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.

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation.

Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6
Dr. Maurice Salama describes the step-by-step surgical techniques required to ensure successful Guided bone as well as soft tissue enhancement of a deficient extraction site.

From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone
This webinar will highlight surgical and restorative techniques to accomplish predictable outcomes in the esthetic zone with implant therapy. Treatment modalities will be demonstrated with high quality photography and case series discussion. Surgical modalities presented will include ridge preservation, the current evidence on the use of growth factors such as PRP and hr-PDGF bb. Also timing of implant placement as well as soft and hard tissue augmentation will be discussed. Special emphasis will be placed on immediate provisionalization of implants to accomplish optimal peri-implant mucosa architecture. Techniques to transfer provisional emergence profile to the final restoration will be presented.

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.

Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability
Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Implant placement level is important for bone stability. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorbtion. The role of soft tissue thickness is well established in aesthetic treatment. It is known that thin soft tissues present an unfavorable situation for implant placement, crestal bone stability and subsequent prosthetic treatment.

What to do when Good Teeth and Implants go Bad? The Standard of Care for Laser Periodontitis Treatment
In this course, you will understand the laser energy and how the LANAP® protocol creates the specific environment to turn periodontal “degeneration” into “regeneration” around failing teeth and implants.

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.

Biologic Width Adjacent to Loaded Implant with Machined and Rough Collars in the Dog
Dental implant surface technology has evolved from a relatively smooth machined implant surface for osseointegration to more roughened osteoconductive surfaces. Recent studies suggest that peri-implant soft tissue inflammation with progressive bone loss (ie peri-implantitis) is becoming a prevalent condition. One possibility that could explain sucha a finding is that more bacterial plaque forms on the roughened implant and abutment surfaces, which may result in the peri-implant inflammation if the soft tissues. This study compared 36 tissue-level implants with a machined transmucosal collar to 36 implants with a relatively roughened transmucosal surface in the dog. The results demonstrated that the connective tissue contact was similar between the two implant types but that the junctional epithelium and biologic width dimensions were greater around the implants with the machined collars...

Surgical Crown Lengthening in a Population With Human Immunodeficiency Virus: A Retrospective Analysis
This report investigates the outcome of CLS procedures performed at an urban dental school in a population of individuals with HIV. Specifically, this retrospective clinical analysis evaluates the healing response after crown lengthening surgery (CLS). Of the 21 patients with HIV examined after CLS, none had postoperative complications, such as delayed healing, infection, or prolonged bleeding. Variations in viral load, CD4 cell count, smoking, platelets, and neutrophils did not impact surgical healing. In addition, variations in medication regimens (highly active anti-retroviral therapy; on pro-tease inhibitors; no medications had an impact. The results of this retrospective analysis show the absence of postoperative complications after CLS in this population with HIV. Additional investigation into this area will help health care practitioners increase the range of surgical services provided to this group of patients.

Guidelines for the Diagnosis and Treatment of Peri-Implant Disease
Although some risk factors of peri-implant disease are well defined, the lack of efficient and predictable approaches to treat peri-implantitis has created difficulty in the management of those complications. The aim of this review was the evaluate the reliability of the diagnosis methods and to provide a set of guidelines to treat peri-implant disease. A search of PubMed and a hand search of articles related to peri-implant diseases were conducted up to August 2013. A summary of the current methods for the diagnosis of peri-implantitis, its potential risk factors, and a flow chart to guide the clinical management of these conditions are presented.