

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Cultivating Excellence in Comprehensive Dentistry

© 2017 Seattle Study Club, Inc.

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