Interface Development: Managing Ridge Deformities in the Esthetic Zone - Part 1 of 3
This presentation by three members of a single multidisciplinary reconstruction team suggests recent changes to their armamentarium to meet the challenges of reconstruction of ridge deformities in the esthetic zone.

Interface Development: Managing Ridge Deformities in the Esthetic Zone - Part 2 of 3
This presentation by three members of a single multidisciplinary reconstruction team suggests recent changes to their armamentarium to meet the challenges of reconstruction of ridge deformities in the esthetic zone.

Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6
Dr. Maurice Salama describes the step-by-step surgical techniques required to ensure successful Guided bone as well as soft tissue enhancement of a deficient extraction site.

Immediate Implant Placement and Loading of a Canine with a Thin Labial Plate - Surgical Video - Part 1 of 2
Dr. Alvaro Ordonez demonstrates the minimally invasive approach to the treatment of a canine with root resorption and a thin labial plate.

Zygomatic Implants in the Treatment of Fully Edentulous Patients
This presentation aims to bring some possibilities in the treatment of edentulous patients with a severe atrophic maxilla. The major problem is that the absence of an appropriate bone bed, will compromise any approach with bone grafts and substitutes, as well as involving a greater morbidity and treatment time. In this way the oral rehabilitation with zygomatic implants is a current need for many patients, which will require a scientific knowledge of the dental care professional. Through this slide show and video demonstration you will be able to recognize and diagnose cases recommended for the therapy with zygomatic implants and its possible configurations supporting an oral rehabilitation.

Digital Dentistry in the Management of Simple and Complex Cases: The Digital Intra-Scanner
The advent of new technologies has enabled the utilization of new materials and equipment that facilitate the production of restorations with an accuracy that has, up to now, been difficult to obtain reliably. This lecture utilizes patient presentations to help analyze and highlight new systematic clinical protocols that have been developed to optimize the evolving knowledge in digital dentistry and materials. These protocols have allowed us to modify work flow and operational techniques to shorten lead times, while maintaining optimal accuracy. Advantages and disadvantages of the methods outlined will be evaluated and analyzed on the basis of existing literature and personal experience.

Achieving Stable Esthetic Results with Implant Supported Restorations
We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.

Implant Esthetic
Implants...Esthetics...Solutions

Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

Suture Selection for Optimal Flap Closure and Tissue Healing
Suture selection is based on a knowledge of the physi cal and biologic characteristics of the suture thread in relationship to the healing process. In addition, accurate apposition of the flap is significant to patient comfort, hemostasis, reduction of the wound to be repaired, and prevention of unnecessary bone destruction. If flaps are not approximated and inadequate hemostasis is present, blood and serum may accumulate under the flap, delaying the healing process by separating the flap from the…

The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication, especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication. Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be successful, as is presented hereafter.