Early Implant Placement with Contour Augmentation - Biologic Rationale, Surgical Technique & Long-Term Results
Today, the timing of implant placement post-extraction in the esthetic zone is considered an important factor which influences the esthetic treatment outcome. One of these options is early implant placement after 4 to 8 weeks of soft-tissue healing. The purpose of this presentation is to present data and to analyze the stability of esthetic treatment outcomes in patients following single-tooth replacement in the anterior maxilla using the concept of early implant placement with simultaneous contour augmentation. Special emphasis will be placed on assessing the stability of the facial mucosa, since it directly depends on the stability of successful contour augmentation by GBR and to compare it to currently utilized immediate techniques like Dual Zone Therapy (Chu & Tarnow) and Partial Extraction Therapies (Salama & Gluckman).

The "Dual-Zone" Approach in Immediate Implant Placement
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described have enabled practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. This protocol allows for efficient management of the patient and an attempt to maintain all original contours of the extraction site. Multiple case and retrospective case studies will be cited to support this concept.

Partial Extraction Therapy (PET) The Final Frontier
Buccopalatal collapse of the postextraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach, "PET" is to use the tooth itself by purposely maintaining all or a portion of the root in the remaining socket. Root submergence has been reported in the literature for more than 4 decades, and it has been demonstrated that the submerged tooth root retains the periodontal tissues and preserves the bone in pontic sites or below dentures to retain the ridge. The socket-shield technique entails preparing a tooth root section to remain behind on the labial aspect simultaneous to immediate implant placement and has demonstrated histologic and clinical results that are highly promising to esthetic implant treatment.

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials
Soft tissue root coverage microsurgery and pontic site enhancement are frequently utilized periodontal plastic surgery techniques to create an ideal restorative frame for teeth, pontics and implants. Tunnel, Semilunar, VISTA etc. are among the new age techniques highlighted in this growing area of periodontal microsurgery. New autologous tissue harvest techniques, Allograft ACDM and Bioactive Modifiers have all changed the way we are capable of managing soft tissue deficiencies and have assisted the clinician in improving the healing qualities of these minimally invasive techniques. This lecture will cover site preparation techniques for conventional dentistry as well as prior to and after implant placement.

Crown Lengthening in Comprehensive Esthetic Therapy: The Complete Surgical Video A to Z
In this complete surgical video, Dr. David Wong performs an esthetic crown lengthening procedure to address a "gummy smile" as part of comprehensive therapy and smile enhancement. Dr. Wong will outline the indications for crown lengthening surgery as opposed to orthognathic correction. The surgical video will demonstrate the complete crown lengthening surgery, including incision design, flap management and instrumentation. In addition, suturing and post-operative care will also be outlined in detail.

Biologics in Regeneration: What Is Their Impact on Periodontal and Dental Implant Surgery?
This article discusses in detail the origins, differences and benefits of RECOMBINANT PDGF vs Autologous Platelet Concentrates in Periodontal & Implant Surgery.

Soft Tissue Waxup and Mock-Up as Key Factors in a Treatment Plan: Case Presentation
Rehabilitation of edentulous spaces in esthetic areas is a challenge to the clinician due to the loss of soft tissues. In these clinical situations, it would be desirable to evaluate and predict the gingival architecture to recover in the oral rehabilitation. To fulfill this need, the diagnostic was should anticipate the final rehabilitation with the integration of hard and soft tissue.

Connective Tissue & Bone Graft for Anterior Immediate Implant Placement
Immediate implant placement in a one-stage approach, with or without provisionalization, has proven to be advantageous in preserving gingival anatomy around dental implants. But placing implants immediately in the changing alveolar bone of an extraction socket can result in progressive recession of the gingival labial margin over the implant restoration. Thicker biotypes and bone of the labial periimplant tissue have been shown to promote long-term stable gingival margins. A surgically simple technique…