The Advantages of the Root Submergence Technique (RST) for Pontic Site Enhancement part 1
This presentation describes the RST strategy and why it can more predictably provide an esthetic implant result for multiple tooth replacement cases.

Insights, Trends & Controversies in Implant Dentistry - Part 3 of 4
In this third of a 4 part series, Dr. Dennis Tarnow shares insights into new trends, developments and controversies in implant dentsitry. In this section, Dr. Tarnow discusses important topics related to implantitis, the gap, one-abutment/one-time, implant surfaces and design to name just a few.

Stress Free Planning for a Complex Case
Complex treatment planning. How to get your best options across to your patients. In this presentation Dr Stanley and his team present a case that is not complex in its execution, but in its planning. Once you get the right formula down on paper you can save time, money and stress both for you, your team and most importantly your patient, and get great long lasting results.

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.

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.

The Milled PMMA Prototype: The Key, To A Successful Milled Zirconia Implant Bridge
This presentation will demonstrate design and creation steps leading to a milled PMMA Prototype Bridge which is the key to the success of the final Milled Zirconia Implant Bridge. Full Arch Implant prosthesis vary from bars wrapped in acrylic to milled zirconia. All the types of prosthesis have a unique set of procedures to achieve the end result. With the advent of digital technology, and new high strength materials amazing results can be achieved. New challenges for the Restorative Dentist and Ceramist involve design of the smile, capturing an accurate replica of what is in the mouth, and creating a prosthesis that is functional and aesthetic with a goal to mimic nature in terms of the “Pink and the White”. Facial Aesthetics, Smile Design, Removable ,Fixed and Implant Prosthetics are all disciplines that require their respective skill sets to be merged to reach the final result.

Achieving Stable Esthetic Results with Implant Supported Restorations
We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.

Screw Spreading: Technical Considerations and Case Report
The spreading system is an alternative technique to the Summers osteotome. A specific screw instrument, the "spreader", achieved a controlled and standardized dilation of the bone horizontally.

The Modified IVAN Technique: Hard and Soft Tissue Augmentation at Extraction for Delayed Implant Placement
Failure of a natural tooth may not permit placement of an implant at the time of extraction due to insufficiency in available bone to house the implant. Reconstruction of the extraction socket frequently involves both hard and soft tissue augmentation to provide a site that can house the implant and ridge contours that mimic the adjacent natural anatomy. This situation becomes more problematic in the maxillary anterior due to the anatomy and the lower density of the bone of the premaxilla. The solution is the interpositional vascularized augmentation neogenesis (IVAN), which consists of hard tissue grafts, various barrier membranes, and closure with the pediculated connective tissue graft (PCTG). The modified IVAN (mIVAN) technique achieves the necessary goals and may be used in both delayed and immediate placement situations.

Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy
This article suggests a strategy to provide a more predictable protocol for esthetic implant treatment for multiple- tooth defects using the root submergence technique (RST). The RST maintains the natural attachment apparatus of the tooth in the pontic site, which in turn allows for complete preservation of the alveolar bone frame and assists in the creation of an esthetic result in adjacent multipletooth- replacement cases.