Immediate Dentoalveolar Restoration - Labial Contour Grafting at the Time of Immediate Placement
Until recently, tooth replacement at compromised sites in the aesthetic zone, required long-term treatment with possible undesirable complications in the tissue architecture. The Immediate Dentoalveolar Restoration (IDR) is a technique established to broaden indications for immediate loading on individual teeth. In this way, tissue losses with varied extensions are reconstructed in the same surgical session of implant placement and provisional crown installation, reducing the number of interventions and keeping predictability on aesthetic aspects. The IDR, which advocates minimally invasive procedures, will be presented as a viable and reproducible alternative.

A Problem Esthetic Case
Dr. David Garber and Dr. Kirk Pasquinelli discuss a challenging case.

Full Mouth Rehabilitation: Clinical Overview a Systematic Approach
Full mouth rehabilitation is a complex subject that requires the clinician to resurrect broken and mutilated dentitions. Armed with a thorough understanding of the disease process to enable an accurate diagnosis and risk assessment that will enable a conservative treatment approach is the need of the hour. This presentation aims to take the audience through a systematic approach towards this subject and empower them with a vision that will enable them to set up the case to end it well with accurate form, predictable function and superior esthetics!

The 10 Year Evolution of Guided Surgery, What We Have Learned From our First Patients
The initial NobelGuide protocol was developed and completed in 2003 for the first series of treated North American edentulous patients. The 10-year clinical results from this initial patient group treated with implant placement and immediate loading via a fixed prosthesis, now provides insights into what have we learned from the evolution of guided implant treatments to ensure and improve surgical and prosthodontic treatment outcomes.

A Defined Algorithm for Regenerative Success Part 2
These presentations will focus open the above concepts but prioritize the diagnostic phase and surgical common denominators required for a successful regenerative outcome. Flap design, space maintenance, bone and membrane selections and tension free closure provides the template for all the new age materials and technologies to be successful in clinical practice.

Controversies Surrounding Delayed vs. Immediate Implant Placement: Is There No Middle Ground?
Delayed vs. Immediate Implant Placement: The two camps in this debate are both adamant that their technique is the best and that theirs will give the patients the best long term aesthetic result. Is the literature and available data definitive on this matter? Is the choice really clear for clinicians? This presentation looks critically at the literature and attempts to give clinicians a more flexible approach to immediate and delayed implant placement. Critical surgical guidelines and clinical pearls will be offered for both types of treatment as well as the management of some of the complications that may arise from immediate or delayed implant placement.

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>

Microbiology of Peri Implant Infections
It is important to understand the microbiological aspects of peri-implant disease in order to proffer appropriate treatment.

A Technique for Making Impressions of Deeply Placed Implants
Precise fit between dental implants and the superstructure is important for the long term success of implants and implant-supported prostheses. One factor which may influence the accuracy of the definitive prosthesis is the stability of the impression coping in polymerized impression material. In some circumstances, an implant must be placed well below the gingival margin, meaning that most of the impression coping will also be situated subgingivally with no contact with the impression material. This can result in reduced stability of the impression coping, allowing it to rotate when fastening the implant analog. This article describes a simple technique that involves the use of a roll of composite resin, tray adhesive, and a small amount of occlusal registration material applied around a transfer coping in a direct implant impression.

Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.