Esthetic Crown Lengthening
Dr. Ernesto Lee outlines the biologic, surgical and esthetic parameters that must be adhered to successfully achieve esthetic crown lengthening.

Growth Factors; The Next Step in Achieving Ideal Regeneration
The aim of dentistry is to provide esthetics and function for our patients. Using hard and soft tissue regeneration techniques we have the ability to rebuild what has been lost to disease or trauma. Whether we are regenerating lost tissue around teeth or developing an ideal implant site, growth factors are a powerful asset that help make regenerative procedures more predictable while reducing patient morbidity. This webinar review regeneration techniques and will discuss the popular growth factors available today and demonstrate their clinical use.

Combination Approach to Site Development: Autologous Tissue
The ideal grafting material should be biocompatible, biodegradable, easy handling, cost-effective, minimize inflammation and foreign body reaction, not transmit diseases and assure a long-term restoration and preservation of the alveolar ridge. Is there any better scenario to prove the grafting material properties than the worst scenario in esthetic implant dentistry: central-lateral, site by site? In this lecture, the combination approach to the site preservation and development utilizing exclusively autologous tissues is explained, based on the available literature and presenter´s experience and shown on numerous central-lateral cases.

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.

The Dual Zone Approach to Tooth Replacement in the Esthetic Zone
Improvements in implant designs have helped advance successful immediate anterior implant placement into fresh extraction sockets. Clinical techniques described in this presentation will enable practitioners to achieve predictable esthetic success using a method that limits the amount of buccal contour change of the extraction site ridge and potentially enhances the thickness of the peri-implant soft tissues coronal to the implant-abutment interface. This approach involves atraumatic tooth removal without flap elevation, and placing a bone graft into the residual gap around an immediate fresh-socket anterior implant with a screw-retained provisional restoration acting as a prosthetic socket seal device. Long term follow up and evidence from scientific literature to support this concept will be described.

Esthetic Tissue Reconstruction Around Implants - Part 2 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequential lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability
Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Implant placement level is important for bone stability. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorbtion. The role of soft tissue thickness is well established in aesthetic treatment. It is known that thin soft tissues present an unfavorable situation for implant placement, crestal bone stability and subsequent prosthetic treatment.

Decision Making for Soft and Hard Tissue Augmentation in Surgically Facilitated Orthodontics
The purpose of this article is to present a decision-making algorithm for soft and hard tissue augmentation in surgically facilitated orthodontics (SFOT). In cases where there is adequate hard and soft tissue envelope, selective corticotomies may be adequate. In cases, where the existing hard and soft tissue anatomy is inadequate, hard and soft tissue augmentation is recommended. Also, hard and soft tissue augmentation is recommended to avoid teeth extractions during orthodontics.

Influence of Thin Mucosal Tissues on Crestal Bone Stability Around Implants With Platform Switching: A 1-year Pilot Study
The aim of this pilot study was to determine what effect thin mucosal tissues can have on crestal bone stability around implants with platform switching. Within the limitations of this pilot study it can be concluded that implants with platform switching did not preserve crestal bone better in comparison with implants with traditional implant-abutment connection if, at the time of implant placement, thin mucosal tissues were present.

Using an Acellular Dermal Matrix for Increasing Keratinized Tissue Around Dental Implants
In previously published articles, investigators concluded that gingival recession may affect up to 90% of the population. Gingival recession ranges from one to three millimeters and is predominantly noted on the buccal surfaces of molar, premolar, and lower incisor teeth. Although surgical grafting techniques have traditionally been used to restore these recession sites, an acellular allograft material has recently been developed for increasing the zone of keratinized tissue surrounding teeth and…