Contemporary Bio-Materials and Combined Techniques for Esthetic Reconstruction
State-of-the-art technology offers conservative and esthetic alternatives to re-establish the shape and color of anterior teeth as well as the white and pink harmony. Tooth reduction for any restorative technique obliges us to be as conservative as possible. In this presentation we will share a short description of different material options developed in esthetic dentistry. We will present a case managed with a combination of techniques including: monolithic lithium-silicate ceramic veneers and cut-back/layering.

Laser in Periodontal Plastic Surgery
Today aesthetics has become the main reason for dental consultation. The appearance and shape of soft tissues are an essential part of achieving smile balance and harmony. In recent years, the use of lasers has evolved significantly in periodontal plastic surgery, due to its applications, such as; the ability to offer treatments without sutures, minor tissue damage, minor bleeding and therefore promote faster tissue recovery. This time we used GEMINI Ultradent double wavelength diode laser, from 810nm to 980nm, super pulsed with a power of up to 20 watts; improving coagulation performance and providing a faster and more precise cut than other diode lasers.

Predictability of Root Coverage Procedures: Clinical Scenarios & Evidence-Based Treatment Options
Root coverage (RC) procedures have long been used for the treatment of gingival recession (GR). During daily practice, clinicians are required to deal with diverse clinical scenarios and to provide the most adequate treatment options for each particular condition based on the best evidence available, the clinician’s skills, and the patients’ desires.

New Classification of Peri-Implantitis & Diagnosis - Part 1 of 2
Peri-implantitis has been receiving attention following recent studies that showed that it is highly prevalent and difficult to manage. This course will provide the latest evidence-based information on peri-implant diseases with emphasis on a team/interdisciplinary approach to treatment. The program will present the updates on the definition and etiology of peri-implantitis from the American Academy of Periodontology’s 2018 consensus meeting. The instructor will present research findings on peri-implant disease diagnosis and management.

Protocols for Aesthetic Zone Management: From Maintenance to 3D Reconstruction
During the lecture Dr. Bessa will systematize how to face each different clinical situation, utilizing different autogenous tissues combined with a micro surgical approach, in order to have the best healing patterns and scar-less surgery.

Treating the Terminal Dentition: A Patient-Center Approach
In patients with terminal dentition esthetic and functional replacement is a necessary objective, but no longer a sufficient-objective: nowadays, due to the clinical and extra clinical characteristics of these patients, management of the therapy is as important as its conclusion. Respect of the principle of autonomy, reduction of treatment length, simplification of surgical procedures and prosthetic management of implant immediate loading are the cornerstones of this philosophy and are the object of this lecture.

Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.

The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues buccofacial to an immediately placed implant. The socket-shield technique is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the procedure in clinical practice with a 1-year follow up.

Alveolar Ridge Preservation and Reconstruction
Periodontal plastic surgery procedures designed to reconstruct deformed, partially edentulous residual ridges were introduced to the dental profession between 1971 and 1986. They have been revised and refined to their current state of development, where they now occupy a major place in the reconstructive armamentarium. Before these concepts were developed, it was generally believed that it was impossible to surgically reconstruct deformities in the partially edentulous ridge. Deformities were filled…