A New & Improved Approach to Zygomatic Implants
Over the past decade numerous approaches to the rehabilitation of severe maxillary atrophy have been suggested. Most approaches involve the utilization of the Zygoma for anchorage of specially developed extra long Implants. These implants often must either enter through the sinus or pass along the outside of the sinus wall depending upon the transverse discrepancies and horizontal ridge resorption issues as well as future occlusal scheme with the mandibular arch. This new approach described in this presentation addresses this potential compromise through extra-maxillary bone grafting performed at the time of Zygoma placement utilizing fresh frozen iliac bone and bone marrow aspirate. Multiple cases will be highlighted and short term follow up described.

Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc... However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.

The Surgical-Restorative Digital Work Flow In Comprehensive Therapy
Traditional methods of treating our patients are being been replaced by digital processes, impacting our daily life. The intake of various technologies such as CBCT imaging, scanning, digital restorative design and CAD/CAM production have contributed to this movement. In the same time, restorative materials have also been developed and studied that have improved strength and esthetic qualities. All these capabilities create opportunities for better restorative outcome.

The Surgical-Restorative Digital Work Flow In Comprehensive Therapy
Traditional methods of treating our patients are being been replaced by digital processes, impacting our daily life. The intake of various technologies such as CBCT imaging, scanning, digital restorative design and CAD/CAM production have contributed to this movement. In the same time, restorative materials have also been developed and studied that have improved strength and esthetic qualities. All these capabilities create opportunities for better restorative outcome. This presentation will highlight a practice-based model centered on digitally enhanced treatment for efficient and predictable esthetic restorative outcomes.

The Innovative New Lip Stabilization Technique (LipStaT): Treating a Gummy Smile
There are various etiologies for a “gummy smile.” A new classification with appropriate management based on the etiology will be discussed. The innovative and minimally invasive LipStaT Procedure to correct a high and gummy smile in patients with vertical maxillary excess, short and hypermobile upper lip will be presented and discussed in detail.

Ortho/Perio Treatment on Impacted Upper Central Incisors
Upper central incisor impaction has functional, esthetic and psychologic implications. Causes of the impaction can be divided in obstructive and traumatic. Among the first ones are: supernumerary teeth, odontomas and mesiodens. Among the second group are facial trauma received in the primary or early mixed dentition. In close relation as well with root dilaceration. Other less common reasons for impaction include: crowding, endocrine alterations, bone diseases, genetic conditions, extraction or ankylosis of primary incisors. The impacted upper central incisor can be classified depending on: mesio-distal position, occluso-gingival position, midline angulation, degree of root formation. If early intervention is not enough. There is the need for surgical exposure and orthodontic traction. Among possible treatment complications are: esthetic gingival sequelae, ankylosis and root resorption

The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol
Inadequate restorative space can result in mechanical, biologic, and esthetic complications with full-arch fixed implant-supported prosthetics. As such, clinicians often reduce bone to create clearance. The aim of this paper was to present a protocol using stacking computer-aided design/computerassisted manufacturing (CAD/CAM) guides to minimize and accurately obtain the desired bone reduction, immediately place prosthetically guided implants, and load a provisional that replicates predetermined tissue contour. This protocol can help clinicians minimize bone reduction and place the implants in an ideal position that allows them to emerge from the soft tissue interface with a natural, pink-free zirconia fixed dental prostheses.

The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study
The “socket-shield technique” has shown its potential in preserving buccal tissues. However, front teeth often have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines. The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the remaining buccal root segment in two pieces before immediate implant placement.

Elements and Utilization of Suturing Needles
The primary components of every suturing needle include the attachment end, body, and point. Traditional complications caused by threading have been eliminated by the advent of needles that are permanently attached to the suturing material. The suturing procedure is further simplified by the attached and press-fitted end of the needle (swaged) that enables the clinician to draw it through the tissue with less trauma.