Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction
Bone atrophy is a natural response to tooth extraction, and anatomic and functional aberrations can be magnified when alveolar atrophy is accompanied by periodontitis, root fracture, radicular caries, apical processes, or endoperiodontal complications.

A Periodontal-Restorative Approach to Achieving an Esthetic Outcome in Worn Dentition
Esthetic dentistry demands more of clinicians than just simeple knowledge of tooth anatomy and the proper dimensions of teeth. Dentists must also know and understand the proper positions of the teeth in relation to the gingiva, the lips, and entire face. Esthetic measurements are not the only important factors. Other considerations need to include the patient's phonetics and function. A example of a situation where this knowledge and awareness is imperative is in the case of the worn dentition (eg, attrition, abrasion, etc). This article addresses a simple case of how a patients esthetics have been compromised as a result of erosion as well as parafunctional activity (toothbrush abrasion) and how the patient was eventually restored with an interdisciplinary approach between the restorative dentist and the periodontal surgeon.

The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues buccofacial to an immediately placed implant. The socket-shield technique is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the procedure in clinical practice with a 1-year follow up.

Designing Periodontal Surgical Procedures in the 4th Dimension: Advantages of CBCT Planning
This presentation focuses on the recent introduction of affordable, innovative combination CBCT/panoramic units and how they are used in examination and diagnosis in periodontics as well as CT guided implantology and beyond. Emerging concepts in interdisciplinary dentofacial therapy will also be presented.

Periodontal-Prosthesis in Modern Dentistry – Part 1 of 2
Clinicians must be aware of patient expectations when planning dental treatment. When full mouth reconstruction is planned, it is very important to satisfy such expectations in order to provide successful treatment. Patients are often concerned about the cost and duration of treatment, and the pain, esthetics, comfort, and function after treatment. However, we cannot assure longevity unless the treatment has a scientific basis. During reconstruction or restoration, we generally remove and replace the existing crowns. Secondary caries are mostly detected on removal of these. Due to the caries, the ferrule and tooth thickness are not adequate; and frequently, the condition may not be suitable for prosthetic treatment. In such cases, we choose to extract the tooth or perform crown lengthening to retain the tooth.Thse days many teeth that we could retain by crown lengthening procedure are replaced by implants. In this presentation, we describe some cases in which a crown lengthening proce

What to do when Good Teeth and Implants go Bad? The Standard of Care for Laser Periodontitis Treatment
This FDA cleared technology and evidence-based protocol provide consistent, reproducible, positive bone-building results to reverse gum disease. Take control over periodontitis in your practice and treat the disease most people have, the way they want it treated.

The Future of Lasers in Periodontal Therapy: Science, Hype or Snake Oil
The results of recent research studies suggest that lasers provide a viable alternative to traditional periodontal surgery. Evidence is emerging that lasers provide an enhanced method for achieving this elusive goal, while eliminating many of the negative sequale associated with conventional pocket elimination surgery.

Treating the Terminal Dentition: A Patient-Center Approach
In patients with terminal dentition esthetic and functional replacement is a necessary objective, but no longer a sufficient-objective: nowadays, due to the clinical and extra clinical characteristics of these patients, management of the therapy is as important as its conclusion. Respect of the principle of autonomy, reduction of treatment length, simplification of surgical procedures and prosthetic management of implant immediate loading are the cornerstones of this philosophy and are the object of this lecture.

Ortho/Perio Treatment on Impacted Upper Central Incisors
Upper central incisor impaction has functional, esthetic and psychologic implications. Causes of the impaction can be divided in obstructive and traumatic. Among the first ones are: supernumerary teeth, odontomas and mesiodens. Among the second group are facial trauma received in the primary or early mixed dentition. In close relation as well with root dilaceration. Other less common reasons for impaction include: crowding, endocrine alterations, bone diseases, genetic conditions, extraction or ankylosis of primary incisors. The impacted upper central incisor can be classified depending on: mesio-distal position, occluso-gingival position, midline angulation, degree of root formation. If early intervention is not enough. There is the need for surgical exposure and orthodontic traction. Among possible treatment complications are: esthetic gingival sequelae, ankylosis and root resorption