Connective Tissue and PRGF in Treatment of Periodontal Intrabony Defects
In order to reconstruct the lost periodontal tissues different kinds of graft materials have been used, including auto-grafts, allografts and xenografts and also Polypeptide growth factors in combination with guided tissue regeneration (GTR).In this presentation Dr Omid Moghaddas will present the concepts of using connective tissue and PRGF in treatment of intrabony defects and also review the literature on this topic.

The AGE Approach: A Combination Protocol for Hard and Soft Tissue Augmentation in Complex Cases
Although new restorative materials have improved predictability and outcomes, hard and soft tissue management plays a fundamental role when working in aesthetic areas. To achieve ideal results, preservation of the natural hard and soft tissue architecture is the primary clinical objective. This new proposed AGE protocol illustrates the importance of hard and soft tissue management when working in esthetic and highly compromised areas. This protocol and schematic approach was developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow.

Combination Therapy for Soft Tissue Grafting Procedures
Realization of predictable outcomes with shape, shade and unique characteristics of dental restorations has proven to be attainable and maintainable due to the static nature of a carefully prepared foundation and the overlying superstructures. On the other hand, the supporting soft tissue frame, which in turn is controlled by the three-dimensional anatomical characteristics of its surrounding environment, is further complicated by an inherent dynamic nature that is also dependent on a host of biological factors for long-term maintenance of ideal surgical outcomes. Realities and facts vs. hype will be discussed in this presentation based on a review of clinical results achieved and maintained utilizing combined soft tissue grafting approaches with up to 22 years of post-operative follow-up.

The Dual Zone Approach to Tooth Replacement in the Esthetic Zone
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this presentation will enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. Long term follow up and evidence from scientific literature to support this concept will be described.

Diagnosis, Planning, & Treatment of Altered Passive Eruption; From a Periodontists Perspective
This presentation will teach how to diagnose cases of altered passive eruption based on the radiographic evaluation (with peri-apical rx and CBCT) and how to plan and document a surgical procedure aimed to ‘uncover’ the beautiful and natural hidden enamel. In a world where esthetics is becoming more and more a concern a simple periodontal plastic surgical procedure can re-establish esthetic and balance to the patients affected by this condition.

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

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.

Modified IVAN Technique: Long-Term Follow-Up of 20 Cases Over 2 to 11 Years
When natural teeth fail, frequently there is a loss of hard and soft tissue. This may complicate subsequent dental implant placement by creating insufficient bone to house the implant. This also occurs when the tooth has been missing for an extended period, especially in the premaxilla, where the bone is less dense and often lacks sufficient volume of facial bone. Site reconstruction to accommodate implant placement often requires both hard and soft tissue augmentation. The modified interpositional vascularized augmentation neogenesis (mIVAN) technique achieves the desired treatment goals in both delayed and immediate placement scenarios. The technique will be discussed as well as the long-term follow-up on 20 cases.

Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation
Osseointegrated dental implants have enjoyed long-term success in the rehabilitation of totally edentulous patients. Every aspect of traditional treatment planning protocols continues to be re-evaluated and updated to better incorporate the benefits of osseointegration into clinical practice. This is particularly evident as dentistry has committed to fully integrating this approach into the more varied and demanding environment of the partially edentulous patient. Along with the many benefits of added predictability and enhanced options, the ever-evolving role of osseointegrated implants in the treatment pf the partially edentulous jaw has also created new challenged. Unlike the fully edentulous individual who maintains the implant-restorative interface beyond the lip perimeter, many partially edentulous patients undergo the transition within the esthetic zone.

Acellular Dermal Matrix Grafts for Root Coverage Procedures: Review of Products and Introduction of a New Technique
Gingival recession remains a significant problem in dental esthetics as well as periodontal health. Adequate zones of keratinized, attached tissue are vital for long-term periodontal health and maintenance. The correction of gingival recession is an important principle in cosmetic dental procedures that requires a harmonious gingival complex. Correction of deficient gingival tissues by either autogenous or allogenic tissue grafts has been well documented in the literature. This article will delineate differences among the various acellular dermal grafts as well as introduce a new technique that can enhance success.