The following case studies were entries for the clinical case competition, displayed as posters at the 4th MIS Global Conference 2018. Out of the 50 cases submitted for review, the scientific committee, which included Professor Nardy Caspi, Professor Moshe Goldstein and Dr. Yuval Jacoby, chose the finalists, out of which these 3 winners were ultimately chosen.
 
By Dr. Galip Gurel

The fully digitized protocol that will be presented in this lecture, will emphasize the importance of correct communication, which will improve the esthetic diagnosis and the predictability of the implant-based anterior aesthetic restoration

Modern techniques and materials can be useless if the final outcome does not live up to the patient’s esthetic expectations.

It has always been a challenge to create a smile design, where the final result can be precisely predicted from day one. In some cases, the dentists do build this design directly in the patient’s mouth. However, some leave it to the ceramist that they work with. Most importantly, however, this smile design needs to match the patient’s functional, biological and emotional needs.

To obtain such results, especially when implants are involved, we need very well communicated, interdisciplinary teamwork. Every member of the team (including the specialist, lab technicians and the patient) should be aware of the treatment planning and the anticipated end result, right from the start.
 
The V3 implant system is the outcome of an exceptionally high-level R&D process that has resulted in an implant that is simple, easy-to-use and offers enhanced functionality and performance.
 
During the first day of the 3rd MIS Global Conference, more than 300 people attended the young clinicians' case competition session where 5 doctors were invited to present their cases.
Out of the 49 cases submitted for review, the scientific committee, which included Professor Stefen Koubi, Professor Nitzan Bichacho, Dr. Eric Van Dooren and Professor Moshe Goldstein, chose the finalists out of which these 3 winners were ultimately chosen.
 
By Prof. Nitzan Bichacho

Real-time planning of actual clinical situations requiring implants for supporting fixed crowns.

The different considerations when choosing implant size and positioning will be explained, as well as critical factors to be borne in mind.

A detailed step-by-step live demonstration of the entire planning workflow will be demonstrated and viewers will gain an understanding of the complete implant-planning process.
 
By Dr. Tali Chackartchi

Dental implant placement is a well-established process and has been performed for many years. High success rates have pushed dental clinicians to try and reach beyond clinical limitations.

The introduction and availability of cone beam computed tomography has improved analysis of clinical cases and implant placement planning in three dimensions. In recent years, different concepts of three-dimensional planning, such as computer-guided (static) surgery, have been proposed to transfer virtual digital planning from a personal computer to the surgical field to improve accuracy and performance.

The degree of correlation between the virtual plan and the final placement of the implant in the patient’s mouth is very much dependent on the accuracy of the clinical steps during data collection, treatment planning and the surgical work.

A structural approach and a “step-by-step” workflow will be presented, with a discussion on the inherent potential for process errors and the way to minimize them.
 
A case by Dr. Dioracy Vicioso Martínez DDS, MS (Surgery and prosthetics), 2018.
Dental Technician: Elvin Santos TPD, DTG

Matthew Vogan (male, 25 years old) came to our office with his chief complaint of tooth mobility on left central incisor (# 21). At this time, we decided to do an initial CBCT to diagnose the cause of this mobility. We suspected the cause; as he described himself 5 years earlier, jumping in a pool and having the two upper front central incisors (# 11 and 21) traumatized. At this time, the left central came out. His doctor at the time re-implanted #21 and did endodontic treatment on both teeth, finishing the treatment with two lithium disilicate crowns. He had a clean bill of health at the moment of our surgical intervention. The following pictures will describe what we diagnosed and the clinical (surgical - prosthetics) steps we took to resolved the case. Showing the final clinical outcome at 1 year’s time.
 
By Dr. Stefan Koubi

To be popular, everyday dentistry must be simple and aesthetical guided. Within the aesthetic zone in particular, depending on the initial situation, dentists can be faced with a lot of challenges.

Everyday dentistry is becoming simple, guided, aesthetic and more and more digital.

However, regardless of the difficulty of a case, dentists should think like an architect when putting together their plan. In this webinar, a full guided protocol will be presented for aesthetic defect cases where implants are needed.

A fully digital workflow associated with CAD/CAM material and technologies will be presented to fix the implant case and all clinical steps will be driven by the final design in order to be able to precisely predict the outcome.
 
By Dr. Stavros Pelekanos

This presentation will focus on the single implant-abutment-crown complex shown in various clinical cases.

Single implant restorations in the esthetic zone require often demanding surgical and prosthetic therapeutic procedures in order to achieve long-term stable results. Despite the clinical and scientific evidence, the clinical handling and the treatment sequence and workflow is of utmost importance determining the final outcome of the implant restoration.

Clinical and scientific evidence shows that correct implant positioning in respect with the future clinical crown and the neighboring teeth decreases the need of soft and/or hard tissue enhancement, especially in cases with intact facial bundle bone. The use of the M-guide simplifies the clinical procedure facilitating an easy workflow with or without flap elevation. Furthermore, new implant designs and innovative treatment sequences will be analyzed in this presentation, with a focus on the single implant-abutment-crown complex shown in various clinical cases.
 
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