Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept
This article, the first of a planned three-part series, outlines a new surgical & prosthetic approach for treating cases involving two missing adjacent teeth in the esthetic zone. These type of cases, particularly when combined with a three-dimensional ridge deficiency, represent one of esthetic dentistry's most challenging dilemmas. A Clear understanding of the unilateral and bilateral defect concept is necessary to properly evaluate each particular case, understand surgical limitations, perform a better risk assessment, establish an esthetic prognosis, develop the best clinical-laboratory strategy, and adjust patients' expectations. While not recommended for every case, represents a useful, economical, and predictable alternative that decreases the umber and complexity of interventions.

The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla
Following tooth extraction the implant surgeon may select between various implant placement timing and loading protocols. Ideally these are to be determined prior to extraction, be it immediate, early, or late placement. Immediate implant placement even in the aesthetic zone is a literature supported treatment modality with success comparable to alternative placement protocols. Meticulous restorative treatment planning of a tooth destined for extraction is essential. Selecting the appropriate implant and techniques may preserve and ensure natural aesthetics. Utilizing the patient’s own tooth crown can better provisionalize the implant with a ‘walk out as you walk in’ result.

Sinus Floor Elevation Via the Maxillary Premolar Extraction Socket With Immediate Implant Placement: A Case Series
When immediate implant placement is considered for teeth with close proximity to the sinus floor, apical extension of the osteotomy is significantly limited, and often a staged approach is used. Implant placement into fresh extraction sockets and sinus floor manipulation using bone-added osteotome sinus floor elevation with implant placement are techniques most often used independently or sequentially. In this care report, immediate implant placement with simultaneous osteotome sinus floor elevation is an advantageous combination of two successfully used techniques. This combined approach can significantly reduce the treatment time for implant therapy in teeth with close sinus proximity and provide the operator with the ability to place implants of desired length.

Peri-Implant Mucositis, Peri-Implantitis - Where Are We At?
This presentation reviews the definition, diagnosis and some current treatment modalities of peri-implant mucositis and peri-implantitis.

Guided vs. Conventional Implant Surgery - A Restorative Perspective
Dr. Christopher Marchack describes the utilization of CT guided surgical planning software to optimize communication and design for the delivery of predictably successful implant therapy.

Partial Extraction Therapy (PET) The Final Frontier
Buccopalatal collapse of the postextraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach, "PET" is to use the tooth itself by purposely maintaining all or a portion of the root in the remaining socket. Root submergence has been reported in the literature for more than 4 decades, and it has been demonstrated that the submerged tooth root retains the periodontal tissues and preserves the bone in pontic sites or below dentures to retain the ridge. The socket-shield technique entails preparing a tooth root section to remain behind on the labial aspect simultaneous to immediate implant placement and has demonstrated histologic and clinical results that are highly promising to esthetic implant treatment.

Implant Risks, Complications, and Solutions in the Esthetic Zone - Part 1 of 3
Immediate tooth replacement therapy has become a mainstream treatment modality for single tooth implants in the esthetic zone. The balance between achieving primary stability, implant diameter, and gap distance is a delicate dance yet essential for survival and esthetics. However, esthetic risks and complications exist such as apical socket perforation, loss of labial plate thickness over time, and loss of the interdental papilla due to proximity issues with tooth-to-implant distance following placement. An inverted body-shift implant design concept as solutions to these challenges will be presented and supported by studies that scientifically supports, validates, and reinforces the biologic principles in design that ultimately enhances esthetic outcomes in modern day implantology.

New Classification of Peri-Implantitis & Diagnosis - Part 1 of 2
Peri-implantitis has been receiving attention following recent studies that showed that it is highly prevalent and difficult to manage. This course will provide the latest evidence-based information on peri-implant diseases with emphasis on a team/interdisciplinary approach to treatment. The program will present the updates on the definition and etiology of peri-implantitis from the American Academy of Periodontology’s 2018 consensus meeting. The instructor will present research findings on peri-implant disease diagnosis and management.

Computer Enhanced Implant Dentistry - Part 1 of 2
Many elements of the digital workflow including digital treatment planning using merged datasets, guided implant surgery, and CADCAM restorative design will be presented in the context of their current limitations and the opportunity for efficient and predictable esthetic restorative outcomes. The goal of treatment success is based upon the thoughtful application of these technologies to an patient’s specific needs.