Achieving Predictable Connective Tissue Root Coverage
Gingival recession creates esthetic issues. These issues may be corrected from a restomtive perspective by the placement of composite resin or ceramic over the exposed root. But this approach often results in a gingival-incisal length that does not blend esthetically with tire adjacent teeth. Often accompanying the gingival recession is a decrease in the band of attached gingiva. The wider the band of attached gingiva, the more stabIe the long-term result Therefore, surgical correction of the recession…

Use of the Subepithelial Connective Tissue Graft to Improve Esthetics
The subepithelial connective tissue graft is a gingival grafting plastic surgery procedure that can be used to enhance the aesthetic and gingival contour of the periodontium around dental implants. This technique is described and illustrated to create a soft-tissue root prominence and mask the grey color penetrating the thin labial attached gingival tissues over dental implants.

Soft Tissue Cone-Beam Computed Tomography: A Novel Method for the Measurement of Gingival Tissue and the Dimensions of the Dentogingival Unit
The purpose of the present study was to develop a soft tissue cone-beam computed tomography (ST-CBCT) to improve soft tissue image quality and allow the determination of the dimensions and relationships of the structures of the dentogingival unit. Two separate CBCT scans were obtained from three patients with different periodontal biotypes. The first was a scan following standard methods; however, for the ST-CBCT the patients wore a plastic lip retractor and retracted their tongues toward the floor of their mouths.

Reconstruction of Large Post-Extraction Defects within the Esthetic Zone
Dr. Miguel Stanley discusses the reconstruction of large post-extraction defects within the esthetic zone involving both bone and soft tissue deficiencies.

Surgical Veneer Grafting: Utilization in Immediate Implant Placement
The management of the digital implant prosthetic dentistry, especially in the anterior esthetic area, is one of the hottest topics in Dentistry. The diagnostic phase is critical. In the course, are discussed all the parameters to achieve the correct diagnosis of the socket and the various treatment plan correlated to each anatomical type of socket. The Dual Zone approach (bone zone and tissue zone) will be evaluated and discussed in detail, regarding each of their variables.

The Great Debate on Soft Tissue Regeneration
Recession and soft tissue deficiencies are a significant challenge in restorative and implant dentistry. A variety of different approaches and techniques using minimally invasive flaps and micro-surgical instrumentation have been proposed in this session with some of the leading clinicians in the field. A conceptual debate format discussing the virtues of CTG, FGG, pedicle grafts, as well as vestibular approaches, growth factor mediated-ACDM and flap management as well as key suturing aspects were discussed.

Surgical & Restorative Management in the Aesthetic Zone
Very often anterior tissue and tooth deficiencies require a multi-disciplinary approach to correct. This presentation reviews several classic techniques in managing these challenging cases including; Orthodontic extrusion, soft tissue and hard tissue augmentation and restorative selection. A quantifiable strategy and case selection is presented as well as several options that should be considered.

Vertical or Shoulderless Preparations in Contemporary Prosthodontics
Tooth preparations without a defined finish line have been termed in several different ways, such as knife edge, feather edge, or shoulderless. From a biological standpoint, preserving a maximum amount of sound tooth structure, as it is done in vertical preparations, might also offer a more conservative alternative to a horizontal margin design in other clinical conditions such as endodontically treated teeth, vital teeth in young individual, teeth affected by caries at the cervical third. Vertical margins on zirconia crowns have been tested in vitro and clinical reports have been published. A re-evaluation of possible advantages and shortcomings of vertical preparation design in contemporary prosthodontics will be presented in light of recently published literature.

Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction
In addition to surgical intervention is the creation of the specific emergence profile that is essential in the aesthetic zone. The emergence profile composed of 2 parts, the abutment and the subgingival part of the crown. The shape of abutment can be individually shaped so that it gives natural appearance and varies individually (depending on the depth, angulation and diameter of the implant). Sometimes it even dictates the implant position. From a surgical perspective, soft tissue height, position and thickness need to be diagnosed and corrected when needed. From the prosthetic point of view, the emergence profile has to be created to mimic the natural appearance and maintained over time in respect to the biological changes. The course teaches step by step how to be successful with implant prosthetics from single tooth, partially edentulous to full arch reconstruction.