Bone Grafting of Previously Used Symphysial Donor Sites for Onlay of Newly Formed Bone and Reharvesting Potential Symphysis Revisited:Clinical and Histologic Evaluation
Placement of an endosseous implant requires sufficient bone volume for complete bone coverage. The use of intraoral block bone grafts from intraoral sources has increased over the years. Possible sources for autogenic bone are the calvarium ,tibia,and the iliac crest(frequently used for major jaw reconstruction).However,these sources are not always recommended because of their morbidity,altered ambulation,and the need for hospitalization,as well as significant resorption associated with corticocancellous block grafts from endochondral donor sites.

Immediate Occlusal Loading (IOL) of Dental Implants: Predictable Results Through DIEM Guidelines
In recent years, the immediate loading of dental implants has become more accepted as a standard protocol for the treatment of the fully edentulous mandible. The pioneers in implant dentistry often tried this technique but only achieved mixed success. One of the main reasons for the failure of these early attempts was the lack of understanding of the biological and mechanical principles that we now know are necessary for clinical success.

Immediate Dentoalveolar Restoration - A New Technique for Compromised Extraction Sites
Immediate loading of implant in damaged fresh extraction socket with gingival architecture involvement, using bone sliver graft from maxillary tuberosity: a clinical case. <br> Immediate loading of implants in undamaged sockets following tooth extraction is very well established in the literature. In cases of tooth loss with socket structure loss, the esthetic risk increases, thus contraindicating immediate loading, such that the bone graft procedure needs to be prior to implant insertion. This paper describes an immediate loading procedure in a damaged fresh socket in the region of an upper central incisor that presented unevenness of gingival contour.

New Generation of Customized Titanium Membranes for Achieving Predictable Buccal Bone Regeneration Every Time
Stable soft tissue can only be maintained over the long term if there is adequate buccal bone. Achieving this bone can be unpredictable at times. The grafted bone requires space maintenance along with graft stability in order to allow angiogenesis to reach all the bone that is being grafted as well as enough time for the bone conversion process to occur. This short video presents of an extremely simple technique using a titanium membrane that can be used with most implant types to create stable buccal bone. It also goes through the criteria for successful bone regeneration and how to implement them.

Implant Therapy Within the Esthetic Context: Immediate Implant Placement & Provisional
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes, while decreasing treatment duration and complexity. The clinician must therefore become cognizant of circumstances with a predisposition for sub-optimal esthetic outcomes, and treatment plan accordingly; including scenarios where tooth preservation may be the preferred alternative. Provided that an immediate implant placement and provisionalization technique is utilized, single tooth implant sites without soft or hard tissue defects offer the most potential for predictable esthetic outcomes. This presentation will feature a comprehensive description of the protocol currently utilized at the University of Pennsylvania’s Periodontal Prosthesis program, including a discussion of the treatment rationale and technique considerations.

Partial Extraction Therapies: From Failure to Everyday Practice - Part 2 of 4
Tooth extraction is usually followed by the resorption of support tissues that may compromise the aesthetic and functional prognosis of the final rehabilitation. There have been numerous publications suggesting Partial Extraction Therapies contribute to the maintenance of the alveolar ridge dimensions. These techniques consist in intentionally preserving a buccal root fragment in order to avoid tearing the periodontal ligament and loosing the bundle bone, which leads to bone resorption. It has been reported that these are very sensitive techniques and may lead to some complications. In order to avoid these complications, the dental surgeon must know which cases can be treated with Partial Extraction Therapies and how to correctly perform them. In these presentations we will show what are the indications and contraindications, how to perform these techniques, the literature that sustains it, how can we benefit from digital technology to today's world, etc.

Zirconia Implants in the Age of 3D Imaging: An Alternative Therapy for Aesthetics and Function
Computer Guiding dental implants provides perfect positioning for mechanics and cosmetic results. The advantages provided by the implant selection utilizing interactive software libraries allows the implantologist to choose the best diameter, length and implant design for the specific surgical site. Zirconia implants can be computer guided and planned with interactive software and will provide enhanced aesthetic results as well as top gingival health due to the multiple advantages of zirconia. The purpose of this lecture is to describe an alternative procedure to computer guide Zirconia Implants in the aesthetic zone and to manage the functional aspects related to loading and functional requirements for a long lasting stability of the case.

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.

Combined Augmentation Therapies in the Esthetic Zone
The esthetic zone presents a far bigger challenge than any other area of the mouth. It is the one area that a patient has the ability to really scrutinize the work that has been done and anything that does not pass muster will quickly create problems in our practices. Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlife the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.