Socket Shield Technique with Immediate Implant Placement & Provisional
The collapse of the buccal bone and the subsequent recession following teeth extraction is effectively prevented with the socket shield technique. This short presentation goes through the techniques for socket shield preparation of a central incisor as well as the fabrication of an immediate chorused provisional utilizing the patients own crown. Creating a walk out as you walk in scenario. This presentation will show a number of tips and tricks to make this technique as simple as possible. It will also show long term stability of the soft tissue and ridge after 18 months. This technique is one that needs to be in everyones armamentarium. The benefits are unbelievable.

Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials
Soft tissue root coverage microsurgery and pontic site enhancement are frequently utilized periodontal plastic surgery techniques to create an ideal restorative frame for teeth, pontics and implants. Tunnel, Semilunar, VISTA etc. are among the new age techniques highlighted in this growing area of periodontal microsurgery. New autologous tissue harvest techniques, Allograft ACDM and Bioactive Modifiers have all changed the way we are capable of managing soft tissue deficiencies and have assisted the clinician in improving the healing qualities of these minimally invasive techniques. This lecture will cover site preparation techniques for conventional dentistry as well as prior to and after implant placement.

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Critical Concepts in Implant and Gingival Surgery; Flap Designs, Suture Techniques and Soft Tissue Management
This presentation by the Troeltzsch Brothers features the fundamentals of surgical procedures in the oral cavity. Highlighted are the basic concepts we all must integrate into our daily clinical practice. A discussion of the essential anatomic guidelines as they relate to flap design options and indications are emphasized. Furthermore, material selection, sutures and techniques of wound closures are clearly addressed. Critical solutions to common surgical complications are also described. This lecture is intended for surgical beginners as well as experienced clinicians who want to update their surgical knowledge. These fundamentals are also very popular in the hands-on courses given by the Troeltzsch brothers.

Modern Crown Lengthening: Classification and Clinical Application
Crown lengthening procedures are indicated to provide adequate tooth structure in case of subgingival tooth fracture or caries, uneven gingival level, un-esthetic short crowns due to the tooth wear, inadequate axial height, altered passive eruption ,forced eruption of a single or multiple teeth and finally in case of gingival smile. The treatment modality for esthetic crown lengthening procedure should be based on detail diagnosis in each case because of the multifactorial etiology and because of the type of therapy selected by the clinician, will have a direct implication for the esthetic result.

Current Concepts in Bioactivity and Regeneration
In this lecture, tips on how to deal with the different types of extraction socket, mostly infected, will be presented. The use of plasma rich in growth factors and the Endoret® (PRGF®) fibrin membrane is a key factor to enhance socket regeneration, post-operative recovery and minimize/treat complications.

Aesthetic Crown Lengthening
The rationale for crown lengthening procedures has progressively become more aesthetic-driven due to the increasing popularity of smile enhancement therapy. Although the biologic requirements are similar to the functionally oriented exposure of sound tooth structure, aesthetic expectations require an increased emphasis on the appropriate diagnosis of the hard and soft tissue relationships, as well as the definitive restorative parameters to be achieved. The development of a clinically relevant aesthetic blueprint and attendant surgical guide is of paramount importance for the achievement of successful outcomes.

The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication, especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication. Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be successful, as is presented hereafter.

Buccal Sliding Palatal Pedicle Flap Technique for Wound Closure After Ridge Augmentation
One standard approach for wound closure after ridge augmentation is coronal flap advancement. Coronal flap advancement results in displacement of the mucogingival junction and reduction of the vestibulum. In the maxilla, a buccal sliding palatal flap can be applied for primary wound closure after ridge augmentation. The dissected part of the palatal connective tissue is left exposed, thus eliminating or reducing the amount of the coronal flap advancement respectively and increasing the amount of keratinized gingiva. In combination with guided soft tissue augmentation, this flap design enables a three-dimensional peri-implant soft tissue augmentation.