Immediate Implant Therapy with Provisionalization in the Anterior Region
Dr. Richard Akin describes the step-by-step process of extraction, implant placement and immediate provisionalization of an anterior incisor.

Implant Soft Tissue Barriers: The Critical Frontier
This presentation provides an overview to the Implant Surgeon of the importance of keratinized tissues, vestibular depth and muscle frenum removal. These procedures can be performed at various stages, prior to, at the time of, during stage uncovering or doing provisionalization of the implants. These procedures encompass several modalities, bed preparation, tissue harvest, muscle detachment, as well as repositioned pedicle flaps. Suturing and flap management will be highlighted.

Clinical Procedures to Control Tissue Esthetics in Implant Dentistry
The demand for creating esthetic restorations has become a consistent theme in dental literature and in daily clinical practice. Surgical concepts that are emphasized as important to the esthetic outcome include resective procedures to change bone volume and levels, as well as additive procedures such as tissue grafting to alter the biotype and volume around teeth and implants. Predominately with implant treatment, today's surgical and restorative strategies play an important role in post-extractive tissue guidance, mandating precise surgical techniques, and emphasizing cooperation and coordination between the surgical and restorative team members. This webinar will explore some of the complications of treatment, underscoring the responsibility of the surgical and restorative teams to critically assess emerging treatment concepts, materials and techniques.

The 10 Year Evolution of Guided Surgery, What We Have Learned From our First Patients
The initial NobelGuide protocol was developed and completed in 2003 for the first series of treated North American edentulous patients. The 10-year clinical results from this initial patient group treated with implant placement and immediate loading via a fixed prosthesis, now provides insights into what have we learned from the evolution of guided implant treatments to ensure and improve surgical and prosthodontic treatment outcomes.

A Treatment For The Prevention of Mandible Edentulism: All On Four For The Mandible
Mandibular edentulous patients can be some of the most difficult prosthetic patients to treat successfully. Treatment options for the mandibular arch range from two implants and an overdenture to multiple implants with full arch fixed style prosthesis. This webinar will focus specifically on the diagnostic, surgical, and prosthetic procedures utilizing four implants and a screw retained fixed prosthesis in the mandible, the All On Four technique. In this webinar, Dr. Duello will build upon the material provided in previous presentations on DentalXP with detailed guidance on clinical procedures for the All On Four in the mandible.

“The Full Arch Patient”; A Fully Digital Affair
Guided Surgery (GS) is a concept where you are guided by the rehabilitation needs of your patient to perform the implant surgery procedure based on all the info that we process via planning software that are loaded with digital files coming from intra-oral scanning (IOS) and cone beam computed tomography (CBCT). After planning the case, we print a surgical guide or stent to perform the surgery, this technique allows us to do it flap or flapless in a complete secure environment, quicker and more precise if we compare to "freehand" surgery. However, we have to be careful because not all the systems are the same; those who use scoops as reductors are less precise than the "scoopless", no matter which system we use we have to be clear to understand that all the classic concepts of osseointegration are not erased by guided surgery, especially bone physiology.

Crestal Bone Stability around Implants with Horizontally Matching Connection after Soft Tissue Thickening: A Prospective Clinical Trial
It has been shown that thin mucosal tissues may be an important factor in crestal bone loss etiology. Thus, it is possible that mucosal tissue thickening with allogenic membrane might reduce crestal bone loss. Purpose: The purpose of this study was to evaluate how implants with traditional connection maintain crestal bone level after soft tissue thickening with allogenic membrane. After 1-year follow-up, implants in group A had 1.65 1 0.08-mm bone loss mesially and 1.81 1 0.06 mm distally. Group B had 0.31 1 0.05 mm mesially and 0.34 1 0.05 mm distally. C group implants experienced bone loss of 0.44 1 0.06 mm mesially and 0.47 1 0.07 mm distally. Differences between A and B, and A and C were significant both mesially and distally, whereas differences between B and C were not significant mesially and distally

Molar Septum Expansion with Osseodensification for Immediate Implant Placement, Retrospective Multicenter Study with Up-to-5-Year Follow-Up, Introducing a New Molar Socket Classification
The ideal positioning of immediate implants in molar extraction sockets often requires the osteotomy to be in the interradicular septum, which can be challenging in some cases, with traditional site preparation techniques. Patients who had undergone molar tooth extraction and immediate implant placement at five different centers, and followed up between August 2015 and September 2020, were evaluated. Inclusion criteria were use of the osseodensification technique for implant site preparation. The primary outcome was septum width measurement pre-instrumentation and osteotomy diameter post expansion. Clinical outcomes, such as implant insertion torque (ISQ) and implant survival rate, were also collected. A total of 131 patients, who received 145 immediate implants, were included. T

Biologic Interfaces in Esthetic Dentistry - Part II: The Peri-implant/Restorative Interface
The design of the implant–abutment interface is important because it is one of the primary determinants of prosthetic stability.