"The Soft Block": Treating Severe Recessions Around Dental Implants
Implants have been one of the major breakthroughs in dentistry. Tissue collapse around dental implants is our number one enemy as it gives rise to serious problems that go from inflammation, through many times chronic infection, all the way down to severe recession, seriously compromising not only esthetics, but also function and our patients well being. Strategies have been developed to help clinicians to try to avoid collapse. Among the most important are procedures such as: grafting the gap; GBR with several biomaterials and barriers; flapless approaches; immediate implant placement after tooth removal with provisionalization using CAD-CAM & 3D technologies and ultimately PET strategies also combined or not with immediate load

The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 1 of 3
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Perioderm), platelet rich in growth factors (PRGF, PRF), and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, and dentulous ridges, will be reviewed as to its critical role in "Complete Esthetics".

Modern GBR Concepts, Flap Design and Materials as an Alternative to Autologous Bone
This lecture will provide a decision tree to assist the practitioner to best choose devices and biomaterials to achieve successful outcomes in bone regenerative treatment. Moreover, a straight-forward review of the step-by-step surgical maneuvers will be given, like incision design, flap management, membrane fixation strategies, and tension-free suturing technique. in the final part of the lecture, strategies to simplify the regenerative protocols will be presented with the intention to decrease morbidity and complications while boosting patients’ innate healing response.

Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities
In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today.

From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone
This webinar will highlight surgical and restorative techniques to accomplish predictable outcomes in the esthetic zone with implant therapy. Treatment modalities will be demonstrated with high quality photography and case series discussion. Surgical modalities presented will include ridge preservation, the current evidence on the use of growth factors such as PRP and hr-PDGF bb. Also timing of implant placement as well as soft and hard tissue augmentation will be discussed. Special emphasis will be placed on immediate provisionalization of implants to accomplish optimal peri-implant mucosa architecture. Techniques to transfer provisional emergence profile to the final restoration will be presented.

Surgical & Restorative Management in the Aesthetic Zone
Very often anterior tissue and tooth deficiencies require a multi-disciplinary approach to correct. This presentation reviews several classic techniques in managing these challenging cases including; Orthodontic extrusion, soft tissue and hard tissue augmentation and restorative selection. A quantifiable strategy and case selection is presented as well as several options that should be considered.

A Defined Algorithm for Regenerative Success Part 2
These presentations will focus open the above concepts but prioritize the diagnostic phase and surgical common denominators required for a successful regenerative outcome. Flap design, space maintenance, bone and membrane selections and tension free closure provides the template for all the new age materials and technologies to be successful in clinical practice.

A Novel Approach to Root Coverage: The Pinhole Surgical Technique
Free connective tissue graft techniques are currently considered the most predictable surgical method for root coverage. However, morbidity associated with secondary graft sites has generated interest in other methods. The purpose of this study was to investigate the feasability of a novel surgical approach to root coverage: the pinhole surgical technique (PST). The retrospective study examined the results of PST used for 43 consecutive patients on 121 recession sites, of which 85 were Class I or II and 36 were Class III. The documented results indicate that PST holds promise as a minimally invasive, predictable, effective, and time and cost-effective method for obtaining optimal patient-based outcomes.

Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation
Predictable tissue regeneration presents a considerable challenge in the surgical treatment of gingival tissue defects. Soft-tissue augmentation procedures to increase the existing or create a new zone of attached keratinized gingival tissue have classically been performed using the patient's own masticatory mucosa and, more recently, using an acellular dermal allograft as the donor material. This article presents a clinical case whereby an acellular dermal allograft was placed on the buccal surface…

The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication, especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication. Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be successful, as is presented hereafter.