Critical Restorative Factors in Esthetic Implant Therapy - Part 2 of 2
Today, the achievement of a natural looking esthetic outcome is widely expected by our patients. To achieve a successful result and have it maintained over the long-term requires that the surgical as well as the prosthetic protocols are in total harmony with the peri-implant tissues. The purpose of this presentation is to critically describe the step by step key esthetically related prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented and their impact on the long-term esthetic outcome will also be discussed.

New Technologies in Bone and Implant Reconstruction of the Posterior Mandible
In this clinical video, multiple hopeless severely resorbed and mobile anterior teeth are extracted and immediately replaced using CBCT and 3D planning with immediate loading protocols

The AGE Approach: A Combination Protocol for Hard and Soft Tissue Augmentation in Complex Cases
Although new restorative materials have improved predictability and outcomes, hard and soft tissue management plays a fundamental role when working in aesthetic areas. To achieve ideal results, preservation of the natural hard and soft tissue architecture is the primary clinical objective. This new proposed AGE protocol illustrates the importance of hard and soft tissue management when working in esthetic and highly compromised areas. This protocol and schematic approach was developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow.

Cad Cam Technologies to Restore a Case on Natural Dentition & Implant
Dr Agnini will describe various clinical options and techniques for efficiently and esthetically fabricating a temporary restoration immediately after implant placement in the replacement of a single tooth.

Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry
This course will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy. Extraction site management, labial bone enhancement as well as current gingival augmentation techniques will be featured. These highly acclaimed clinicians and educators will team up to provide a glimpse of their upcoming LIVE Synergy VI conference June 11th - 14th, 2015 in Orlando, Florida.

Ceramic Dental Implants in Everyday Practice
One-piece Zirconia Oxide implants can overcome the problems we associate with two-piece and one-piece titanium root form implants. It will be shown how this treatment option is no longer “experimental” and that the Zirconia Oxide material used in the CeraRoot implants shows excellent ability to osseointegrate, is phenomenally strong, and provides a soft tissue profile and health around the implants that rivals natural teeth. This presentation will make you rethink your titanium armamentarium. You will see a way to provide your patients with an ideal tooth replacement option. An implant that looks like a tooth, restores like a tooth, and has the periodontal health that rivals that of a tooth without the fear of screw loosening, metal showing, and Peri-implantitis caused by subgingival connections.

Prosthetic Strategies to Enhance Dental Implant Aesthetics
The principle focus of implant dentistry has changed significantly from the era of ‘Anatomically driven implant placement’ to the current practice of ‘Restoration driven implant placement’. When we now look at the failing dentition in the aesthetic zone we now must immediately consider conversion to implants. We are continually seeking greater control of the peri-implant tissues and ultimately the aesthetics of the restoration. Implant/abutment designs allow us to consider immediate implant replacement, and immediate non-functional loading especially in the aesthetic zone, where preservation of hard and soft tissue is of paramount importance in order follow the principles of aesthetics by maintaining the elements which are already there

Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept
This article, the first of a planned three-part series, outlines a new surgical & prosthetic approach for treating cases involving two missing adjacent teeth in the esthetic zone. These type of cases, particularly when combined with a three-dimensional ridge deficiency, represent one of esthetic dentistry's most challenging dilemmas. A Clear understanding of the unilateral and bilateral defect concept is necessary to properly evaluate each particular case, understand surgical limitations, perform a better risk assessment, establish an esthetic prognosis, develop the best clinical-laboratory strategy, and adjust patients' expectations. While not recommended for every case, represents a useful, economical, and predictable alternative that decreases the umber and complexity of interventions.

Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

The Reality of Anatomy and the Triangle of Bone
“Reality of Anatomy” is a concept developed by the author to describe the anatomical relationship between the tooth, the surrounding alveolar housing, the clinical crown, the root, and other important anatomy. Most textbooks, manufacturers’ literature, journal articles, and meeting presentations describe a relationship of the tooth to bone. These illustrations are acceptable in teaching the concept of crown-to-root ratio and are useful in describing certain procedures related to implant procedures.…