The Tunnel Technique in the Periodontal Plastic Treatment of Multiple Adjacent Gingival Recession Defects
“Originally published in Inside Dentistry, 2008. Copyright 2008. AEGIS Communications. Reprinted with permission.”

Soft Tissue Waxup and Mock-Up as Key Factors in a Treatment Plan: Case Presentation
Rehabilitation of edentulous spaces in esthetic areas is a challenge to the clinician due to the loss of soft tissues. In these clinical situations, it would be desirable to evaluate and predict the gingival architecture to recover in the oral rehabilitation. To fulfill this need, the diagnostic was should anticipate the final rehabilitation with the integration of hard and soft tissue.

Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites
Evealuation of regenerated bone density.

Big Picture Planning: A Comprehensive Surgical and Prosthetic Workflow
This seminar will highlight interdisciplinary aspects of treatment to achieve optimum outcomes in challenging cases. The cases presented range from single tooth replacement in the esthetic zone to full-arch rehabilitation and reconstruction of composite defects with restorative and surgical modalities. Emphasis will be placed on meeting and exceeding patient needs and working as a team in an everyday private practice setting. Surgical modalities presented will include creation of optimum hard and soft tissue architecture as well as peri-implant tissue modification procedures prior, during and after implantation. Diagnostic considerations for prosthetic rehabilitation of failing dentition and composite defects will also be discussed through case presentations.

Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team. This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.

Cosmetic Crown Lengthening
Cosmetic crown lengthening

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.

Modern Day Challenges with Implants in the Esthetic Zone
This presentation will address treatment planning strategies with multiple tooth sites incorporating teeth, immediate implants with tooth replacement, and pontics in the esthetic zone. Innovations in implant macro design, to achieve more consistent screw-retained definitive restorations, and devices / strategies in provisional restoration fabrication to save time will be presented.

Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting
The loss of alveolar ridge contour in the esthetic zone compromises both esthetics and function. This clinical presentation will focus on the application of both hard and soft tissue grafting in the esthetic zone implementing state of the art interactive CT diagnosis and treatment planning for optimal esthetic implant reconstruction. Emphasis will be on indications, graft and harvest site assessment, timing, and use of bioactive modifiers including BMP, PRGF and PDGF. The surgical protocol utilizing allogeneic and autogenous grafts in conjunction with connective tissue grafts, acellular dermis matrix, and related soft tissue procedures to avoid functional and esthetic pitfalls will be featured. Pre and post-grafting prosthetic workup, interactive CT graft assessment and perio prosthetic driven implant planning, stent driven implant placement, and computer milled abutment fabrication including guided surgery will be included.