Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique
This paper describes a new suturing method, the subpapillary continuous sling suture, for use with soft tissue grafts in tunnel procedures to treat gingival recession.

Soft Tissue Waxup and Mock-Up as Key Factors in a Treatment Plan: Case Presentation
Rehabilitation of edentulous spaces in esthetic areas is a challenge to the clinician due to the loss of soft tissues. In these clinical situations, it would be desirable to evaluate and predict the gingival architecture to recover in the oral rehabilitation. To fulfill this need, the diagnostic was should anticipate the final rehabilitation with the integration of hard and soft tissue.

Using an Acellular Dermal Matrix for Increasing Keratinized Tissue Around Dental Implants
In previously published articles, investigators concluded that gingival recession may affect up to 90% of the population. Gingival recession ranges from one to three millimeters and is predominantly noted on the buccal surfaces of molar, premolar, and lower incisor teeth. Although surgical grafting techniques have traditionally been used to restore these recession sites, an acellular allograft material has recently been developed for increasing the zone of keratinized tissue surrounding teeth and…

The Management of Soft Tissue Complications in Implant Dentistry
A variety of soft tissue procedures have been employed for treatment of soft tissue and ridge defects around implant sites. Some of the limitations of current techniques include scar formation at recipient sites due to surface incisions, relapse of recession due to muscle pull during healing, wound dehiscence and graft exposure. This presentation will discuss the myriad flap and incision designs, tunnel techniques as well as grafting options and suturing.

The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 1 of 3
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Perioderm), platelet rich in growth factors (PRGF, PRF), and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, and dentulous ridges, will be reviewed as to its critical role in "Complete Esthetics".

Modern GBR Concepts, Flap Design and Materials as an Alternative to Autologous Bone
This lecture will provide a decision tree to assist the practitioner to best choose devices and biomaterials to achieve successful outcomes in bone regenerative treatment. Moreover, a straight-forward review of the step-by-step surgical maneuvers will be given, like incision design, flap management, membrane fixation strategies, and tension-free suturing technique. in the final part of the lecture, strategies to simplify the regenerative protocols will be presented with the intention to decrease morbidity and complications while boosting patients’ innate healing response.

Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting
The loss of alveolar ridge contour in the esthetic zone compromises both esthetics and function. This clinical presentation will focus on the application of both hard and soft tissue grafting in the esthetic zone implementing state of the art interactive CT diagnosis and treatment planning for optimal esthetic implant reconstruction. Emphasis will be on indications, graft and harvest site assessment, timing, and use of bioactive modifiers including BMP, PRGF and PDGF. The surgical protocol utilizing allogeneic and autogenous grafts in conjunction with connective tissue grafts, acellular dermis matrix, and related soft tissue procedures to avoid functional and esthetic pitfalls will be featured. Pre and post-grafting prosthetic workup, interactive CT graft assessment and perio prosthetic driven implant planning, stent driven implant placement, and computer milled abutment fabrication including guided surgery will be included.

Fibrin Assisted Soft Tissue Promotion (FASTP)
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

The Dual Zone Approach to Tooth Replacement in the Esthetic Zone
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this presentation will enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. Long term follow up and evidence from scientific literature to support this concept will be described.