The Replacement of Small-Diameter Teeth in the Esthetic Zone Using Narrow-Diameter Implants
The lack of bone available for the surgeon as well as the lack of restorative space available between the adjacent teeth makes tooth replacement with implants challenging for both the restorative dentist and the laboratory technician.

The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication, especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication. Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be successful, as is presented hereafter.

Diameter Selection of Implants Placed in Extraction Sockets: A New Approach
Implant placement in extraction sockets is considered a daunting challenge due to offering risks of bone remodeling and consequent gingival alterations. Objective: This study aims at proposing a protocol for selecting the diameter of upper anterior osseointegrated implants placed in extraction sockets. This protocol was based on the bucco-palatal dimension of the socket and allows a 3-mm gap to form between the implant and the outer surface of the buccal bone wall. Such gap must be filled with biomaterial or autograft so as to increase the predictability of long-term results.

Techniques to Manage Emergence Profile and Cementation in Implant Dentistry
Dr. John Doerr discusses specific clinical techniques to efficiently manage the emergence profile of healing, temporary and final custom abutments in implant therapy in order to optimize esthetic results.

Orchestration of Static Guided Surgery, Navigation & Guided Prosthesis for Complete Rehabilitation
The computer guided implant surgery and the x-guide navigation systems introduced a novel minimally invasive concept in the treatment of total edentulous and terminal dentition patients, with new perspectives based on bone graft-less rehabilitation and low morbidity implant surgery. Moreover with diagnostic data obtained from CBCT and extra and intra-oral optical surface scanning, a novel digital pathway based on facially driven virtual diagnostic waxing, prosthetically driven surgical plan, digitally printed surgical template, and prefabricated implant-supported screw-retained interim restorations can be realized in a predictable manner. The challenging interplay with the surrounding gingival framework, often overlooked in the extensive rehabilitation supported by tilted implants, will be highlighted through a step by step clinical protocol to deliver a natural gingival architecture and a direct pink free prosthetic emergence.

From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone
This webinar will highlight surgical and restorative techniques to accomplish predictable outcomes in the esthetic zone with implant therapy. Treatment modalities will be demonstrated with high quality photography and case series discussion. Surgical modalities presented will include ridge preservation, the current evidence on the use of growth factors such as PRP and hr-PDGF bb. Also timing of implant placement as well as soft and hard tissue augmentation will be discussed. Special emphasis will be placed on immediate provisionalization of implants to accomplish optimal peri-implant mucosa architecture. Techniques to transfer provisional emergence profile to the final restoration will be presented.

Immediate Molar Implants: When, Why, and How?
Multi-rooted extraction sockets are often too large to accommodate a traditional diameter implant, therefore ultra wide diameter implants as a clinical alternative can predictably simplify procedures without compromising function and esthetics. Problems with use of traditional implants may include the ability to gain adequate primary stability, use of large amounts of graft material, and poor embrasure spaces causing food impaction. The focus of this lecture will highlight clinical rational to improve success, anatomical and restorative benefits of immediate placement, evidence-based outcomes reported in literature, and survival and success rates reported by the presenter. This lecture is intended for restorative dentists.

The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 2 of 2
The lecture reveals recent evidence to identify the impact of design features on both short-term clinical outcomes, as well as on the long-term health of the peri-implant bone and soft tissues. Prosthetic-driven implant placement is the prerequisite for the proper design of the ISC, which in turn can indirectly influence the structure and dimensions of the peri-implant soft tissues. Design features of the implant-prosthesis abutment complex such as the Emergence Profile (EP), Emergence Angle (EA) and Cervical Margin (CM), as well as the design of the implant-abutment and abutment prosthesis junctions and their location in relation to the tissues of the ISC can have significant impact in the maintenance of stable and healthy peri-implant tissues in the long term.

Current Concepts for the Preservation of the Post-Extraction Alveolar Ridge
After tooth extraction, bone resorption of varying amounts always occurs as the edentulous site of the alveolar process undergoes both qualitative and quantitative changes. Different techniques have been presented in literature in order to preserve the post-extraction site, including the use of barrier membranes, tri-dimensional matrix and bone fillers. An “open-healing” approach is nowadays commonly used, combining a proper management of soft tissues with biological integration of biomaterials. Once hard tissue has been successfully augmented, an adequate soft tissue thickness becomes mandatory in order to create healthy and stable peri-implant tissues. An innovative volume-stable collagen matrix provides the opportunity to treat soft tissue defects around implants as an alternative to connective tissue graft.