Surgical Protocols for Socket Type 2 in the Aesthetic Zone
The topic of this presentation is an implant surgical procedures for a socket type 2 (socket missing buccal bone) in an aesthetic area, with emphasis on modified IVAN* technique for socket preservation. IVAN* stands for inter-positional vascularised augmentation neogenesis. Author`s guidelines for selection of appropriate surgical protocols for sockets missing buccal bone wall, protocols that are proved to be most effective, are presented. Early implant placement with GBR, prosthetic socket preservation and socket augmentation with socket sealing are shortly presented as alternatives for some cases. From author modified IVAN technique is shown step by step.

Implant Therapy Within the Esthetic Context: Immediate Implant Placement & Provisional
Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes, while decreasing treatment duration and complexity. The clinician must therefore become cognizant of circumstances with a predisposition for sub-optimal esthetic outcomes, and treatment plan accordingly; including scenarios where tooth preservation may be the preferred alternative. Provided that an immediate implant placement and provisionalization technique is utilized, single tooth implant sites without soft or hard tissue defects offer the most potential for predictable esthetic outcomes. This presentation will feature a comprehensive description of the protocol currently utilized at the University of Pennsylvania’s Periodontal Prosthesis program, including a discussion of the treatment rationale and technique considerations.

The New Diagnostic Paradigm Changing Today's Dental Practice - Part 1 of 2
Dr. Steven Feldman outlines the basis for the view that with today's new diagnostic tools, clinician's no longer have to wait for symptoms to dictate therapy.

Digital Workflow for Anterior Implant Aesthetics
We have seen excellent results in the aesthetic zone when immediate implant placement techniques have been used. A review of the current literature reveals and confirms the re-education of mid-buccal facial recession is best when an immediate provisional is used. If we can digitize this information and create a crown-root form matrix, we can allow tissue to maintain the exact 3D position of the crown and root of the tooth that is to be replaced. A technique using "dicom" files and "STL" files of the original tooth-root will be demonstrated. This will allow ideal healing of the surrounding hard and soft tissues in for any implants restoration.

Controversies Surrounding Delayed vs. Immediate Implant Placement: Is There No Middle Ground?
This presentation looks critically at the literature and attempts to give clinicians a more flexible approach to immediate and delayed implant placement. Critical surgical guidelines and clinical pearls will be offered for both types of treatment as well as the management of some of the complications that may arise from immediate or delayed implant placement.

Combined Augmentation Therapies in the Esthetic Zone
The esthetic zone presents a far bigger challenge than any other area of the mouth. It is the one area that a patient has the ability to really scrutinize the work that has been done and anything that does not pass muster will quickly create problems in our practices. Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlife the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.

Guided Bone Regeneration Using a Titanium Membrane at Implant Placement: A Case Report and Literature Discussion
Reconstruction of the oral supporting tissues lost by disease or trauma is essential to tooth replacement with dental implant therapy. This treatment requires evidence based augmentative procedures combined with up-to-date and current techniques. Guided bone regeneration (GBR) aims to initialize this process of alveolar ridge reconstruction by utilizing biologically active and supportive materials best coupled to the body’s healing processes. The use of nonresorbable, titanium membranes can achieve GBR by ensuring graft stability and space maintenance so as to ensure optimal neovascularization. Hereafter is a case report of a ridge defect reconstructed at implant placement, with the rationale and current, evidence-based literature discussed.

Clinical Investigation on Axial versus Tilted Implants for Immediate Fixed Rehabilitation of Edentulous Arches: Preliminary Results of a Single Cohort Study
The aims of this study were to evaluate the clinical outcomes and patients’ satisfaction with immediately loaded full-arch fixed prostheses supported solely by axial or by a combination of axial and tilted implants in both jaws and to compare the outcome of tilted versus axial fixtures in the same patients up to 5 years. The null hypothesis was that no difference in survival rate and marginal bone level change would exist between axial and tilted implants and no difference in prosthetic survival between rehabilitation's supported only by axial implants or by a combination of axial and tilted implants.

Colocação imediata de implantes na zona anterior
Para uma reabilitação implanto-suportada com um bom resultado estético existem certos requisitos que devem ser respeitados. O Dr. Miguel Stanley e o Dr. João Amaral fazem a sua revisão neste artigo.