{"title":"Dr Ivo Erthal","description":null,"products":[{"product_id":"maxillary-full-arch-protocol-complication","title":"Maxillary Full-Arch Protocol Complication [CASE 01]","description":"\u003cp\u003eThis case-based educational module presents the management of a complication in an upper full-arch implant protocol, involving loss of an implant in the left posterior maxilla associated with a residual infectious focus from a previous dental lesion. The case demonstrates the clinical reasoning behind regional anesthesia, flap design, careful palatal and vestibular release incisions, justaperiosteal flap elevation, identification and curettage of residual cystic\/infectious tissue, irrigation, and preparation of a new implant bed.\u003c\/p\u003e\n\u003cp\u003eThe module emphasizes anatomical awareness in the posterior maxilla, including consideration of the greater palatine neurovascular area and the relationship of the osteotomy to the maxillary sinus. It also discusses implant positioning for prosthetic design, the importance of avoiding excessive palatal or buccal positioning, the use of radiographic verification, subinstrumentation in low-density maxillary bone, and the decision-making process around immediate versus delayed prosthetic capture.\u003c\/p\u003e\n\u003cp\u003eThis content is intended for educational review by dental professionals and students interested in implant dentistry, surgical planning, complication management, and prosthetically guided implant placement.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eStep-by-step narrated surgical case review\u003c\/li\u003e\n\u003cli\u003eDiscussion of anesthesia approach in the maxilla\u003c\/li\u003e\n\u003cli\u003eFlap design and soft-tissue management considerations\u003c\/li\u003e\n\u003cli\u003eIdentification and removal of residual infectious tissue\u003c\/li\u003e\n\u003cli\u003eIrrigation and debridement principles\u003c\/li\u003e\n\u003cli\u003eImplant osteotomy planning in the posterior maxilla\u003c\/li\u003e\n\u003cli\u003eAssessment of implant angulation and parallelism\u003c\/li\u003e\n\u003cli\u003eRadiographic verification relative to the maxillary sinus\u003c\/li\u003e\n\u003cli\u003eDiscussion of Cone Morse implant placement and angled mini-abutment planning\u003c\/li\u003e\n\u003cli\u003eConsiderations for immediate versus delayed prosthetic capture\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eDentists studying implant dentistry\u003c\/li\u003e\n\u003cli\u003eOral and maxillofacial surgery residents\u003c\/li\u003e\n\u003cli\u003ePeriodontists and implant clinicians seeking case-based review\u003c\/li\u003e\n\u003cli\u003eProsthodontists interested in prosthetically guided implant positioning\u003c\/li\u003e\n\u003cli\u003eDental students and postgraduate learners reviewing implant complications\u003c\/li\u003e\n\u003cli\u003eClinical educators using surgical cases for discussion and review\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for educational purposes only and does not replace professional clinical training, individualized diagnosis, treatment planning, or supervision by qualified dental professionals. Surgical techniques and clinical decisions must be reviewed in the context of each patient, current evidence, local regulations, and institutional protocols. Human expert review is mandatory before using this material for teaching, publication, or clinical decision support.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: cf88f8d2-31c5-476f-989c-8ff16f5dcb98 --\u003e\u003c\/p\u003e","brand":"Dr Ivo Erthal","offers":[{"title":"Default Title","offer_id":43339011293245,"sku":null,"price":120.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/MaxillaryFull-ArchProtocolComplication_result_00f05541-4dd3-4246-b8ff-569be9063c56.webp?v=1783950508"},{"product_id":"complete-maxillary-fixed-implant-protocol","title":"Complete Maxillary Fixed Implant Protocol [CASE 02]","description":"\u003cp\u003eThis educational case, presented by Dr. Ivo Erthal through Desafios da Implantologia, reviews a complete upper-arch implant rehabilitation workflow from a procedural reasoning perspective. The case follows the sequence of anesthesia, dental extractions, flap design, mucoperiosteal reflection, socket curettage, alveolar bone reduction, use of a multifunctional guide, implant site preparation, implant placement, and selection of straight and angled conical mini-abutments.\u003c\/p\u003e\n\u003cp\u003eThe lesson emphasizes anatomical and prosthetic considerations in the maxilla, including management of the palatal and vestibular tissues, attention to the nasopalatine region, assessment near the maxillary sinus and nasal cavity, and the role of bone leveling in prosthetic space, hygiene access, smile-line planning, and future prosthesis adaptation.\u003c\/p\u003e\n\u003cp\u003eThe content also discusses the use of a multifunctional guide as part of reverse planning, implant angulation control, distribution of implants in an All-on-4-style configuration, and intraoperative verification steps such as probing the osteotomy and checking for possible sinus communication. The focus is educational and intended to support clinical reasoning, anatomical awareness, and structured procedural review.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eStep-by-step educational case discussion\u003c\/li\u003e\n\u003cli\u003eAnesthesia sequence overview for the maxillary arch\u003c\/li\u003e\n\u003cli\u003eExtraction and socket preparation considerations\u003c\/li\u003e\n\u003cli\u003eIncision and flap reflection explanation\u003c\/li\u003e\n\u003cli\u003ePalatal and vestibular dissection principles\u003c\/li\u003e\n\u003cli\u003eBone reduction and ridge leveling rationale\u003c\/li\u003e\n\u003cli\u003eMultifunctional guide use in reverse prosthetic planning\u003c\/li\u003e\n\u003cli\u003eImplant angulation and osteotomy preparation discussion\u003c\/li\u003e\n\u003cli\u003eSinus and nasal cavity proximity checks\u003c\/li\u003e\n\u003cli\u003eMini-abutment selection and prosthetic emergence considerations\u003c\/li\u003e\n\u003cli\u003eWorkflow considerations for impression of the provisional prosthesis\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eDentists interested in implant dentistry education\u003c\/li\u003e\n\u003cli\u003eOral and maxillofacial surgery learners\u003c\/li\u003e\n\u003cli\u003ePeriodontics and prosthodontics residents\u003c\/li\u003e\n\u003cli\u003eImplant dentistry students and continuing education participants\u003c\/li\u003e\n\u003cli\u003eDental professionals reviewing full-arch rehabilitation workflows\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for educational and professional training purposes only. It does not replace formal clinical training, individualized diagnosis, treatment planning, supervision, or local standards of care. Techniques, materials, and workflows should be reviewed by qualified dental professionals before clinical application. Human expert review is mandatory.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 6ed475c5-e13e-4727-b53a-905b03f89011 --\u003e\u003c\/p\u003e","brand":"Dr Ivo Erthal","offers":[{"title":"Default Title","offer_id":43339054743613,"sku":null,"price":120.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/CompleteMaxillaryFixedImplantProtocol_result.webp?v=1783951358"}],"url":"https:\/\/www.surgie.com\/ja\/collections\/dr-ivo-erthal\/custom-sub_especialidade-face.oembed","provider":"Surgie","version":"1.0","type":"link"}