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"In the Zone with the Triangle of Bone"

It has been stated that the “goal of implant dentistry is not the implant, it is the tooth that we replace…” Achieving successful implant reconstruction is therefore dependent on many factors. Placing the implant within the existing bone allows for osseointegration to occur, but this process has little impact on esthetic and functional outcomes. The most desirable implant receptor site should always correlate with the ultimate restorative goal, and under ideal conditions should be known in advance of the surgical intervention.

 

If the receptor site is not ideal, there are ever evolving methods to manage the bone and soft tissue. Success can best be achieved through the initial diagnosis and treatment planning phase.
New surgical and prosthodontic paradigms have now been established over the past 25 plus years first through the utilization of CT and now lower dosage CBCT three dimensional imaging technologies which provide clinicians with an unprecedented appreciation of the patient’s anatomy for pre-surgical assessment of dental implant receptor sites, bone grafting or other procedures. Currently available planning software can interface with the 3-D CT/CBCT data with virtual tools and interactive treatment planning capabilities. However, even today, in 2017 many clinicians are not well versed in how best to use technology. The “Triangle of Bone” (TOB) concept was originally conceived in 1992 and first published in 1995 to provide a foundation to assess the potential implant receptor site to identify a“blueprint for success.” The TOB concept if used properly can help clinicians achieve true restoratively driven implant dentistry by matching the receptor sites to the design specifications of the implant and abutments before the scalpel touches the patient. In addition, the TOB can help identify when other treatment modalities such as bone grafting should be used to facilitate treatment. The merging of analog and digital technologies has re-defined the workflow, developed new paths between diagnosis and CAD CAM applications, while enhancing both accuracy and consistency in establishing new paradigms for today and beyond.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Guest Speakers

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Scott D. Ganz

In the Zone with the Triangle of Bone

It has been stated that the “goal of implant dentistry is not the implant, it is the tooth that we replace…

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Carlos Velez

De la planificación a la rehabilitación digital con implantes. Flujos digitales

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Enrique Jadad

La Odontología convencional sigue activa. De Dónde Venimos? Dónde estamos?, hacia dónde vamos?

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Robert Miller & Maurice Valen

One-Step Alveolar Ridge Preservation using OsteoGen® Bone Grafting Plugs (OBGP) without a Membrane Plus Advanced Surgical Concepts in Bone Regeneration

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Manuel De LA Rosa

Digital Parameters and its influence in the Implant Placement on the Perio/Ortho Patient

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Alberto Rebaudi

How new technologies changed implantology: from guided surgery to ultraosseointegration

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Henry Salama

Optimizing the -Transition Zone- in Esthetic and Implant Therapy: A 3-Dimensional Approach

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Alvaro Ordonez

Dynamic Guided Surgery for partially and fully edentulous patients. Taking the technology to the limits!

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Marcello Ferrer

Guided Alveolar Reconstruction

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Bassam Rabhie

Microsurgical approach to minimally invasive soft and hard tissue grafting around implants in the esthetic zone

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Darcio Luis Fonceca

Fellow in Implant Dentistry, Miami University. Post graduated in Advanced Implantology and Minimaly Invasive Rehabilitation.

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