Full Arch Immediate Loading Using Pterygoid Implants - Part 1 of 2
Non-grafting alternatives for the rehabilitation of the Atrophic Maxilla is a growing arena in our implant patient population. The Intermaxillary Surgical Protocol for Zygomatic Implants and its modification to Extramaxillary techniques has been a huge advantage in the treatment of these advanced maxillary atrophy patient cases. Anatomical and X-Ray interpretation connected with the placement of Zygomatic Implants will be reviewed in great detail. Patient selection and Treatment Planning as well as Pre-Operation Patient’s Medical Condition Assessment etc. is the foundational knowledge required for treatment of these individuals. The surgical procedure and prosthetic rehabilitation aspects as well as impressions and the laboratory work will also be further highlighted.

Surgical Management of Posterior Mandible
Implant therapy is a recognized treatment for edentulous areas with long term success. Nevertheless in some critical situations we have to use complex techniques of advanced oral surgery and bone regeneration to permit the implant placement avoiding the damage of important anatomical structures, like the inferior alveolar nerve (IAN). In severe cases of posterior mandible atrophy we have to use very specific techniques to solve the problem. In these techniques we can consider the nerve transposition and the nerve lateralization. The techniques of nerve manipulation for implant placement are going to be explained in detail with some clinical cases. With this lecture we pretend to clear that oral neurosurgery is not a myth and can be a reality in specific extreme cases.

The Role of Bioactive Modifiers in Surgery Part 1
PRGF & Fibrin Membranes in Regenerative Dentistry

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”.

Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability
The main factor for soft and hard tissue healing is the speed and quality of new vascularization. This lecture will present all the positive and negative factors who control the angiogenesis, blood supply and bone metabolism: -Biological factors as vit. D and cholesterol have to be checked before the surgery -The management of the flaps with sutures is one the main factor for the bone and soft tissue maintenance.. -The soft brushing technique is a new technique which increases the flap without periosteal incision nor bleeding. -Careful Implant placement without too much torque, specially in cortical bone or grafted bone at the re-entry.. -The A-PRF liquid and i-PRF are solutions to reduce the mobility of the granules (sticky bone) with an improvement of angiogenesis The use of growth factors is a stimulation of angiogenesis. The prevention of the negative factors will allow us to achieve the long term stability.

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.

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.

Chu's Aesthetic Guages: Crown Lengthening
The Crown Lengthening Gauge has the Biologic Periogauge (BLPG) tip on one end and the Papilla tip on the opposite end. The BLPG tip is used to achieve the propermid-facial clinical crown and biologic crown (osseous crest to incisal edge position) length during surgical crown lengthening procedures. The Papilla tip follows the use of the BLPG tip to establish the correct aesthetic position of the interdental papilla fromthe incisal edge before the flap is closed and sutured.