Modern Bone Augmentation Techniques: An Alternative Donor Site
In this lecture, Dr. Glickman will give the participants an alternative bone block harvesting site that is in the same area as the anterior maxillary teeth, eliminating the need for a second site surgery. This also provides a site that is painless and easily accesible therefore allowing the patients to have the gold standard of bone grafting rather than settling for treatment options with a more more variable outcome.

The Central-Lateral Replacement Dilemma in Esthetic Implant Dentistry: Clinical Alternatives & Case Management
Clinicians today have access to an astounding array of new technology, tools and materials to utilize in their progressive and esthetically oriented practices. However, none of them can ensure success if the treatment design is inadequate. This presentation puts an emphasis on identifying the risk factors to successful esthetic outcomes specific to multiple adjacent tooth replacement within the Esthetic Zone. Specifically, the challenges to replacement of adjacent Maxillary Lateral and Central Incisors will be highlighted as well as developing appropriate solutions to overcoming them.

Comprehending Maxillofacial Anatomy and Related Pathology with CBCT
The advent of CBCT has brought a great deal of excitement to the dental professionals. For the first time, we have a diagnostic tool which has overcome the known disadvantages of the traditional projectional dental diagnostic images (periapical and panoramic radiographs) with the provision of sharp sectional images at any desired plane (multiplannar imaging).

Emerging Concepts in Sinus Augmentation; Atraumatic and Efficient Crestal and Lateral Access Techniques
This presentation will highlight through in depth clinical case documentation, the new and evolving role of instrumentation for access to the Sinus for Bone Augmentation. Efficiency and minimally invasive approaches which increase success and minimize complications will be highlighted. Posterior Maxillary reconstruction often involves Sinus Augmentation and Implants then inserted into the grafted site. A knowledge of useful and clinically manageable techniques that provide access but minimize large surgical flaps and sinus membrane perforations are keys to success.

Maintaining Interimplant Crestal Bone Height Via a Combined Platform-Switched, Laser-Lok Implant/Abutment System: A Proof-of-Principle Canine Study
Interimplant papillae are critical for achieving esthetic implant-supported restorations in the maxillary esthetic zone. Stable papillary anatomy, however, depends upon a stable volume underlying crestal bone for support. Multiple studies have documented a critical interimplant distance of 3mm under which crestal bone resorption occurs. This preclinical proof-of-principle canine study examines a novel implant-abutment system design, combining platform switching with precisely configured laser-ablated abutment and implant microgrooves to maintain interimplant crestal bone at interimplant distances of 2 and 4 mm. Results of this initial preclinical study suggest that it is possible through precise implant/abutment design modifications to place adjacent implants at distance of 2 to 4 mm without inducing subpapillary crestal bone loss.

Reconstruction of Damaged Fresh Sockets by Connective-Bone Sliver Graft From the Maxillary Tuberosity, to Enable Immediate Dentoalveolar Restoration - A Clinical Case
This paper describes a procedure for immediate loading of an implant following tooth extraction, in a socket presenting severe damage to the vestibular bone plate and gingival recession in the region of the upper central incisors. The procedures of extraction of the tooth, immediate insertion of the implant, connective- bone graft from the maxillary tuberosity and immediate restoration were shown to be a predictable treatment alternative. These procedures led to restoration of the tooth, bone and gingival structures in a single surgical stage and to maintenance of the favorable esthetic and functional result 24 months afterwards.

Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis
The purpose of this study was to determine the relationship between patients with a history of periodontitis and development of cement-related peri-implant disease. Seventy-seven patients with 129 implants for this retrospective analysis were selected from completed implant cases that were scheduled for regular maintenance or had experienced mechanical or biological complications between years 2006 and 2011 in private practice. Implants with extracoronal residual cement and implants without cement remnants were analyzed.

The Dual-Zone Therapeutic Concept of Managing Immediate Implant Placement and Provisional Restoration in Anterior Extraction Sockets
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this case enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device.

Emerging Concepts in Sinus Augmentation; Atraumatic and Efficient Crestal and Lateral Access Techniques
This presentation will highlight through in depth clinical case documentation, the new and evolving role of instrumentation for access to the Sinus for Bone Augmentation. Efficiency and minimally invasive approaches which increase success and minimize complications will be highlighted. Posterior Maxillary reconstruction often involves Sinus Augmentation and Implants then inserted into the grafted site. A knowledge of useful and clinically manageable techniques that provide access but minimize large surgical flaps and sinus membrane perforations are keys to success.

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

The Central-Lateral Replacement Dilemma in Esthetic Implant Dentistry: Clinical Alternatives & Case Management
This presentation puts an emphasis on identifying the risk factors to successful esthetic outcomes specific to multiple adjacent tooth replacement within the Esthetic Zone. Specifically, the challenges to replacement of adjacent Maxillary Lateral and Central Incisors will be highlighted as well as developing appropriate solutions to overcoming them. A clear blueprint will be outlined which will incorporate digital and biomaterial technology synergistically with advanced surgical protocols to overcome esthetic challenges and predictably achieve successful results. In addition, specific guidelines for the utilization of new regenerative products will be outlined as well as new technologies and applications for future enhancement.

Total Rehabilitation of the Edentulous Patient with the All-on-4® treatment concept
A fixed implant supported prosthesis is the ideal treatment option for the edentulous patient and those facing the imminent loss of their remaining dentition. Through innovation, along with continuous clinical and scientific research, it has become possible to treat virtually every edentulous case with a highly functional and esthetic fixed solution.This widely applicable surgical protocol allows for a simple and immediate rehabilitation with a provisional bridge fixed on 4 implants, with minimum cantilevers, 3-4 hours after the surgery. The final prosthodontic work is of extreme importance. The MALO CLINIC Ceramic Bridge is the epitome of biomedical engineering combined with NobelProcera® CAD\CAM technology to provide patients with an extremely esthetic precision implant supported functional replication of the natural dentition.