A Modified Surgical/Prosthetic Approach for Optimal Single Implant Supported Crown
Optimal implant placement can be achieved only if the ridge maintains its dimensions and the qllality of bone. To prevent the resorption of the ridge and to enhance the quality of regenerated bone, two main approaches have been suggested. Palt I of this article presents a modified regenerative technique - the "socket seal surgery"' (SSS). Part II will present a modified prosthetic technique - the "cervical contouring concept" (CCC) - and it will be published in the May, 1994, issue of PP&A. The…

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.

Laser Assisted Crown Lengthening
Clinical scenarios where crown lengthening procedures are indicated within the esthetic zone require special consideration to achieve predictable restorative results. Whether they are performed for the purposes of exposing sound tooth structure, or to enhance the appearance of the definitive restorations, these procedures must be planned to satisfy biologic requirements, while simultaneously avoiding deleterious esthetic effects. The implementation of diagnostic criteria, along with evidence-based…

Soft Tissue Grafting Around Compromised Dental Implants in the Esthetic Zone
Dental implant esthetics can be challenging, but these challenges are magnified when a patient has had multiple failed implant and bone grafting surgeries.  This video demonstrates the treatment of one such case.  This is a surgical video demonstrating the VIP-CT (Vascularized Interpositional Connective Tissue) graft.  While multiple treatment options exist, this start-to-finish video highlights the patient's initial presentation, the surgical technique, and the final outcome at 2 years. 

The Great Debate on Soft Tissue Regeneration
Recession and soft tissue deficiencies are a significant challenge in restorative and implant dentistry. A variety of different approaches and techniques using minimally invasive flaps and micro-surgical instrumentation have been proposed in this session with some of the leading clinicians in the field. A conceptual debate format discussing the virtues of CTG, FGG, pedicle grafts, as well as vestibular approaches, growth factor mediated-ACDM and flap management as well as key suturing aspects were discussed.

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.

Fibrin Assisted Soft Tissue Promotion (FASTP)
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials
Soft tissue root coverage microsurgery and pontic site enhancement are frequently utilized periodontal plastic surgery techniques to create an ideal restorative frame for teeth, pontics and implants. Tunnel, Semilunar, VISTA etc. are among the new age techniques highlighted in this growing area of periodontal microsurgery. New autologous tissue harvest techniques, Allograft ACDM and Bioactive Modifiers have all changed the way we are capable of managing soft tissue deficiencies and have assisted the clinician in improving the healing qualities of these minimally invasive techniques. This lecture will cover site preparation techniques for conventional dentistry as well as prior to and after implant placement.

A Defined Algorithm for Regenerative Success Part 1 of 2
These presentations will focus open the above concepts but prioritize the diagnostic phase and surgical common denominators required for a successful regenerative outcome. Flap design, space maintenance, bone and membrane selections and tension free closure provides the template for all the new age materials and technologies to be successful in clinical practice.