Two Immediate Temporization Methods Exemplified: Flap vs. Punch Technique in Implant Surgery
Protocols and techniques for immediate tooth replacement in the esthetic zone have become more popular and predictable within the past decade. Two different clinical scenarios are presented where immediate temporization of implants placed into healed or augmented ridges is exemplified. The benefits of augmentation prior to implant placement and temporization are that flap elevation is not required; therefore, the blood supply to the labial plate is not compromised, thereby eliminating potential midfacial recession. In addition, the soft tissue subgingival shape of the temporary crown can be non-surgically sculpted at the time of implant placement since the patient is already anesthetized.

Keys to Optimizing Soft Tissue Esthetics in Implant Therapy - Part 2
Dr. Tidu Mankoo outlines the key clinical components that are necessary to achieve predictability and esthetic results in anterior implant therapy.

PET in Conjuction with Apisectomy Procedure
A frequently asked question: Is a tooth with a small periapical infection contraindicated for a PET procedure? This presentation showcases a technique for effectively performing a PET with implant placement and an immediate provisional crown for a central incisor with a small periapical infection.

Partial Extraction Therapies: From Failure to Everyday Practice - Part 2 of 4
Tooth extraction is usually followed by the resorption of support tissues that may compromise the aesthetic and functional prognosis of the final rehabilitation. There have been numerous publications suggesting Partial Extraction Therapies contribute to the maintenance of the alveolar ridge dimensions. These techniques consist in intentionally preserving a buccal root fragment in order to avoid tearing the periodontal ligament and loosing the bundle bone, which leads to bone resorption. It has been reported that these are very sensitive techniques and may lead to some complications. In order to avoid these complications, the dental surgeon must know which cases can be treated with Partial Extraction Therapies and how to correctly perform them. In these presentations we will show what are the indications and contraindications, how to perform these techniques, the literature that sustains it, how can we benefit from digital technology to today's world, etc.

Bone Augmentation vs Short Implants: Making Clinical Decisions for Tooth Replacement at Sites with Alveolar Ridge Atrophy
There is often some degree of atrophy in sites planned for implant placement. An array of therapeutic options is available for implant placement in sites with vertical atrophy of the alveolar ridge, including ridge augmentation, sinus augmentation in the maxilla, nerve repositioning in the mandible and tilted implants. Short implants have been systematically evaluated as an alternative in sites with vertical alveolar ridge atrophy with favorable clinical outcomes comparable to standard-length implants. Decision making for selection of appropriate therapeutic modality for sites with vertical alveolar ridge atrophy has to consider many theoretical, surgical and prosthetic considerations. Surgical and prosthetic guidelines will be provided for application of short implants for posterior sites with limited vertical height.

Implants in the Esthetic Zone: How to Get Predictable Results
Placings implants in the anterior maxilla can be a challenging treatment, since these are esthetically demanding cases. To achieve esthetic results which are similar to the natural tooth, first an understanding of the resorption process must be understood. Secondly with the help of three-dimensional planning on CBCT images, a protocol can be made at which timepoint an implant should be placed: immediate, early or delayed. Also, when is it a good option to preserve the socket rather than to wait for spontaneous healing. The final esthetics are not only the white esthetics, but the pink esthetics should be restored as well by means of a transitional temporary crown to create a cervical and emergence profile.

Dental Cone Beam Computed Tomography Analyses of Postoperative Labial Bone Thickness in Maxillary Anterior Implants - Comparing Immediate and Delayed Implant Placement
This study aimed to evaluate the influence of labial alveolar bone thickness and the corresponding vertical bone loss on postoperative gingival recessions around anterior maxillary dental implants.

Instrumentation for Modern Day Implant Surgery
Public awareness of the aesthetic possibilities through the replacement of missing or nonsalvageable teeth has been elevated with advances in dental implant therapy and related hard and soft tissue regenerative therapies. This has led to an increase in the fabrication of fixed prostheses supported by either natural teeth, dental implants, or removable prostheses anchored by implants rather than conventional tissue- or tooth-supported partial dentures.

A Study of the Fate of the Buccal Wall of Extraction Sockets of Teeth with Prominent Roots
Courtesy of Quintessence Publishing