Excessive Gingival Display Managed by Surgical Lip Reposition, Aesthetic Crown Lengthening and Veneers
Excessive gingival display can be managed by a variety of treatment modalities, depending on the etiology. Mild and moderate gummy smiles can be successfully treated by periodontal plastic surgery, however for excessive gingival display as in cases of VME II or III with 5 to 8 mm or more of gingival exposure this procedure is not enough. Many patients decline the more invasive Le Fort osteotomy and opt for a less invasive surgical lip repositioning procedure. Currently Botox is used as alternative, but this is only a temporary treatment with very short effectiveness. That is why we suggest surgical lip repositioning as an effective procedure to reduce gingival display by positioning the upper lip in a more coronal location. The long-term stability of the results remains to be seen, but it holds promise as an alternative treatment to more invasive procedures.

The Great Debate on Soft Tissue Regeneration
Recession and soft tissue deficiencies are a significant challenge in restorative and implant dentistry. A variety of different approaches and techniques using minimally invasive flaps and micro-surgical instrumentation have been proposed in this session with some of the leading clinicians in the field. A conceptual debate format discussing the virtues of CTG, FGG, pedicle grafts, as well as vestibular approaches, growth factor mediated-ACDM and flap management as well as key suturing aspects were discussed.

Clinical Case Review
Dr. Rosenberg reviews a severe clinical case.

Ortho/Perio Treatment on Impacted Upper Central Incisors
Upper central incisor impaction has functional, esthetic and psychologic implications. Causes of the impaction can be divided in obstructive and traumatic. Among the first ones are: supernumerary teeth, odontomas and mesiodens. Among the second group are facial trauma received in the primary or early mixed dentition. In close relation as well with root dilaceration. Other less common reasons for impaction include: crowding, endocrine alterations, bone diseases, genetic conditions, extraction or ankylosis of primary incisors. The impacted upper central incisor can be classified depending on: mesio-distal position, occluso-gingival position, midline angulation, degree of root formation. If early intervention is not enough. There is the need for surgical exposure and orthodontic traction. Among possible treatment complications are: esthetic gingival sequelae, ankylosis and root resorption

Non-Surgical Periodontal Therapy: Decision Making in the 21st Century
Non-surgical periodontal therapy is a vital part of everyday dental practice. Since the majority of periodontal therapy is performed by general dentists and dental hygienists, it is critical that clinicians have all of the requisite skills and information needed to perform these services at the highest level possible. The purpose of this presentation is to provide the latest evidence- and practice- based information on periodontal debridement and adjunctive therapies that can improve patient outcomes. Though surgical procedures may still need to be performed in some sites, the majority of inflammatory periodontal disease can be eliminated or reduced significantly using the techniques and protocols discussed in this educational segment on non-surgical periodontal therapy.

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.

Biologic Shaping
Creating proper space for biologic width ensures that the new margin will not infringe upon the periodontal complex and reduces the likelihood for future inflammation.

Lip Repositioning for Reduction of Excessive Gingival Display: A Clinical Report
This case report demonstrates the successful management of excessive gingival display with a lip-repositioning procedure.

Management of the Compromised Implant Site With Small-Diameter Implants
The use of the ANEW titanium alloy implant for the treatment of compromised tooth-tooth spaces is a viable treatment option.