Fully Guided Implant Digital Workflow
This course we will focus on the treatment planning, surgery and conversion appointments and help participants to be consistently successful in executing the highest level restorations with these concise, step by step procedures, that will allow you to go back to your office and start treatment right away. This is not just a lecture, but a hands on course with tricks and techniques that the participants will actually do. Our goal is that everyone will go home confident enough to do all of these procedures and/or train your staff and team members to do them. • We want you to be successful. No class is currently being taught with the techniques and steps that we do. We will teach tried and proven “All-on-X-concept” time saving tricks and ways to make you more efficient and more profitable”.

Soft Tissue for Pontic Implant Sites in the Esthetic Area
Dental implants have become a common treatment in the dental office. If the clinician wants to achieve an optimal functional and esthetic result it is not enough to emulate the white portion of the teeth. A natural appearance of the implant-supported rehabilitation will depend also on the quantity and quality of the soft tissues surrounding the fixed prostheses. When multiple teeth have been lost or have to be extracted, soft tissue grafting around pontic sites and implants becomes paramount for the long-term success of the treatment. How to shape those tissues with the temporary restoration should be well understood as well. This lecture explains the importance of soft tissue grafting techniques around pontic sites and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Free Gingival Grafts - Return of the Mack
Clinicians are often encountered with soft tissue deficiencies which can compromise the long term stability of both natural teeth and dental implants. Subsequently, correct diagnosis of the nature of these deficiencies is critical in determining the appropriate treatment approach required. This lecture will focus on clinical decision making when utilizing connective tissue graft-based procedures versus free gingival grafting and apically positioned flap procedures in the treatment of gingival phenotype deficiencies around teeth and implants.

Implant Soft Tissue Barriers: The Critical Frontier
This presentation provides an overview to the Implant Surgeon of the importance of keratinized tissues, vestibular depth and muscle frenum removal. These procedures can be performed at various stages, prior to, at the time of, during stage uncovering or doing provisionalization of the implants. These procedures encompass several modalities, bed preparation, tissue harvest, muscle detachment, as well as repositioned pedicle flaps. Suturing and flap management will be highlighted.

The Root Submergence Technique at Single Tooth Sites to Short-Span Edentulous Sites: A Step-By-Step Partial Extraction Therapy Protocol
Submerging roots for ridge preservation was the earliest partial extraction therapy and has been described since the 1970s. Despite the approximately 47 animal and human studies published since, an updated and contemporary step-by-step protocol has not yet been provided. This technique report describes in detail how to manage submerged roots at single tooth sites and at short-span edentulous areas.

Fibrinogen-Induced Regeneration Sealing Technique (F.I.R.S.T.). An Improvement and Modification of Traditional GBR: A Report of Two Cases
Guided bone regeneration is a technique widely known, clinicians know very well indications and limitations of this technique. One of the principles to achieve bone augmentation and formation resides in the stability of the blood clot forming under a barrier membrane. The technique proposed in this article has the goal of providing stabilization to the bone graft by adding fibrin sealant (FS) to the bone graft and also using the fibrin sealant to attach a bone membrane (cortical lamina) to the recipient site. This simple modification of the technique of guided bone regeneration is presented in two successful cases.

Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation
One standard approach for wound closure after ridge augmentation is coronal flap advancement. Coronal flap advancement results in displacement of the mucogingival junction and reduction of the vestibulum. In the maxilla, a buccal sliding palatal flap can be applied for primary wound closure after ridge augmentation. The dissected part of the palatal connective tissue is left exposed, thus eliminating or reducing the amount of the coronal flap advancement respectively and increasing the amount of keratinized gingiva. In combination with guided soft tissue augmentation, this flap design enables a three-dimensional peri-implant soft tissue augmentation.

A Decade of the Socket-Shield Technique: A Step-by-Step Partial Extraction Therapy Protocol
Ten years have passed since Hürzeler and coworkers first introduced the socket-shield technique. Much has developed and evolved with regard to partial extraction therapy, a collective concept of utilizing the patient’s own tooth root to preserve the periodontium and peri-implant tissue. The specifications, steps, instrumentation, and procedures discussed in this article are the result of extensive experience in refining the socket-shield technique as we know it today. A repeatable, predictable protocol is requisite to providing tooth replacement in esthetic dentistry. Moreover, a standardized protocol provides a better framework for clinicians to report data relating to the technique with procedural consistency. This article aims to illustrate a reproducible, step-by-step protocol for the socket- shield technique at immediate implant placement and provisionalization for single-rooted teeth.

Esthetic Tissue Reconstruction Around Implants - Part 1 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Plastic-Esthetic Periodontal and Implant Surgery: A Microsurgical Approach - Part 1
This 2 part presentation is a comprehensive overview of the principles, indications, and clinical techniques of plastic-esthetic periodontal and implant microsurgery, focusing especially on minimal soft tissue trauma and maximally perfect wound closure. Microsurgery provides clinically relevant advantages over conventional macro-surgical concepts for regenerative and plastic-esthetic periodontal surgery, especially in the all-important esthetic zone. The microsurgical principles and procedures presented will described using high resolution multimedia.

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.

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2
Esthetics plays a key role in a modern society and the average dental health of the population is improving every day. In such environment, the demands of dental treatments are different and dentists should approach their patients in a different way: they should be prepared to implement different and modern techniques around teeth and implants. Soft tissue grafting techniques provide the dentist with an armamentarium that makes possible to prevent and solve many problems and complications around teeth and implants, making more predictable the treatments results. This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.