Patients request not only functional restorations, but also esthetic rehabilitation, improvement of appearance, smile and self-esteem. To support this objective, modern digital planning systems combine guided surgery assistance with appropriate and comprehensive diagnostic and...

To obtain an esthetic result, the objective is to achieve harmony between pink and white tissues. usually this is an issue and in periodontally compromised it is likely to be an even bigger challenge. Dr Ricci gives insight in the surgical and prosthetic treatment steps, procedures...

Supported by several patient treatment examples, the lecture gives insight in how to handle cases with reduced or diseased periodontium in the esthetic zone. Dr Tabanella reviews biological principles for soft tissue management, flap techniques, soft and hard tissue grafting...

Treatment with multiple adjacent implants shows considerably more complexity in comparison to restoring with a single implant, especially in the esthetic zone. The lecture discusses the clinical scenarios which are important for treatment planning: healed vs extraction site...

The lecture reviews and compares a data pool with almost 40.000 implants placed in an over 20 year time period. Dr Laureen Langer concludes that there are high and equivalent survival rates and no statistical differences between immediate and delayed placement, and that the...

The lecture reviews some of the challenges in anterior implant treatment cases, in light of the main elements bone, soft tissue, prosthesis and adjacent teeth. Dr Euwe discusses diagnostic aspects and adequate treatment plans and protocols. It is important to have enough hard and...

The lecture reviews the criteria for successful soft tissue management in the esthetic zone. Correct three-dimensional implant position around 3 mm apical and 2 mm palatal of the final desired gingival margin on the restoration support the buccal plate and adequate stable bone...

Incision can be made either on top of the crest or at some distance in the labial fold. The outcome for both approaches seems comparable. A sagittal release incision at the midline eases the reflection of the labial mucoperiosteum. It is logical to try to achieve...

Any intra-oral surgical intervention begins with the incision and finishes with a suture or gluing. Indications for a crestal incision include one-stage surgeries where the implant or abutment is non-submerged and is piercing into the oral...

The aims of peri-implant soft tissue management in the edentulous mandible are the eventual reconstruction of attached gingiva or immobilizing the soft tissue at the implant-soft tissue interface. Vestibuloplasty means deepening of the...

A 28-year-old female patient was referred by an endodontist. The root showed signs of resorption and a long-term survival was questionable. The tooth had to be removed and an immediate implant with an adjacent muco-gingival surgery was placed. 

Wound closure ensures and accelerates wound healing by protecting the site and influencing migration of keratinocytes over the granulation tissue. Some wound eversion maximizes epidermal approximation. Square knots, with two ties in one direction and a reverse...

The gingiva is tightly connected to the underlying periosteum. It is globally keratinized and has a stippled surface. Its color varies from pink to brown or even black, depending on race and/or melanin deposits. It can be distinguished from alveolar mucosa, which...

Based on a 24 year long term experience with over 12.000 implants placed, 6.000 of them with immediate placement protocol, and almost 2.000 implant restored with immediate loading protocol over 12 years, Dr Gelb presents a review of success rates and the unique benefits when using...

Focusing on the posterior mandible, Dr Moy reviews aspects of flap design and development, selection of implant design and dimensions, selection of the appropriate loading protocol and discusses the use of guided approach. Soft tissue management should maintain and enhance quality...