Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

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.

Bone Augmentation in Infected Sites with Bovine-Derived Xenograft Mixed with Platelet-Rich Plasma Covered by Platelet-Poor Plasma
The aim of this study was to assess the success of bone regeneration in infected and non-infected human dental defects, with respect to biological properties of bone remodeling. Histomorphometric analysis of bone biopsies was used to evaluate new bone formation, soft tissue, and residual biomaterial in infected and noninfected sites. In all samples, the biomaterial particles were surrounded by newly generated bone. Among factors that were analyzed, gender, medical state, and smoking had no significant effect on bone regeneration. Variables including tooth location, platelet concentrate, and protective membrane addition were also analyzed for their effects on bone regeneration.

Gaining Horizontal and Vertical Bone with Mineralized Bone Particulate, rh-BMP2 and Resorbable Ultrasonic-Applied Rigid Barriers
The use of titanium mesh has been well described, but so has the complications of removal and exposure. Bioresorbable barriers are now available which can be molded into any desired three-dimensional form, creating a rigid and resorbable construct that is secured to the bone using ultrasonic energy. This unique solution has been successfully used to create the proper environment for both large lateral and vertical ridge augmentations for situations previously only treated with block grafting or distraction. Dr. Cummings will share his experience as well as the key soft tissue techniques that are critical for the success of any large augmentation.

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

The Implant/Bone Interface - The Harmony of Technology, Function and Esthetics
Dr. Martin demonstrates multiple surgical protocols utilizing autogeneous bone, allografts and xenografts, often in combination to enhance deficient sites in the anterior region. The best use of platelet rich plasma as well as newer biomodifiers are also discussed.

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.

Creative Next Generation Surgical Tools and Solutions for the Implant Practice
Modern Bone Grafting has become more predictable than ever before. Recent developments in CBCT 3D Diagnosis and the utilization of bioactive modifiers such as PRGF, PRF and BMP-2 have stimulated further advances in surgical techniques as well as a New Age Surgical Armamentarium to maximize the efficiencies and success of these sophisticated procedures.

Advances in Bone Augmentation and Related Armamentarium
The ability to predictably and successfully augment bone volume is a critical surgical and technical requirement for any clinician involved in implant dentistry. This presentation outlines the evolution of diagnostic and therapeutic protocols in bone augmentation as well as introducing new and novel biologics and armamentarium being made available for clinicians to be more efficient and efficacious in this important endeavor.