Implant Therapy and Esthetic Considerations - Staged Implant Placement with Additional GBR - Part 2 of 6
Dr. Maurice Salama follows-up on a case of staged implant placement and describes the step-by-step surgical techniques required to ensure successful implant placement.

Anterior Prosthetics: Challenges Solutions and Considerations
Much has been said about the maxillary anterior region and the challenges that exist to restore or improve a patient's smile but few master clinicians actually outline the secrets of a reliable perio-prosthetic design.

Partial Extraction Therapies: From Failure to Everyday Practice - Part 1 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.

Managing Technology for Best Outcomes and Productivity
Digital technology provides tools to improve planning, clinical execution, prosthetic design, manufacturing, maintenance, and cost of care. Dental professionals need to understand the value of individual technologies as well as the benefit derived from linking them together. During this presentation, a business model and clinical cases will be used to illustrate how a number of digital technologies can impact outcomes and productivity.

Predictable Implant Aesthetics Utilizing A Custom Fabricated Provisional Abutment & Impression Coping
Mastering the art of predictable implant aesthetics can be challenging. One of the most stressful areas for most dentists is the process of creating a beautiful provisional that will guide tissue and predictably communicate the aesthetic outcome for the final restoration in the aesthetic zone. Combining the use of a custom fabricated provisional abutment, provisional restoration and a custom fabricated impression coping many of the aesthetics challenges can be addressed. This information can then be communicated to the laboratory to ensure the most predictable aesthetic outcome possible. This program is designed to simplify and streamline the entire process of implant provisionalization and impression. This program will provide a systematic, step by step approach to tissue management, provisionalization and impression of implant cases.

Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting
The loss of alveolar ridge contour in the esthetic zone compromises both esthetics and function. This clinical presentation will focus on the application of both hard and soft tissue grafting in the esthetic zone implementing state of the art interactive CT diagnosis and treatment planning for optimal esthetic implant reconstruction. Emphasis will be on indications, graft and harvest site assessment, timing, and use of bioactive modifiers including BMP, PRGF and PDGF. The surgical protocol utilizing allogeneic and autogenous grafts in conjunction with connective tissue grafts, acellular dermis matrix, and related soft tissue procedures to avoid functional and esthetic pitfalls will be featured. Pre and post-grafting prosthetic workup, interactive CT graft assessment and perio prosthetic driven implant planning, stent driven implant placement, and computer milled abutment fabrication including guided surgery will be included.

Optimizing Anterior Esthetics with Immediate Implant Placement and a Fixed Provisional Restoration
Implant placement immediately after tooth extraction, followed by an immediate provisional restoration of a single dental implant, provides significant benefits compared with traditional delayed protocols. Patients are not burdened with cumbersome removable interim prostheses, osseous anatomy may be preserved, sulcular form is optimized before definitive restoration, soft tissue has matured before implant integration, fewer surgical interventions are required, and treatment time is accelerated.…

Buccal Plate Regeneration with Immediate Postextraction Implant Placement and Restoration: Case Reports
In these reports, buccal bone plate regeneration was obtained through a flapless approach and immediate postextraction implant placement with a cancellous bone and collagen graft in the buccal gap.

CT-Derived Model-Based Surgery for Immediate Loading of Maxillary Anterior Implants
A novel approach to predict implant placement utilizing CT-derived model-based surgery was performed for a maxillary-anterior aesthetic immediate extraction/immediate restoration; root proximity and inter-implant positioning was an additional complication. The use of state-of-the-art diagnostic and treatmentplanning tools described in this article has been shown to be effective for both partial and completely edentulous patient presentations. These tools can serve as a foundation for accurate, highly practical, and repeatable CT-scan–derived modelbased presurgical prosthetic planning for the immediate loading of dental implants.