A Surgeon's Perspective of the Digital Divide
The impact of digital technology in implant dentistry continues to expand at a rapid rate. As a result, the management of more complex cases is becoming a common place in everyday decision making and practice. However,the optimal patient outcomes can only be maximized by cohesiveness between the surgeon and the restorative dentist AS A TEAM. This lecture will focus on the surgeon's role in being a team player and collaborating digital applications to communicate with the restorative doctor. Applications of intra-oral scanning to facilitate this collaboration will be shown through multiple applications in case scenarios. Welcome to the digital revolution.

Laser Uncovery of Dental Implants
Although many clinicians prefer to place all their implants in a one stage approach there are times when a healing abutment must be sacrificed for a cover screw and the implant buried for a two stage approach. In situations where primary stability is low, where bone grafting has occurred or where less than 2 mm of soft tissue is available then a safer approach may be to uncover the fixtures after a 3 month healing. Lasers have become a go to “soft tissue hand piece” for many clinicians when manipulating soft tissue around implants due to their minimal zone of necrosis, ability to provide ideal hemostasis and their safety of use around fixtures compared to traditional soft tissue methodologies like electrosurgical units, some of which can lead to catastrophic failures with implants. See how both diode lasers and erbium lasers can be used safely and efficiently to uncover and move tissue around implants during stage two surgeries

Computer Guided Implant Surgery
Dr. Michael Klein, in a discussion with Dr. David Garber, outlines some of the key guidelines to computer guided surgery.

Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability
The main factor for soft and hard tissue healing is the speed and quality of new vascularization. This lecture will present all the positive and negative factors who control the angiogenesis, blood supply and bone metabolism: -Biological factors as vit. D and cholesterol have to be checked before the surgery -The management of the flaps with sutures is one the main factor for the bone and soft tissue maintenance.. -The soft brushing technique is a new technique which increases the flap without periosteal incision nor bleeding. -Careful Implant placement without too much torque, specially in cortical bone or grafted bone at the re-entry.. -The A-PRF liquid and i-PRF are solutions to reduce the mobility of the granules (sticky bone) with an improvement of angiogenesis The use of growth factors is a stimulation of angiogenesis. The prevention of the negative factors will allow us to achieve the long term stability.

Controlled Ridge Splitting (CRS)
To demonstrate a new technique of controlled ridge splitting (CRS) in severely atrophied maxillary cases as an alternative to autogenous block graft. Twenty cases were completed using a controlled ridge splitting (CRS) technique with a total of 65 implants were placed in severely atrophied Maxillae and followed after the implants were loaded. Results: The CRS technique was used in very complex cases, where the alternative method will be autogenous block graft. A total of 65 tapered implants were placed. The implants diameter ranged between 3.25-5mm with a length ranged between 10-13mm. The implants were restored and were followed for 1-3 years. All implants achieved osseointegration and continue to have successful prostheses. Conclusion: The CRS is a predictable treatment option and could be a good alternative to autogenous block grafts is severely atrophic maxillae.

The Surgical-Restorative Digital Work Flow In Comprehensive Therapy
Traditional methods of treating our patients are being been replaced by digital processes, impacting our daily life. The intake of various technologies such as CBCT imaging, scanning, digital restorative design and CAD/CAM production have contributed to this movement. In the same time, restorative materials have also been developed and studied that have improved strength and esthetic qualities. All these capabilities create opportunities for better restorative outcome. This presentation will highlight a practice-based model centered on digitally enhanced treatment for efficient and predictable esthetic restorative outcomes.

A Technique for Surgical Mandibular Exostosis Removal
Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually an issue with patients. However, when removable prosthetics must sit either adjacent to or over these areas, pressure, food abrasion, ulceration, or limited tongue space can occur. This article describes a surgical technique for exdsion of exostosis through the presentation of a case. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. The…

Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique
The purpose of this article is to describe the clinical surgical procedures that comprise the PAOO procedure.

Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report
Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. This report describes the use of a mucosal coronally positioned flap for the management of a gummy smile associated with vertical maxillary excess and hypermobility of the upper lip. For patients desiring a less invasive alternative to orthognathic surgery, the mucosal coronally positioned flap is a viable alternative. We demonstrate short-term successful use of this technique for the management of excessive gingival display in the presence of slight vertical maxillary excess and hypermobility of the upper lip. Long-term follow-up studies are needed to determine stability of the results.