Utilizing a Stereolythic Model Prior to Implant
Planning, extraction & immediate implant

Making Successful Clinical Decisions in Esthetic Implant Therapy - Part 2 of 3
This presentation will outline a systematic diagnostic and treatment design protocol for anterior implant supported restorations as well as how implant design, components and regenerative techniques influence the process.

Anterior Implant placement and Tissue Augmentation
Dr. Michael Sonick outlines the keys to anterior implant placement in conjunction with hard and soft tissue augmentation.

The 10 Year Evolution of Guided Surgery, What We Have Learned From our First Patients
The initial NobelGuide protocol was developed and completed in 2003 for the first series of treated North American edentulous patients. The 10-year clinical results from this initial patient group treated with implant placement and immediate loading via a fixed prosthesis, now provides insights into what have we learned from the evolution of guided implant treatments to ensure and improve surgical and prosthodontic treatment outcomes.

Digital Workflow for Anterior Implant Aesthetics
We have seen excellent results in the aesthetic zone when immediate implant placement techniques have been used. A review of the current literature reveals and confirms the re-education of mid-buccal facial recession is best when an immediate provisional is used. If we can digitize this information and create a crown-root form matrix, we can allow tissue to maintain the exact 3D position of the crown and root of the tooth that is to be replaced. A technique using "dicom" files and "STL" files of the original tooth-root will be demonstrated. This will allow ideal healing of the surrounding hard and soft tissues in for any implants restoration.

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Restoring Facial Aesthetics and Function with Implant Overdentures
Implant supported overdentures are fast becoming the choice of treatment for edentulous patients as they provide various advantages over the conventional dentures; most importantly they are a reliable and simple solution to denture retention and stability problems. This article discusses aesthetics and function provided with implant borne Overdentures in Maxillary and Mandibular arches.

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.

Use of Stereolithographic Models as Diagnostic & Restorative Aids for Predictable Immediate Loading of Implants
Implant dentistry has evolved into one of the most predictable treatment alternatives in all of medical science. Advances in the surgical and prosthetic components, implant designs and surface technologies, and imaging techniques have allowed for significant modifications to occur with respect to one- and two-stage surgical protocols, accelerating treatment times to the benefit of patient and clinician. This article presents a technique to improve surgical and restorative accuracy, allowing for predictable placement and immediate loading of implants through use of CT imaging, stereolithographic models, and CT-derived surgical templates.