Delayed Implant Placement after Extraction - Strategies and Soft Tissue Management - Part 1
Dr. Orlando Alvarez outlines his risk management and clinical strategies for implementing a delayed implant placement protocol after extraction.

Coronally Advanced Envelope Flap - A Step-by-Step Video
In this step-by-step surgical video, Dr. Moura illustrates every aspect of the technique described by Zucchelli and De Sanctis known as the coronally advanced envelope flap. This procedure is utilized for treatment of multiple recession type defects in esthetically demanding patients. After a short technical overview, we will see a clinical case and discuss every detail of the treatment.

The Roll Technique in Soft Tissue Augmentation with Implants
In this surgical video, a modified roll technique is utilized for labial augmentation of an anterior implant at the time of uncovering. Incision design, de-epithelialization, tunnel flap on labial and suturing is described. Post-op results are included.

The Management of Soft Tissue Complications in Implant Dentistry
A variety of soft tissue procedures have been employed for treatment of soft tissue and ridge defects around implant sites. Some of the limitations of current techniques include scar formation at recipient sites due to surface incisions, relapse of recession due to muscle pull during healing, wound dehiscence and graft exposure. This presentation will discuss the myriad flap and incision designs, tunnel techniques as well as grafting options and suturing.

Fibrin Assisted Soft Tissue Promotion (FASTP) - A New Perspective in Periodontal Plastic Surgery
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Perioderm), platelet rich in growth factors (PRGF, PRF), and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, and dentulous ridges, will be reviewed as to its critical role in "Complete Esthetics".

Esthetic Tissue Reconstruction Around Implants - Part 1 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Decision Making for Soft and Hard Tissue Augmentation in Surgically Facilitated Orthodontics
The purpose of this article is to present a decision-making algorithm for soft and hard tissue augmentation in surgically facilitated orthodontics (SFOT). In cases where there is adequate hard and soft tissue envelope, selective corticotomies may be adequate. In cases, where the existing hard and soft tissue anatomy is inadequate, hard and soft tissue augmentation is recommended. Also, hard and soft tissue augmentation is recommended to avoid teeth extractions during orthodontics.

Labial Bone Thickness in Area of Anterior Maxillary Implants Associated with Crestal Labial Soft Tissue Thickness
Soft tissue problems (ie, gingival recessions) are common in implantology and are often associated with thin soft tissue biotypes or buccally placed implants. Goaslind described 2 types of biotypes commonly found in the natural dentition: thick and thin. It has been suggested that thicker soft tissue biotypes are associated with less tissue recession, higher crestal bone levels, and better aesthetics. A thin tissue biotype has been shown to be more prone to tissue recession. Gingival recession is always associated with alveolar bone dehiscences. Furthermore, there is evidence that thick soft tissue may be protective against crestal bone loss (ie, tissue thickness of ,2.5 mm resulted in crestal bone loss of 1.45 mm vs. thicker tissues had 0.26 mm). This protective effect occurred, despite the supracrestal position of the implant-abutment interface.

Changes in Soft Tissue Dimensions Following Three Different Techniques of Stage-Two Surgery: A Case Series Report
The aim of this case report is to compare the resilts of the increase in keratinized mucosa using three different techniques of stage-two surgery. Thirty-two patients with one to eight dental implants who received prosthetic rehabilitation of the maxilla were included. Patients were divided into three groups based on preoperative anatomical considerations. Stage-two surgery was performed using wither the apically repositioned flap, the roll flap, or an apically repositioned flap combined with a connective tissue graft.