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.

Treatment of the "Gummy Smile" Patient: Lip & Gingival Therapies
Gummy Smile (GS) or Excessive Gingival Display (EGD) is a common feature amongst the population affecting smile esthetics and self-esteem. The focus of this presentation will be disclosing the most prevalent etiologies related to EGD and proposing therapeutic strategies specific to each clinical scenario. Moreover, several clinical cases will be presented step-by-step to achieve predictability related to each etiology of EGD.

Customized Abutments: Optimizing integration of Aesthetics, Biology and Function in Implant Dentistry
The CAD/CAM technology gives us the opportunity to provide individualized restorations on implant, from the abutment to the final outcome. Using an anatomic design to support soft tissue and the cosmetic part, we can get nearer to a natural architecture, improving our implant restorations and their long term success. In the same time, a considerable evolution has been observed in the restorative materials, on both mechanical and aesthetics properties, which could be seen as an alternative to traditional materials for implant frameworks.

Copy-paste concept: Full digital approach in the management of gingival emergence profiles
Obtaining a perfect integration of a prosthetic rehabilitation on natural teeth and implants in the esthetic zone requires a deep knowledge of the biological processes and a clear understanding of the characteristics of the restorative materials. Once the soft tissue profile has been created with the placement of a temporary prosthesis, the ability to accurately transfer information about the tissue profile and the contour of the restoration for the fabrication of the definitive crowns can be challenging.

The Socket Shield Technique with Promixal Extensions for Single-Rooted Teeth
The conventional socket shield (SS) design extends from the mesiolabial to the distolabial line angle. C-shaped SS, L-shaped SS, and proximal SS designs have proximal extensions that help to maintain the hard and soft tissue in the interproximal areas. This is beneficial for implant sites adjacent to an existing implant or an edentulous space. The most common complication of the socket sheild technique (SST) is internal shield exposure. Due to anatomical features such as a scalloped ridge shape and an oval socket shape of some teeth, the risk of complications such as internal shield exposure, inadvertent SS displacement, and fracture of the SS during implant insertion is greater in proximal shield areas. The present article describes guidelines for case selection for proximal shield extensions, along with SS preparation and the selection of implant and prosthetic components.

Root Submergence Technique, A Case Series with Follow-Up up to Seven Years
In the era of aesthetic dentistry, the goal is not only to provide a function to our patients but also to preserve the hard and soft tissue anatomy, to have a pleasing prosthesis. Obtaining natural aesthetics is simpler in single implant cases, however, in multiple implant prosthesis achieving natural dentition becomes a challenge. The root submergence technique (RST) is one such procedure that provides maximum preservation of the surrounding alveolar bone and soft tissue. This case series discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary arch. The results of this clinical case series indicate that a root submergence technique can be successfully applied in the pontic site development with fixed dental prostheses, especially in the maxillary anterior aesthetic zone.

Human Histologic Analysis of Implant Osseointegration in a Healed Site Grafted with Nondemineralized Autologous Tooth-Derived Graft Material
Human autologous tooth-derived grafts (ATDGs) were recently introduced as a source of bone substitute biomaterial. Using dentin autografts in humans was first reported in 2003. In that first report, demineralized dentin matrix granules were used as a bone substitute biomaterial for sinus augmentation. Since then, a variety of TDGs have been introduced clinically, including block or particulate forms of tooth structures with various levels of mineralization, as shown in Fig 1. In the present article, “TDG” is used as an all-encompassing term to better capture the variability of tooth-derived grafts that can contain the total root structure, dentin only, dentin and cementum, or even enamel.

The Digital Evolution to Simplify the Process of Implant Placement, Implant Restoration and Implant Protection
Proper treatment planning and guided implant placement will lead to an ideal prosthetic outcome. The accuracy of implant placement is crucial in a single tooth or a full arch implant cases. Digital technology is very advanced now days that allowed us to utilize the digital impression and the CBCT for our patient advantages. <br><br> This presentation will discuss the benefits of using digital dentistry to provide the best outcome for our patients.<br><br> The use of static surgical guide, full control over the custom abutment design and 3 D printed night guard for Implant protection to help achieve a predictable result for a restoratively driven treatment.<br><br>

Digital Workflow for Fully Guided Full-Arch Implant Reconstruction - Part 2
A large portion of the US population today is edentulous. It is estimated that over 23 million individuals are completely edentulous and 12 million are edentulous in one arch. In addition to that, we have a growing population with terminal dentition conditions. Traditionally, these patients were treated with staged implant placement and delayed loading. Such traditional approach requires multiple surgeries and longer treatment time. Consequently, the traditional treatment approach is associated with increased morbidity and longer healing periods. Utilizing this Digital workflow for implant reconstruction to treat patients with terminal dentition and those who are fully edentulous will significantly increase predictability, precision, and reduce treatment chair side time which overall increases patient satisfaction.

Digital Workflow for Fully Guided Full-Arch Implant Reconstruction - Part 1
A large portion of the US population today is edentulous. It is estimated that over 23 million individuals are completely edentulous and 12 million are edentulous in one arch. In addition to that, we have a growing population with terminal dentition conditions. Traditionally, these patients were treated with staged implant placement and delayed loading. Such traditional approach requires multiple surgeries and longer treatment time. Consequently, the traditional treatment approach is associated with increased morbidity and longer healing periods. Utilizing this Digital workflow for implant reconstruction to treat patients with terminal dentition and those who are fully edentulous will significantly increase predictability, precision, and reduce treatment chair side time which overall increases patient satisfaction.

Surgical Management of Third Molars
Removal of third molars, commonly known as wisdom teeth, continue to be prevalent in our society. Indications for removal vary from pericoronal infections to orthodontic treatment. <br><br> Several factors such as age, position of the tooth and affected jaw can dictate the surgical technique. Proper diagnosis and management will be covered at length as well as impaction classification systems, value of imaging, instrumentation and surgical approaches. <br><br> Post operative management and methods to recognize, avoid and treat potential complications will also be discussed.<br><br>