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.

Contaminated Implants Raise Global Concern Among Dentists
There is a problem that many implantologists are not aware of: recent analyses of dental implants using scanning electron microscopy indicate that an alarming number of sterile-packaged implants are contaminated. The authors assumed that either foreign particles had found their way into the osseous bed during the implant placement procedure or the implant material itself was contaminated.

Socket Preservation to Gain
Tooth loss not only poses difficulty in mastication, it also involves the probable resorption of alveolar bone due to a loss of function and stimulation from the periodontal ligament fibers (PDL). Bone grafting at the time of tooth removal provides bone quantity and quality for future placement of dental implant(s). The challenge during this procedure—referred to as socket preservation—is maintaining the graft in place as well as providing a final working area with sufficient keratinized tissue…

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation.

Minimally Invasive Approaches for Managing Deficient Sites in Esthetic Implant Dentistry
When considering esthetic dental implant therapy, preservation or further enhancement of the available tissue support may provide an improved esthetic outcome with less associated morbidity and treatment duration. Nevertheless, reconstruction of compromised sites due to lost hard and soft tissue volume is often inevitable in the anterior zone. Substantial ridge deficiencies demand more complex grafting procedures with an increased level of invasiveness and subsequent tissue alterations.

Crestal Sinus Approach: A Hammerless Solution to the Indirect Sinus Lift
Posterior maxillary dental implant reconstruction for advanced alveorlar ridge atrophy has become possible through bone grafting procedures involving the maxillary sinus. This procedure involves augmentation of either the internal or external aspects of the sinus, or both. Bone grafting of the external aspect is performed with guided bone regeneration, using allogenic, autogenous, cortical, or corticocancellous grafts, as well as growth factors such as PRF as onlays with immediate or delayed implant placement. With the advent of new surgical techniques and equipment, sinus augmentation has become a predictable and efficient treatment. This presentation will focus on the internal, hammerless approach.

Cad Cam Technologies to Restore a Case on Natural Dentition & Implant
Dr Agnini will describe various clinical options and techniques for efficiently and esthetically fabricating a temporary restoration immediately after implant placement in the replacement of a single tooth.

Esthetic Tissue Reconstruction Around Implants - Part 1 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Revolutionary Dental Implant Material Technology: Trabecular Metal
To date, enhancement to implant surface technology has been evolutionary rather than revolutionary. Trabecular Metal has changed all that. This is because Trabecular Metal allows for true bone 'in-growth' rather than just on-growth. This webinar will highlight, in detail, this new implant surface technology, related literature, as well as its enhancing effect on current clinical implant protocols. In addition, techniques for immediate provisionalization of this implant will also be covered in an accompanying surgical video.