Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

The Bio-Derm Ridge Plumping Technique for Pontic Site Development
Seibert Class III apicocoronal and buccolingual alveolar ridge defects with associated gingival mucosal atrophy and absence of interdental papillae are common in edentulous areas within the anterior esthetic zone of the maxilla. Normal emergence profiles, critical to achieving esthetic restorations, require restoration of normal hard and soft tissue morphology, including re-establishment of adjacent interdental papillae.

Physical And Chemical Properties Of Commercially Available Mineralized Bone Allograft
Bone graft materials are critical to the success of dental implants when there is a need to increase the volume of bone in a defect. The surface properties of these graft materials will have a profound impact on the outcome of the graft procedure. The clinician has many choices of bone graft substitutes when augmenting bony deficits. Allograft bone is the most widely used class of bone graft substitutes. Within this class there are a number of different bone allografts, which are manufactured utilizing widely varying processing techniques. There also appears to be a wide range of results in the published literature across the spectrum of different bone allografts. This in-vitro study evaluated chemical and surface properties of five different commercially available mineralized bone allografts.

Complete Management of the Implant Site: From Simple Cases to Complex Situations
The health and the structure of the peri-implant tissue is vital for a long term prognosis of aesthetic and functional dental treatments. The prevalence of peri-implant diseases and recessions is a problem that must be overcome by a perfect treatment planning, along with a step-by-step design of the future restorations. When the clinician places an implant, he must consider the 3D positioning regarding the hard and soft tissue. When one decide to restore an implant, he must be aware of the gingival volume and it’s position. In this presentation, we want to show fully documented cases, from bone grafting, soft tissue enhancement, to final restorations.

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Central-Lateral Dilemma for Immediate Implant Placement
The periodontal ligament is the main source of blood supply to the buccal bundle bone, but also to the peri-implant soft tissue and interproximal bone. Partial extraction therapy is a game-changer for adjacent implants. There is not a better possibility to prove it than adjacent central-lateral cases, the topic that occupied us so much on the DentalXP Forum.

Fresh Frozen Allograft Bone plus Bone Marrow Aspiration as a NEW Alternative to Autogenous Bone Augmentation - Part 2 of 2
This lecture presentation will describe the behaviour and utilization of of fresh frozen allograft vs. autogenous bone in major bone augmentation cases. The advantages and disadvantages as well as the potential of adding bone marrow aspirate to fresh frozen bone will be further highlighted. In depth review of how to manage and use this new technique in clinical practice will be clearly explained.

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Bone Augmentation & Vascular Enhancement Concepts: It’s Time to Make it Simple!
Growing bone is fascinating, and clinicians have developed many techniques in that matter, most of them restricted to an elite. Yes, it does take a lot of skills to harvest bone blocks, to stabilize them with screws etc, and without forgetting the soft tissue handling as it can be a real challenge to cover the bone graft especially for a vertical augmentation. The purpose of this presentation is to make the participant think biology first and not mechanic first. A biological thinking will dramatically simplify vertical and/or horizontal bone augmentation procedures. We will also be introducing a new approach for the simplification of soft tissue handling: the Soft Brushing Technique, that will allow the coronal advancement of both buccal and lingual flaps, but also the palatal flap without the need for periosteal releasing incisions.