Flap Management and Site Preparation in Anterior Bone Augmentation - Part 2 of 2
Dr. Howard Gluckman outlines his decision making on incision design and flap management in preparation for anterior osseous augmentation in conjunction with implant placement.

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Dimension of the Facial Bone Plate - Literature Review Series
In this first of the series, Dr. Henry Salama will review a group of articles related to the dimensions of the facial bone plate. He will suggest what can be taken away from these articles as well as how they may influence clinical decisions in the treatment of extraction sites and immediate implant placement. Your participation in the form of comments, questions and suggestions are welcomed and will help invigorate what is hoped to be a type of online community study hall.

Bone Block Graft and Soft Tissue Graft
Grafting in the Anterior Maxillary Region

Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy
When considering implant therapy in the esthetic zone, replicating the natural soft tissue frame may present challenges for the treating clinician. This presentation will highlight different clinical scenarios in which the lack of hard and soft tissue volume may pose difficulties in achieving ideal peri-implant esthetics, in addition to available clinical strategies on how to manage and minimize hard and soft tissue deficiencies when dealing with implant therapy in the esthetic zone.

Modern Flap Management in Bone Augmentation
What does it mean “Modern”? Less traumatic? More predictable? More biology? Less incisions? Let’s see what modern means from a biological and from a surgical standpoint. How can we achieve a full passive closure from the flaps without damaging the blood supply? Can we take care of the oxidative stress? Can PRF help us in these matters? Surgically, the management of anatomical elements such as the mylo-hyoid muscle and the mental foramen will be discussed and a simplification protocol will also be presented. No doubt, “modern” flap management raises a lot of questions!

The Modern Age of Regeneration: Tenting, Fixating and Space Creation
Regeneration requires a common biological thread for predictable results. Space Maintenance, Graft Stability, Bone Biologics, and Wound Management. This presentation will describe the importance of each critical step in regeneration and introduce a new technical system to assist the surgeon in managing and stabilizing the space required for optimal bone regeneration. Flap design, release, biologics selection and enhancement as well as bone stabilization, fixation, and secure membrane adaptation will be further highlighted as to it's critical value in the final results.

Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies
As dental implant reconstruction has evolved into a mainstream alternative to replace missing teeth, bone grafting techniques have also evolved as an ancillary procedure for site development, sinus augmentation, and guided bone regeneration.

Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.

Socket Augmentation: Rationale and Technique
This article presents the rationale behind socket augmentation for future implant placement and describes a technique that has shown to not only facilitate tooth extraction with minimal damage to the surrounding anatomic structures, but also to improve alveolar bone quality and quantity.