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This seminar will highlight interdisciplinary aspects of treatment to achieve optimum outcomes in challenging cases. The cases presented range from single tooth replacement in the esthetic zone to full-arch rehabilitation and reconstruction of composite defects with restorative and surgical modalities. Emphasis will be placed on meeting and exceeding patient needs and working as a team in an everyday private practice setting. Surgical modalities presented will include creation of optimum hard and soft tissue architecture as well as peri-implant tissue modification procedures prior, during and after implantation. Diagnostic considerations for prosthetic rehabilitation of failing dentition and composite defects will also be discussed through case presentations.