Keys to Esthetic Gingivectomy
Dr. Silverstein shows the gingivectomy procedure.

Papilla Regeneration in Patients with Gummy Smile
A lost interdental papilla is difficult to regenerate. Only a few successful case reports have been published and there are no studies reporting a predictable technique to reconstruct the papilla. In this presentation we talk about the biological determinants of gingival papilla. We show different clinical cases ranging from simple cases, where papilla preservation techniques are applied, to complex cases of patients with gingival smile where we apply papilla regeneration techniques.

Tooth Makeover to a True Smile Makeover
Dr. Warren Roberts strategically integrates facial rejuvenation with the cosmetic smile makeover using his 30+ years of dental expertise, making this a relevant issue for any dentist.

"XP Treatment Planning Challenge - Phase I" - Parameters for Integration of Aesthetics and Function in Implant Dentistry
This Case report presentation will be in 2 Parts. Part 1 will feature the diagnostic cascade and ask you to consider different treatment approaches to the case. Please place your comments and treatment suggestions in the comment section. Part 2 next week will showcase the actual treatment performed.

Treatment of the Mesial Concavity of Maxillary 1st Bicuspids in Comprehensive Periodontal and Restorative Cases
This video will discuss one of the most difficult areas to treat definitively, the mesial concavity of maxillary 1st bicuspids. Techniques will be evaluated whereby the surgeon can treat the cause of periodontal problems rather than the effects. A step by step presentation of removal of the concavity and the proper restoration of the post treated root surface will be shown.

"The Soft Block": Treating Severe Recessions Around Dental Implants - Part 1 of 2
Severe recessions around implants is a common issue. Filipe Lopes & Bernardo Mira Correa will try to present simple algorithms and biological ways for trying to solve this kind of clinical challenge, other than implant explantation that must be also, and so many times, considered as the first choice. This is intended to be the first of a series of posts on the subject. We will feature different soft tissue management strategies, including autologous grafts and alloderm. We will underline the importance of: diagnosis,PRGF ENDORET® graft, type of implant, grafting technique to use and allografts that can possibly help us on some challenging situations. At the end we will try to provide for a simpler treatment algorithm, that has been of good service for us, for some years now.

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

The Future of Lasers in Periodontal Therapy: Science, Hype or Snake Oil
The results of recent research studies suggest that lasers provide a viable alternative to traditional periodontal surgery. Evidence is emerging that lasers provide an enhanced method for achieving this elusive goal, while eliminating many of the negative sequale associated with conventional pocket elimination surgery.

The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy?
Implant therapy is in the age of being increasingly aesthetically driven, not merely restorative. With the increasing popularity of immediate implants, particularly with anterior tooth extraction, the relevance of socket changes following extraction has come to the fore. Contrary to what was originally believed, the installation of an immediate implant does not arrest bone loss, and immediate implants in the aesthetic zone are prone to recession of bone and soft tissue as a result of bundle bone resorption which is obligatory with tooth extraction.

Esthetic Periodontal Surgery: Making Recession Defects Disappear by Grafting
Expert discussion of soft tissue grafting; first an overview of current trends, the second showing a specific allograft technique for treating multiple adjacent recession defects.

Unique Implant Technology for Immediate Provisional Restorations at Implant Placement
To achieve adequate bone regeneration and implant stability, external forces that cause micro- or macro movement to the bone graft and implants had to carefully eliminated.

Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction
Bone atrophy is a natural response to tooth extraction, and anatomic and functional aberrations can be magnified when alveolar atrophy is accompanied by periodontitis, root fracture, radicular caries, apical processes, or endoperiodontal complications.

Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series
After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth.