Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore be cognizant of circumstances with a predisposition toward esthetic outcomes and treatment plan accordingly. Preservation of the surrounding hard and soft tissues associated with an immediate postextraction socket implant to replace a nonrestorable tooth in the esthetic zone is one of the greatest challenges facing the dental team. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological, and esthetic parameters were recorded to evaluate primary treatment outcomes.

An Evidenced-Based Approach to Extraction Site Management
Once a decision is made to extract a tooth, clinicians have a decision to make; delayed management – i.e. extract and wait, immediate implant placement or a staged approach – i.e. graft and wait. This presentation discusses the evidenced based decision making process for this endeavor. Emphasis is placed on classification of extraction sites and risk assessment as a guide to customizing the treatment protocol for the clinician as well as the patient.

Flapless Postextraction Socket Implant Placement, Part 2. The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height & Thickness - A Retrospective Study
This article presents the results of evaluating the changes in peri-implant soft tissue dimensions associated with immediate implant placement into anterior post-extraction sockets for four treatment groups: no BGPR(bone graft, no provisional restoration), PR (no bone graft, provisional restoration), BG (bone graft, no provisional restoration), and BGPR (bone graft, provisional restoration). The vertical distance of the peri-implant soft tissue was greater for grafted sites than for non-grafted ones. The facial soft tissue thickness at the gingival third was greater for grafted than for non-grafted sites and for sites with provisional restorations compared to sites without them, respectively. The net gain in soft tissue height and thickness was about 1mm. The increases in vertical and horizontal dimensions for grafted sites were between 0.5 and 1.0mm, as compared to sites with no bone graft and no provisional restoration.

Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation
Osseointegrated dental implants have enjoyed long-term success in the rehabilitation of totally edentulous patients. Every aspect of traditional treatment planning protocols continues to be re-evaluated and updated to better incorporate the benefits of osseointegration into clinical practice. This is particularly evident as dentistry has committed to fully integrating this approach into the more varied and demanding environment of the partially edentulous patient. Along with the many benefits of added predictability and enhanced options, the ever-evolving role of osseointegrated implants in the treatment pf the partially edentulous jaw has also created new challenged. Unlike the fully edentulous individual who maintains the implant-restorative interface beyond the lip perimeter, many partially edentulous patients undergo the transition within the esthetic zone.

The Role of Digital Technology in Interdisciplinary Team Dentistry
In this lecture, Team Atlanta will outline the various critical elements and diagnostic tools, especially CBCT, required to properly design successful treatment in complex esthetic and implant therapy. In addition, surgical, prosthetic, 3-D and CAD/CAM therapeutic solutions to everyday clinical challenges and the efficient sequencing of their application will be highlighted as well.

Dimension of the Facial Bone Plate - Literature Review Series
In this first of the series, Dr. Henry Salama will review a group of articles related to the dimensions of the facial bone plate. He will suggest what can be taken away from these articles as well as how they may influence clinical decisions in the treatment of extraction sites and immediate implant placement. Your participation in the form of comments, questions and suggestions are welcomed and will help invigorate what is hoped to be a type of online community study hall.

Immediate Loading in Implant Dentistry - Coherent Clinical Application in Everyday Practice
Dr. Henry Salama will utilize research data on bone biology and biomechanics around implants to suggest treatment planning parameters for well organized team logistics and clinical management of both surgical and restorative protocols to minimize risk factors and optimize successful outcomes. In addition, Digital imaging, CAD/CAM and temporization will be especially emphasized.

Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

In Memoriam: Dr. Morton Amsterdam 1922-2014
An interview from a few years ago with one of the most influential clinicians and educators in the history of dentistry, Dr. Morton Amsterdam. A giant in the field, who personally affected and inspired every member of Team Atlanta to be the best professionals they can be. He will be remembered with respect and love.

Immediate Loading in Implant Dentistry – Coherent Clinical Application in Everyday Practice
In this webinar presentation, Dr. Henry Salama will outline clinical protocols to facilitate efficient, successful and predictable application of immediate loading protocols for single unit replacement as well as fully edendulous patients. Dr. Salama will utilize research data on bone biology and biomechanics around implants to suggest treatment planning parameters for well organized team logistics and clinical management of both surgical and restorative protocols to minimize risk factors and optimize successful outcomes. In addition, Digital imaging, CAD/CAM and temporization will be especially emphasized.

RevitaliZe Patient Solutions: preliminary results from a single cohort prospective study using Screw-Vent TSVT implants
The aim of this paper was to report preliminary results from a cohort of subjects treated with the RevitaliZe Patient Solutions approach. Clinical and radiographic results of axial and tilted implants up to fourteen months of loading are presented. Seven patients were followed up for an average of 11,88 months (range 8-16 months). Five subjects received implant treatment in both arches, resulting in 12 restorations. A total of 48 fixtures were placed and no failure was reported during the follow-up period, leading to 100% implant and prosthetic survival rates. Radiographic analysis after 6 months of loading was conducted for all prostheses. No significant difference in marginal bone loss was found between tilted and axial implants in both jaws. The present preliminary data suggests that immediate loading with RevitaliZe Patient Solutions could be considered a predictable and cost- and timeeffective approach for the treatment of total edentulism.

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.

Socket-Shield Technique in Immediate Implant Placement
This presentation demonstrates the use of a new approach to extraction and immediate implant placement. The Socket-Shield Technique aims to extract a tooth while maintaining the labial root segment in place. This requires a technically sensitive approach due to the need to precisely cut/drill the unwanted major portion of the tooth without disturbing the relationship of the labial segment with the labial plate of bone. The technique and supporting literature are discussed and demonstrated.

Anterior Extraction & Implant Placement in a Severely Deficient Site
Extraction and implant placement is a functionally predictable therapeutic modality. Esthetic predictability, however, can sometimes prove elusive. This is especially true for the implant replacement of severely compromised anterior teeth with hard and soft tissue deficiencies within the esthetic zone.

Community Treatment Planning Lounge
Drs. David Garber and Henry Salama share some of their practice's protocols for collecting the necessary patient information to design and develop esthetically oriented treatment plans.

Immediate Loading in Implant Dentistry - Coherent Clinical Application in Everyday Practice
Dr. Henry Salama will outline clinical protocols to facilitate efficient, successful and predictable application of immediate loading protocols for single unit replacement as well as fully edendulous patients.

Immediate Loading in Implant Dentistry - Coherent Clinical Application in Everyday Practice
Dr. Henry Salama will outline clinical protocols to facilitate efficient, successful and predictable application of immediate loading protocols for single unit replacement as well as fully edendulous patients.

Making Successful Clinical Decisions in Esthetic Implant Therapy - Part 3 of 3
This presentation will outline a systematic diagnostic and treatment design protocol for anterior implant supported restorations as well as how implant design, components and regenerative techniques influence the process.

Making Successful Clinical Decisions in Esthetic Implant Therapy - Part 2 of 3
This presentation will outline a systematic diagnostic and treatment design protocol for anterior implant supported restorations as well as how implant design, components and regenerative techniques influence the process.

Making Successful Clinical Decisions in Esthetic Implant Therapy - Part 1 of 3
This presentation will outline a systematic diagnostic and treatment design protocol for anterior implant supported restorations as well as how implant design, components and regenerative techniques influence the process.