Stable and healthy soft tissue conditions are important for the longevity of implant restorations and crucial for their esthetic success especially in the esthetic region. Dr Rompen is reviewing aspects of the biological width and gingival biotypes and their important influence.

A 62-year-old male patient with a long history of periodontitis which resulted in extensive gingival recessions compromising the aesthetics. The treatment plan involved a combination of implant-and tooth-supported restorations.

Hybrid restorations are an excellent restorative procedure in combination with the All-on-4® treatment concept. Dr Parel reviews some of the main complications which can occure when implementing this concept and how to solve them, e.g. management of the transition line in patients...

The lecture reviews basics of X-ray diagnostics and CBCT scans and how the diagnostic capabilities of software based treatment planning can assist clinicians in their daily practice. CBCT scans cannot be done on a routine basis, however if a scan is done for implant treatment...

The lecture gives insight in principles and protocols for the three-dimensional reconstruction of the maxillary ridge and its relationship to intra- and extra-oral esthetics. Dr Bahat reviews aspects of intra- and extra-oral objectives, guidelines for surgical planning, soft tissue...

The lecture highlights the importance of the restorative space to meet the requirements for esthetics, mechanics and biomechanical integrity. Dr Jivraj reviews the restorative considerations playing a role like tooth position, vertical restorative space, restoration contour and...

The lecture reviews the challenges in relation to restoring multiple missing anterior teeth with implants. The goal is to achieve harmony and continuity of soft tissues in visible areas defined by perceived symmetry. Problems are related with change in underlying anatomy upon...

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...

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 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...

The lecture gives insight in how we can deliver naturally looking restorations with highly predictable long-term soft tissue integration, in our daily practice. Preservation of bone crest and soft tissue are supported by a tight implant-abutment connection as a barrier against...

The lecture discusses the principles for tissue preservation in implant restoration and highlights their importance for the esthetic result. The goal is to create healthy and stable soft tissue framing around the implant and restoration. Dr Euwe presents single implant replacement...

Dr Bedrossian presents a patient case with the clinical findings: loss of posterior support, primary periodontal disease, secondary occlusal trauma, CR MI (centric relation to maximum intercuspation) slide of 2 mm, tardive dyskinesia, labial incompetence, and discusses his...

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...