Protocols for Aesthetic Zone Management: From Maintenance to 3D Reconstruction
Managing aesthetic zone with dental implants is one of the most challenging and demanding treatments in dentistry due to biological limitations. During the lecture the author will systematize how to face each different clinical situation, utilizing different autogenous tissues combined with a micro surgical approach, in order to have the best healing patterns and scar-less surgery.

Vestibuloplasty: Fundamentals to Current Techniques
The adequate vestibular depth and keratinized gingiva are essential in optimizing dental implants' soft tissue environment and long-term stability. The depth of the vestibule and the amount of keratinized gingiva often diminishes in response to advanced periodontal disease, conventional dentures, and advanced bone grafting augmentation procedures. In this program, Dr. H. Ryan Kazemi discusses the fundamentals of vestibuloplasty and early techniques that continue to be the foundation for current approaches. He discusses contemporary techniques and materials in vestibuloplasty and restoration of attached keratinized gingiva to support dental implants. He further discusses the sequence and timing for performing such procedures.

Current Concepts for the Preservation of the Post-Extraction Alveolar Ridge
Different techniques have been presented in literature in order to preserve the post-extraction site; including the use of barrier membranes, tri-dimensional matrix and bone fillers. An “open-healing” approach is nowadays commonly used, combining a proper management of soft tissues with biological integration of biomaterials. Once hard tissue has been successfully augmented, an adequate soft tissue thickness becomes mandatory in order to create healthy and stable peri-implant tissues. An innovative volume-stable collagen matrix provides the opportunity to treat soft tissue defects around implants as an alternative to connective tissue graft.

Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry
Knowledge of bone biology and physiology are crucial for successful dento-alveolar reconstruction. The presentation will review the natural healing process of the bone and the sequence of events needed for proper regeneration. This process will then be discussed and compare with the present materials and technologies available in the market including alloplastics and allogenic materials. The role of the Stem Cells and rh-BMP2 will be exposed as part of these new trends in alveolar reconstruction for modern implant dentistry. Multiple cases will be presented demonstrating the versatility and outcomes in different clinical situations based on biological, bio-mechanics, and implant aesthetic needs.

Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy
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.

Complete Management of the Implant Site: From Simple Cases to Complex Situations
The health and the structure of the peri-implant tissue is vital for a long term prognosis of aesthetic and functional dental treatments. The prevalence of peri-implant diseases and recessions is a problem that must be overcome by a perfect treatment planning, along with a step-by-step design of the future restorations. When the clinician places an implant, he must consider the 3D positioning regarding the hard and soft tissue. When one decide to restore an implant, he must be aware of the gingival volume and it’s position. In this presentation, we want to show fully documented cases, from bone grafting, soft tissue enhancement, to final restorations.

Current Concepts in Bioactivity and Regeneration
An injury to the tissue instantly stimulates the healing process. To heal properly, we need three elements: scaffolds, cells and growth factors. If one of these three elements are missing there will be no tissue regeneration. Plasma rich in growth factors (Endoret® (PRGF®) technology, enables clinicians to apply autologous growth factors and a fibrin scaffold in a simple, safe and effective method. The Endoret® (PRGF®) stimulates the tissue-building cells to achieve regeneration. An optimal alveolar regeneration is characterized by fast haemostasis, adequate inflammation, stem cell mobilization and differentiation, rapid soft tissue closure of the socket and correct tissue regeneration. The adequate management of the extraction socket will determine the final outcome of implant-supported restorations.

The Role of Autogenous Bone Plates In Critical Size Defects
A critical size defect is one that will not heal spontaneously and requires further surgical intervention to correct the situation. Those defects outside the normal scope of work also need that extra something to achieve an ideal result. Autogenous bone plates using the split bone block technique (SBBT) is one of those techniques that allows one to achieve outstanding results. This lecture will look at the benefits of autogenous bone over synthetic materials and compare solid blocks to SBBT to determine the best treatment options. The management and decision-making tree are comprehensively covered to allow the clinician to develop a structured workflow to help plan and execute these techniques. Tips and tricks will be discussed as well as indications and contraindications. The new technique of bone bending will also be shared as other exciting topics.

The Next Challenge in Implant Dentistry: The Rise in Peri-implantitis and What Can We do About It?
In this presentation, Dr. H. Ryan Kazemi will discuss etiologies for implant failure due to peri-implantitis, its preventive measures, and what treatment modalities work best. He will also describe a new classification to help clinicians choose the optimal treatment approach.

The Importance of Graft Stability in GBR
There are several key points in successful GBR outcomes. The most critical is Graft Stability. If the graft is loose or mobile connective tissue can invade the regenerative space and cause failure. This presentation will highlight the key technical points to stabilize the bone graft through membrane stabilization and suturing.

"The Robin Hood Approach" Managing Defects by Utilization of Organic Graft Materials Part 2
This 2 part presentation will cover the management of alveolar volume deficiencies utilizing autologous sources for bone and soft tissue grafting. The use of various soft tissue grafts and pedicle grafts as well as the grinding of extracted teeth to create localized dentin bone grafting substitutes aided by PRF will be described. These techniques describe an approach to maximize the patient's own tissues locally delivered to the defect site to maximize the healing potential.

"The Robin Hood Approach" Managing Defects by Utilization of Organic Graft Materials - Part 1
This 2 part presentation will cover the management of alveolar volume deficiencies utilizing autologous sources for bone and soft tissue grafting. The use of various soft tissue grafts and pedicle grafts as well as the grinding of extracted teeth to create localized dentin bone grafting substitutes aided by PRF will be described. These techniques describe an approach to maximize the patient's own tissues locally delivered to the defect site to maximize the healing potential.

Bone Graft Cements: A New Advance to Augmentation Solutions
The purpose of this lecture is to shed light on the evolution of raw materials in order to find the ultimate bone graft cement, exploring the potential and the new opportunities of using cement-based augmentation materials in the maxillofacial and dental fields, and emphasizing the advantages, disadvantages and methods of use from the scientific and clinical points of view.

Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique
This lecture is focused on an effective regenerative approach, but at low knowledge. The goal is to provide a new skill in favor of well-established techniques. The Fibrin Sealant (FS) is an additional clot of human origin. It has adhesive, sealant and inductive action stimulating hard and soft-tissue regeneration. The FS, mixed with bone chips and biomaterials, allows a better handling of the graft that, becoming plastic and moldable, adapts perfectly to bony defects without dispersion of granules. It’s effective also on wound protection achieving a faster healing of soft-tissue. This approach is excellent in the socket preservation and in the peri-implant regeneration on "closed" sites where the implants are inside the defects.

Graft Less Vertical Bone Augmentation Solutions
A graftless approach to reconstruct a significant vertical defect is always challenging. This presentation discusses various approaches that can "minimize' the surgical morbidity and allow the surgeon to provide a less invasive option.

Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success
This presentation will focus on the application of PET techniques and immediate loading in daily practice. A brief introduction will be presented outlining the concepts, and the benefits in combining both techniques. This will be followed with a review of clinical cases ranging from single unit to full arch implant rehabilitations. Lastly, recommendations will be presented to the viewer in order to facilitate incorporation of these techniques into clinical practice.

Overcoming Communicating Jaw Defects
The patient with significant bone deficiencies can now be overcome with unique surgical approaches. This presentation will highlight the anatomical, biological and surgical approaches available to rehabilitate these patients. Flap design, bone harvest, growth factors, closure and follow up will be addressed.

Surgical Management of the Full Arch Patient; Do's & Don'ts
The responsibility of the surgeon is even more critical when performing a Full Arch Implant treatment. A thorough review of the anatomy is critical prior to the day of surgery to precisely assess the quality and quantity of bone/soft tissues as well as the location of critical anatomical landmarks such as the mandibular nerve, mental nerve, mylohyoid concavity, genial tubercles, floor of the nose, sinus floor, nasopalatine canal, greater palantine canal and pterygoid, zygomatic buttress. A thorough medical review is also a key element to avoid bleeding issues and a poor healing outcome.

Bone Augmentation & Vascular Enhancement Concepts: It’s Time to Make it Simple!
The purpose of this presentation is to make the participant think biology first and not mechanic first. A biological thinking will dramatically simplify vertical and/or horizontal bone augmentation procedures. We will also be introducing a new approach for the simplification of soft tissue handling: the Soft Brushing Technique, that will allow the coronal advancement of both buccal and lingual flaps, but also the palatal flap without the need for periosteal releasing incisions.

The Utilization of Advanced Flap Management & GBR to Large Alveolar Ridge Defects
Proper flap management is critical and key to obtain tension-free flap closure at large 3D ridge augmentation sites. The objective of this presentation is to highlight the most relevant clinical aspects to reduce tension during wound closure, therefore reducing associated complications, namely flap dehiscences that predispose our patients to post operative infection and reduced bone formation. Several clinical tips will be highlighted via multimedia and video to help the clinician increase their own predictability with these kind of procedures. Clinical cases will be presented to demonstrate the steps discussed in detail.

"Team Atlanta" 30 YEARS of Collaboration, Research & Innovation
This presentation from the 2020 Dentalxp Global Symposium reviews the history and teamwork that has led our group to be recognized by our colleagues around the world for innovation and cutting edge therapies. A summary of past and recent challenging case types which were handled in a multi-disciplinary manner by our group are highlighted and broken down by the 3 presenters. Esthetics, Implants, Bone & Soft Tissue enhancement therapies are highlighted throughout this presentation.

CadCam Customized 3D-Printed Subperiosteal Implant
The “classical” subperiosteal implant does not enjoy a good reputation; the causes of failure were myriad, as evidenced in the literature. When considering the future of implants, it appears justified to reconsider the old concepts in light of the availability of contemporary technologies, such as computer-aided design, softwares and programs design, virtual stress– strain testing, and 3D printing of titanium alloy. With the employment of these modern technologies, the concept of a “high-tech” subperiosteal implant has gradually emerged. This new era of a “high-tech” customized 3D printed subperiosteal implant leads us to consider this technique a valuable treatment option for atrophic jaws, avoiding more invasive procedures and giving the possibility of immediate loading, improving the patient’s quality of life.

Contemporary Third Molar Surgery - Part 2 of 2
In this 2-part video, Dr. H. Ryan Kazemi describes the contemporary principles in third molar surgery. He presents the rational for third molar removal and discusses the surgical anatomy relevant to this common procedure. He also discusses the necessary diagnostic imaging, surgical techniques, indications for bone grafting, and management of common complications.

The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation
With a personal approach, this lecture will take into consideration the developments of the last thirty years. Several clinical cases and new concepts like "Place, Press and Close" will be presented. After Revolutions and Evolutions, isn't it time for Evaluation of our techniques to improve Predictability and Quality of Life of our Patients?

Contemporary Third Molar Surgery - Part 1 of 2
In this 2-part video, Dr. H. Ryan Kazemi describes the contemporary principles in third molar surgery. He presents the rational for third molar removal and discusses the surgical anatomy relevant to this common procedure. He also discusses the necessary diagnostic imaging, surgical techniques, indications for bone grafting, and management of common complications.

Recombinant Platelet Derived Growth Factors in Regenerative Therapies: No Blood Required
This presentation will go into detail about the different types of growth factors, comparisons of other biologics such as PRP, PRF, rhPDGF, PDGF, Amnion tissue, Emdogain and how you can incorporate these into your practice to increase clinical success. Much emphasis on published literature review as well as clinical cases.

Autogenous Harvest Sites for Implant Grafting
The utilization of autologous bone remains the Gold standard in regeneration. The ability to harvest bone safely and in adequate quantities for alveolar bone regeneration is often a limitation in private practice. This multimedia presentation will focus on several potential intra-oral harvest sites and the manner in which they can effectively be utilized in a modern implant practice. Incision designs, harvest tools, local anatomy and potential risks will be highlighted.

Horizontal & Vertical Bone Augmentation Using the Khoury Bone Plate Technique
The Khoury Bone Plate Technique is a predictable surgical method to graft alveolar ridge defects in both the horizontal and vertical dimensions. This technique involves harvesting cortical plates from the ramus of the mandible and fixating these bone plates to the ridge defect using screws. Scrapings of cancellous and cortical autogenous bone are then interposed between the plates in a “Sandwich” technique allowing for a 3-dimensional augmentation of the ridge defect.

Subperiosteal Implants - The New Approach for the Extreme Atrophic Jaws
Subperiosteal implants started in the 40’s but were discontinued due to the poor success rates in the long term. Today, 80 years later, a completely different technology has emerged, bringing Subperiosteal implants to the next level.

Next Generation Biomaterials for Bone and Periodontal Regeneration - Part 2 of 2
New and innovative biomaterials are being discovered or created in laboratories at an unprecedented rate, but many entirely unknown to practicing clinicians. This course addresses this gap in knowledge by summarizing some of the groundbreaking research performed to date on this topic and provides case examples of these biomaterials at work. The course begins with a review of the biologic background and applications of bone grafting materials utilized in dentistry. Thereafter, new and exciting updates on Platelet Rich Fibrin, Emdogain/Osteogain, Tetranite and Vitamin D deficiency are discussed with respect to their ability to promote either bone or periodontal regeneration.

Autogenous Bone Harvesting Today
This lecture focuses on autologous bone block harvesting techniques as described by Prof. Khoury: from the donor site identification and harvesting techniques, to an analysis on how computer-guided 3D technology can help the surgeon performing safe and effective mandible bone harvesting procedures.

Next Generation Biomaterials for Bone and Periodontal Regeneration - Part 1 of 2
New and innovative biomaterials are being discovered or created in laboratories at an unprecedented rate, but many entirely unknown to practicing clinicians. This course addresses this gap in knowledge by summarizing some of the groundbreaking research performed to date on this topic and provides case examples of these biomaterials at work. The course begins with a review of the biologic background and applications of bone grafting materials utilized in dentistry. Thereafter, new and exciting updates on Platelet Rich Fibrin, Emdogain/Osteogain, Tetranite and Vitamin D deficiency are discussed with respect to their ability to promote either bone or periodontal regeneration.

Biological Bone Augmentation - Only for REAL BONE BUILDERS
This Online Webinar is addressed to all clinicians, who want to learn safe and predictable bone harvesting and augmentation techniques for different clinical situations. Clear guidelines for the use of augmentative procedures like the Split bone technique by Prof. Khoury and Biological Bone Augmentation with pure autogenous bone and advanced soft tissue management in order to achieve predicable results will be provided.

Bone Grafting & Implant Dentistry; Classification, Surgical Site Understanding & Membrane Selection Part 3 of 3
Once a tooth is extracted, the natural wound-healing cascade paired with irreversible alteration occurs. Hard tissue grafting techniques combined with the sound understanding of the surgical site theater will help the practitioner to make the proper decision in order to successfully treat their patient. The usage of biological modifiers and surgical barriers are proposed to assist in improving the predictability of the advance surgical care.

Bone Grafting & Implant Dentistry; Classification, Surgical Site Understanding & Membrane Selection Part 2 of 3
Once a tooth is extracted, the natural wound-healing cascade paired with irreversible alteration occurs. Hard tissue grafting techniques combined with the sound understanding of the surgical site theater will help the practitioner to make the proper decision in order to successfully treat their patient. The usage of biological modifiers and surgical barriers are proposed to assist in improving the predictability of the advance surgical care.

Esthetic Tissue Reconstruction Around Implants - Part 1 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 sequencial 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.

Esthetic Management for Compromised Extraction Sites - Part 2 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Central-Lateral Dilemma for Immediate Implant Placement
The periodontal ligament is the main source of blood supply to the buccal bundle bone, but also to the peri-implant soft tissue and interproximal bone. Partial extraction therapy is a game-changer for adjacent implants. There is not a better possibility to prove it than adjacent central-lateral cases, the topic that occupied us so much on the DentalXP Forum.

Esthetic Management for Compromised Extraction Sites - Part 1 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

A GRAFT-LESS Approach to Implant Dentistry
This presentation discusses a “graft less” treatment philosophy that emphasizes the use of less demanding augmentation techniques for the purpose of placing short implants in atrophic posterior sites.

Marginal Bone Loss & Periimplantitis
The main objective of this lecture is to discuss in detail the rules to avoid periimplantitis and marginal bone loss in daily practice. Simply put, placing implants according to mucosa thickness including the one abutment one time protocol for predictable and consistently successful results to avoid SLA contamination on the implant.

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.

The Rise of CBCT; The Changing Face of Digital Dentistry
This lecture will discuss the critical benefits of CBCT for immediate/delayed implant placement; digital diagnosis & treatment planning. To implement and provide the most predictability & reproduceability in daily practice. Improve the quality of your scan, merging STL files w/ CBCT, identifying thickness of the labiel plate & buccal bone.

3D Bone Ridge Augmentation; What Are The Limits?
This lecture will underline some of the critical aspects to achieve success in bone augmentation procedures is predictable basis. Moreover, the importance of digital planning to understand the anatomical challenges and anticipate the final clinical outcome will also be highlighted. One pillar of the presentation will be the introduction of new biomaterials and strategies to favor a faster surgery with less complications. The presenter will also discuss his understanding of what lay before us in terms of the next steps in a biological era of regeneration.

From Oral to Facial:Impact of Oral Surgery on Facial Esthetics - Part 2 of 2
The treatment concept in patients with edentulous maxilla will be discussed: Phase A: Augmentation procedures and implant placement (part I). Phase B: Le Fort I maxillary osteotomy for the correction of acquired class III (part II of the lecture). Clinical cases of moderate to severe edentulous maxillary atrophy are described: A combination of sub-nasal procedure, sinus elevation procedure and intra-oral autogenous bone blocks were used for ridge augmentation simultaneously with dental implant placement combined with scaffold mixed with platelets-rich-plasma (PRP) or bone-marrow aspirate (BMA) and covered with platelets-poor-plasma (PPP) as a biological membrane.

From Oral to Facial:Impact of Oral Surgery on Facial Esthetics - Part 1 of 2
Clinical cases of moderate to severe edentulous maxillary atrophy are described: A combination of sub-nasal procedure, sinus elevation procedure and intra-oral autogenous bone blocks were used for ridge augmentation simultaneously with dental implant placement combined with scaffold mixed with platelets-rich-plasma (PRP) or bone-marrow aspirate (BMA) and covered with platelets-poor-plasma (PPP) as a biological membrane. The correction of acquired class III, is achieved in Phase B, via Le Fort I maxillary osteotomy.

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 sequencial 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.

3D-Bone Regeneration in the Esthetic Zone: Fundamentals, Indications & Surgical Techniques Step-by-Step
The implant treatment on the esthetic zone aims healthy, functional and also esthetic results. In order to obtain an esthetic result is mandatory that the implants are placed in optimal 3D position and completely surrounded by healthy bone. Due to the alveolar ridge destruction caused by trauma and dental or implant infections, often bone availability is not enough to obtain a good esthetic result. In order to treat predictably such cases there are surgical techniques that allow a complete 3D reconstruction of the alveolar ridge. Of all those techniques described to regenerate 3D bone defects (with vertical and horizontal components) there are two that are more supported by scientific literature: Guided Bone Regeneration using PTFE non-resorbable membranes and ultra-fine cortical bone blocks (Khoury´s technique).

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!

Ridge Expansion, GBR & Meshes: Decision Making in Clinical Practice
A variety of bone augmentation procedures are currently available at use to the clinician. Techniques of variable complexity can essentially yield favorable results. The choice of technique to utilize however, is often based on defect site presentation and operator comfort level. This presentation will focus on the use of ridge expansion, guided bone regeneration (GBR), and titanium mesh. Merits and indications of each technique will be discussed, and clinical cases will be presented that showcase the decision making process involved in treatment planning.

"The Biology of Time" - A Retrospective Look at Bone Graft Protocols
Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlight the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.

Autologous Bone vs. Bioactive Modifiers/BMP-2: A Clinical Update in Bone Regeneration - Part 1 of 2
There are several techniques and materials available for implant site development. The choice may depend on a number of factors including size of the defect, osseous morphology, costs and surgeon or patient preferences. Autogenous bone has long been considered the gold standard of graft materials. The trend today is to reduce patient morbidity but still provide predictable outcomes. This lecture will discuss the use of autogenous bone versus using bioactive modifiers such as platelet concentrates, rhPDGF and rhBMP-2 as replacement for the need to harvest bone.

Combination Therapies in the Esthetic Zone: Steps for Success
This presentation will cover the critical aspects to consider for deciding the sequence and implementation of combination therapies. Successful esthetic zone treatment must begin with a well thought-out space management plan. This plan involves a three dimensional adjustment of the periodontal attachment, with a possibility of root submergence and partial extraction technique. Following this, a decision is made concerning the timing and position of implant placement, and an adequate hard tissue foundation can be restored using GBR with titanium mesh and collagen membrane. On top of this base a more efficient soft tissue augmentation and adjustment completes the requirements for success in the esthetic zone.

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

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.

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.

Modern Implant Concepts in the Esthetic Zone
Managing aesthetic zone with dental implants is one of the most challenging and demanding treatments in dentistry due to biological limitations. From Sockets type I to healed ridges with hard and soft tissue deficiencies, everyday clinicians may face different situations to manage in the aesthetic zone. When we are talking about rebuilt and have long term success, autogenous hard and soft tissue still are the gold standard as the Socket shield technique promises to be to prevent bucal collapse in Immediate Implants. During the lecture the author will systematize how to face each different clinical situation, utilizing different autogenous tissues combined with a micro surgical approach, in order to have the best healing patterns and scar-less surgery.

Multidisciplinary Management of the Complex Patient: Team Croatia Approach
Dentistry has benefited in many ways with advances in digital technology. Lectures about digital dentistry are usually showing in many terabytes and animations effortless protocols. Daily we face problems like data loss, reduced visibility and irrigation with surgical guides, difficulties with edentulous jaw scanning and alignment to name only some of them. Obstacles that we find in a daily practice on the way to the digital dentistry for the full arch implant reconstruction are shown in this lecture.

Management of the Full Arch Edentulous Patient: Team India Approach
The number of fully edentulous patients is on the rise due to higher life expectancy. Also, higher number of young patients are edentulous due to congenital disorders or advanced periodontal disease. Various treatment options are now available to the clinician for treating edentulous patients. However a lot of confusion exists amongst clinicians while choosing the right treatment approach and the correct prosthesis design for such patients. During this lecture, Team India will present a decision tree for treatment planning fully edentulous patients. This will help clinicians to opt for the most suitable prosthetic design for their patients. Critical factors such as age of patient, bone zones, cosmetic display and degree of resorption will be discussed. The importance of a well adjusted interim restoration and the conversion from provisional restoration to the final one utilizing the novel ‘Fast tracking’ technique will be a part of this presentation.

Gingival Recessions Around Teeth & Implants - Clinical Approach
This lecture will cover different aspects of the perio-implantology environment: strategies to deal with the gingival recessions at single and multiple sites; socket management at the aesthetic zone; and alternatives to treat marginal recessions at already osseointegrated implants. All segments of the lecture made by the ImplantePerio group were backed up by strict and straightforward decision trees created by them to help and assist the clinicians to better treat the different conditions that may be presented at their offices, rendering predictable, consistent, aesthetic and stable outcomes using simple and user-friendly techniques.

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.

Step-By-Step Surgical Video of Horizontal and Vertical Defects - Part 2 of 2
Emphasis will be placed on the benefits of the augmentation technique on revascularization: the use of autologous bone grafts on a scaffold of xenograft material saturated in PRP (Platelets Rich Plasma), covered with PPP (Platelets Poor Plasma). Soft tissue manipulation with role-up technique is demonstrated prior to implants placement.
Six months after implants placement, the second phase of uncovering is shown.

GBR with Individualized Titanium Meshes
According to several authors, Guided bone regeneration is a procedure needed in half of the dental rehabilitations with dental implants. Due to this reality, digital dentistry become an important tool allowing us to be more precise and less invasive. By printing customized titanium meshes based on the patients bone defects, we can now predict the exact volume needed to be regenerate and create a specific device that will help to maintain the space. This takes CAD CAM dentistry to the next level, allowing more predictability in every step of the way, from bone regeneration till prosthetic rehabilitation. techniques more predictable. The authors describe a new guided bone regeneration protocol based on the use of digital planning and fabrication of printed 3D titanium meshes, rigid devices that protect mechanically the scaffold, design over the patient CT scan.

“The Transition Zone”: The Critical Esthetic Triad of Bone, Tissue & Restoration
The achievement of an aesthetic implant-supported restoration is a constant challenge to the restorative dentist. Due to the circular shape of the implant and its smaller diameter, when compared to the root of a natural tooth, a dilemma inevitably occurs of how to construct an artificial crown that will imitate the natural tooth crown form. The appearance of the surrounding soft tissue “the transition zone” is of major importance, and various techniques have been developed to guide its topography. The lecture will show key factors and parameters through clinical procedures in order to achieve a sound aesthetic outcome in different treatment scenarios.

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 1 of 2
This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

The "Robin Hood" Approach to Tissue Engineering
Autogenous tissue is still a gold standard for augmentation procedures. There are great sources of patient’s own tissue, often in adjacent areas, that can be utilized. The soft tissue can be moved, flipped, rolled, pediculated - in order to take from the rich sites and give to the poor ones. A novel approach for the wound closure after ridge augmentation and/or implant placement in lateral maxilla will be presented.

Step-By-Step Surgical Video of Horizontal and Vertical Defects - Part 1 of 2
We are aiming for minimal invasive techniques for the benefit of our patients. Nevertheless, there are many occasions in which we need to repair the anatomy and topography of the atrophic site for better positioning of implants and for their longevity. This step by step surgical technique video presents the treatment sequence for recovering severe vertical and horizontal posterior maxillary atrophy for optimal implant placement.
Vertical augmentation is achieved by using:
First the anatomy: performing sinus augmentation via lateral wall technique.
Second, autologous bone block graft for further recovery of the vertical deficiency decreasing the enlarged inter-maxillary distance. Horizontal augmentation is achieved by using autologous bone block. 
Part II will depict implant placement and soft tissue manipulations.

Autologous Bone vs. Bioactive Modifiers/BMP-2: A Clinical Update in Bone Regeneration - Part 2 of 2
There are several techniques and materials available for implant site development. The choice may depend on a number of factors including size of the defect, osseous morphology, costs and surgeon or patient preferences. Autogenous bone has long been considered the gold standard of graft materials. The trend today is to reduce patient morbidity but still provide predictable outcomes. This lecture will discuss the use of autogenous bone versus using bioactive modifiers such as platelet concentrates, rhPDGF and rhBMP-2 as replacement for the need to harvest bone.

The Collagen Ball Technique
This brief presentation will discuss a new innovative technique to utilize collagen matrix material in a slightly different method to improve the rate of absorption for soft tissue enhancement during augmentation procedures.

Surgical Management of Posterior Maxilla
Replacement of missing teeth with dental Implants in the posterior maxilla presents unique challenges due to maxillary sinus, less quality of bone, and increased occlusal load. The surgical objectives to meet functional and aesthetic goals include enhancement of both quantity and quality of bone as well as ideal placement of dental implants for restorations that mimic nature. In this presentation, Dr. H. Ryan Kazemi discusses current surgical techniques in implant site development in the posterior maxilla including extraction site grafting, sinus lift, bi-directional bone graft, and osseodensification for bone management.

"The Great Debate" on Tooth Replacement
Bucco-palatal collapse of the post-extraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in this session with some of the leading clinical research teams in the field. A conceptual debate format discussing the virtues of "Early Placement" at 6 weeks (Buser & Belser Team) vs. "Immediate Placement with Dual Zone Protocols" at time of extraction (Chu & Tarnow Team) vs. "Partial Extraction Therapy" PET (Gluckman & Salama) also at the time of extraction is led by Professor Homa Zadeh of USC. This interactive session explores the current status and poses questions for the future use and indications of each proposed therapy.

Early Implant Placement with Contour Augmentation - Biologic Rationale, Surgical Technique & Long-Term Results
Today, the timing of implant placement post-extraction in the esthetic zone is considered an important factor which influences the esthetic treatment outcome. One of these options is early implant placement after 4 to 8 weeks of soft-tissue healing. The purpose of this presentation is to present data and to analyze the stability of esthetic treatment outcomes in patients following single-tooth replacement in the anterior maxilla using the concept of early implant placement with simultaneous contour augmentation. Special emphasis will be placed on assessing the stability of the facial mucosa, since it directly depends on the stability of successful contour augmentation by GBR and to compare it to currently utilized immediate techniques like Dual Zone Therapy (Chu & Tarnow) and Partial Extraction Therapies (Salama & Gluckman).

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Surgical Bioengineering in the Management of the Atrophic Jaw
This lecture presentation will describe the behavior and utilization of of fresh frozen allograft vs. autogenous bone in major bone augmentation cases. The advantages and disadvantages as well as the potential of adding bone marrow aspirate to fresh frozen bone will be further highlighted. In depth review of how to manage and use this new technique in clinical practice will be clearly explained.

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.

Venipuncture & Blood Drawing: Phlebotomy Step-by-Step
The use of platelets concentrates is becoming unavoidable in our surgeries. To take full advantage of these techniques, the surgeon has to be familiar with the blood collection technique and capable to draw blood at any time. This presentation will show you how to manage simply the venipuncture according to a step by step protocol, with special attention for tricky situations & difficult patients.

S.M.A.R.T. Minimally Invasive Bone Grafting
Introduction to the S.M.A.R.T. TM Minimally Invasive Bone Grafting Technique is a novel minimally invasive bone grafting technique developed by Dr. Ernesto Lee. It provides superior outcomes with less pain, less swelling and fewer complications than traditional bone grafting procedures. Only a small incision is required, with no flap elevation, no tenting screws and no membranes. Complex, high risk scenarios can now be treated with minimal risk of complications. The S.M.A.R.T. TM method represents a disruptive technology that will dramatically impact the future of bone grafting

Advances in Hard and Soft Tissue Management Using 3D Printing Technology
It is becoming rare today to come across simple cases in Periodontics; our specialty has come to face complex cases where hard and soft tissue deficiencies are quite common. These suggested protocols and schematic approaches were developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow. The utilization of 3-D printed CBCT studies of the treatment planned surgical sites was shown to be integral in patient care and clinical outcomes. Every step is dictated by biology; all incision designs, flap management techniques, and biomaterials used have been selected to maximize the blood supply in the area and minimize trauma to the vascular network that nourishes our surgical site.

Full Arch Implant Dentistry Utilizing the Easy Guide System (FAST Guide)
In immediate loading, the survival rate is often based on the follow-up of the osseointegration but without aesthetic appreciation. The main goal is to achieve osseointegration and aesthetic with long term stability. For this success, we need to obtain both, bone formation and gum thickness, as any failure in one of the 2 factors will induce the loss of the second factor. Several requirements must be met in order to obtain and to maintain them together for a very long time; -Biological requirements are linked to early vascularization (appreciation of the biologic level, growth factors, collagen environment) -Anatomical and surgical requirements will help for the best implant placement and positioning (fast guide, sub-crestal insertion, platform switching etc...) -Prosthetic requirements are essential for aesthetic as guidance for soft tissue design (rigid and screwed prvisional prosthesis)

Minimally Invasive Approaches for Managing Deficient Sites in Esthetic Implant Dentistry
When considering esthetic dental implant therapy, preservation or further enhancement of the available tissue support may provide an improved esthetic outcome with less associated morbidity and treatment duration. Nevertheless, reconstruction of compromised sites due to lost hard and soft tissue volume is often inevitable in the anterior zone. Substantial ridge deficiencies demand more complex grafting procedures with an increased level of invasiveness and subsequent tissue alterations.

Implant Removal & Ridge Preservation in Infected Site: A Technique Video
More often in clinical practice we are faced with failing implants that require careful removal and reconstruction of the residual bone deficiencies. This step by step technique video takes you though the critical clinical steps in implant removal, debridement, bone augmentation utilizing blood born biomodifiers and Titanium mesh as well as Flap release and tension free closure. Additional keys include intra-marrow penetration of the recipient site as well as post op bandages that minimize hematoma formation. 

The mIVAN Approach for Preservation Surgery
mIVAN* Technique is a nice abbreviation for complicated terminus: “ Modified Interpositional Augmentation Neogenesis”. It is basically simultaneous hard and soft tissue augmentation utilizing pediculated connective tissue graft. It works for Socket type 2 and 3 and ridges with horizontal atrophy. Combined with Partial Extraction Therapy, mIVAN technique is a nice treatment choice for the teeth with recessions. 

Vertical Bone Augmentation Using a Tunnel Approach Step by Step - Part 2 of 2
Bone atrophies are one of the most challenging situations in modern implantology. Several techniques have been proposed to be able to place implants in those atrophic situations. This first presentation will show step by step the Split Bone block technique as described by Dr. Khoury to perform horizontal bone augmentation procedures. Bone biology is also explain in order to understand why this technique offer us some great advantages. The second presentation will focus of vertical bone augmentation procedures using this same technique but through a tunnel approach. The advantages of this approach will also be described in this presentation.

Horizontal Bone Augmentation Using the “SPLIT BONE BLOCK TECHNIQUE” Step by Step - Part 1 of 2
Bone atrophies are one of the most challenging situations in modern implantology. Several techniques have been proposed to be able to place implants in those atrophic situations. This first presentation will show step by step the Split Bone block technique as described by Dr. Khoury to perform horizontal bone augmentation procedures. Bone biology is also explain in order to understand why this technique offer us some great advantages. The second presentation will focus of vertical bone augmentation procedures using this same technique but through a tunnel approach. The advantages of this approach will also be described in this presentation.

A Defined Algorithm for Regenerative Success Part 1 of 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 Reconstruction of a "Critical Size" 3D Bone Defect Utilizing the Khoury Bone Plate Technique
Bone defects and bone resorption are a common finding for the clinicians in cases where dental implant therapy is needed. These situations dictates that the defect must be first reconstructed prior to or simultaneously with placing the implants This presentation will focus on a case of a bone resorption in the mandible that will be reconstructed, using only autogenous bone to accommodate a future functional implant supported restoration.

"Partial Extraction Therapies" for Preservation of the Ridge
Understand PET/Socket Shield’s healing biology according to present knowledge. Learn about PET/Socket Shield complications, and how to solve them. Learn the benefits of combining Biological Modulators (Endoret®) to enhance PET/Socket Shield’s results. Learn how to obtain an adequate 3D soft tissue thickness around dental implants, and how this biological benefit is reflected in the aesthetics and durability of treatments.

Bone Reconstruction: A New Algorithm for the Implantologist
Bone Reconstruction: A New Algorithm for the Implantologist

Maximizing Aesthetics on Adjacent Implants and Full Arch Reconstructions - Part 2 of 2
The beauty in implant dentistry is that every case is an individual challenge. An ideal implant treatment uses procedures , techniques, materials and technologies that leads fast and on the shortest way to a maximally aesthetic result. This is our goal, in every clinical case, from single tooth replacement to full arch reconstructions.

Maximizing Aesthetics on Adjacent Implants and Full Arch Reconstructions - Part 1 of 2
The beauty in implant dentistry is that every case is an individual challenge. An ideal implant treatment uses procedures , techniques, materials and technologies that leads fast and on the shortest way to a maximally aesthetic result. This is our goal, in every clinical case, from single tooth replacement to full arch reconstructions.

Interdisciplinary Strategies For The Esthetic Reconstruction of Complex Cases
Predictable esthetic management of the compromised anterior dentition with dental implants constitutes one of the most difficult challenges in contemporary dentistry, especially in scenarios where soft and hard tissue defects are present. Traditional surgical approaches will often result in peri-implant soft tissue disfigurement. Although the use of pink restorative materials has been proposed to disguise soft tissue deficits, maintenance issues and esthetic limitations remain a concern, particularly as it pertains to high smile cases. This presentation will focus on the predictable esthetic management of high-risk and compromised sites, demonstrating the use of contemporary interdisciplinary strategies for the treatment of peri-implant esthetic dilemmas and complications.

Digital Full Arch Implant Dentistry: Do We Really Need to Make Hybrid Restorations?
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.

Site Preparation & Osseodensification in Bone Management
Today's implant arena involves not only the understanding of procedures but also the science behind wound healing. Often new technologies and instrumentation evolves that have a significant impact on what we are able to do clinically. Piezosurgical devices, periotomes, osteotomes, hydraulic sinus devices, neurosurgical drills, and the "PET" (Partial Extraction Therapies) system are just a short list of those that have made surgery more efficient and less traumatic for our patients. Osseodensification is another concept that can be added to this long list. This lecture will speak about new age bone management concepts and how these technologies may be able to assist us. Potential issues and focus on use will be touched upon as well.

Interpositional Bone Grafts to Treat the Posterior Atrophic Mandible
This presentation analyzes the interpositional bone graft or inlay technique, discussing the reconstructive surgical approach. Horizontal osteotomy with the interposition of bone in the form of a “sandwich” involves raising a coronal osteotomized segment of the mandible, which is still attached to the lingual periosteum, and interpositioning a block bone graft. This technique guarantees a dual vascular supply to the inlay graft from the lingual periosteum and from the residual bone; it also allows optimum use of the native basal bone, which should be less prone to resorption. The advantages and disadvantages of the inlay technique are compared with other commonly used augmentation techniques in the management of posterior mandibular atrophies.

Selection of Biomaterials, Bone Grafts and Growth Factors in Implant Therapy
In this highly evidence based and detailed technique presentation, Dr. Daniel Buser discusses decision making and surgical protocols in the placement of implants in compromised anterior sites. A focus is also placed on selection of biomaterials, bone grafts and growth factors.

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Fresh Frozen Bone Bank & Bone Marrow Aspiration: An Alternative to Autogenous Bone
Bone loss in edentulous jaws negatively influences the functions of the stomatognathic system. Reconstructive prosthetic surgery was advocated to provide suitable prerequisites for implant placement and preserve the noble structures, which at the same time satisfies aesthetic demands. For this reason, bone regeneration procedures become mandatory to create the conditions for prosthetic-driven implant placement.

Complex Full Mouth Rehabilitation in a Periodontal Patient
In this case that I originally presented at the dental XP summit last August at NYU but did not show the final results, we pretty much used the entire armamentarium currently available to us dentists. Many different procedures and protocols were applied in this complex case. The patient's main concern was long-lasting natural results. We decided to take no shortcuts and to practice as many gold standard procedures as possible, and thankfully the patient could afford the treatment. We are very happy with the outcome, might not be perfect but she is very happy. It has been six months now since we finished and everything is quite stable, and according to what we have been seeing here on XP and in the literature should remain quite stable for a long time.

Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa. The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.

Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2
By scientific studies produced in recent years has been confirmed, in selected cases, the validity of the post-extraction implants. The use of this method implies a lower emotional impact, a single surgery and a healing often better for the patient. We will be discussed traumatic extraction methods, perfect insertion of the implants with or without bone regeneration with bone substitutes and membranes and the opportunity to combine an advanced method as immediate implant with the execution of an immediate loading to restore aesthetics in more complex 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.

Computer-Guided Applications Beyond Implants: Bone Grafting and Reconstructive Surgery
Technology has facilitated the diagnosis and treatment planning process allowing clinicians to become true architects and engineers of the oral cavity. Replacing missing teeth with an implant supported restoration represents both a surgical and restorative challenge due to bony defects / concavities, soft tissue concerns, emergence profile, and insufficient bone volume or bone density to stabilize an implant. The evolution of three-dimensional imaging modalities (CBCT) produces an unprecedented visualization of patient’s individual anatomy, which empowers the clinician with new state-of-the-art tools to diagnose and treatment plan with greater accuracy to manage the surgical site, increase precision, reduce patient morbidity, and avoid potential complications.

Novel Technique for Alveolar Bone Augmentation; Introducing The "Bio-Bone-Block" Concept
This presentation will discuss the use of autologous onlay block bone grafting for reconstruction of moderate to severe maxillary and mandibular alveolar ridge deficiencies. In particular, emphasis on the “Bio-Bone-Block” concept and re-entry to the original donor site for a second block harvest, if necessary. We will also covers the use of progenitor cells (bone marrow aspirating concentrated) along with PRP and PPP for accelerated healing.

Preservation of the Bundle Bone: Reality or Myth
The loss of teeth will lead to resorption of the buccal plate with its resultant need for extensive augmentative procedures (both bone and soft tissue) as well as the risk of poor long term aesthetic stability. Partial Extraction Therapies (PET) are techniques that allow us to maintain the buccal bone plate and hence prevent the collapse of the alveolar bone creating a platform for ideal soft tissue and bone which is stable in the long term. This is a greater problem in the aesthetic areas. This lecture will take you through the different options with regards to immediate implant placement as well as the most cutting edge PET in a step by step fashion.

Treatment of the Extremely Atrophied Edentulous Maxilla Using Bone Marrow Stem Cells
Treatment of the extremely atrophied edentulous maxilla is one of the most challenging problems in reconstructive surgery. Due to the size of the graft and inherent co-morbidities of these patients they some of the most difficult and challenging to treat requiring multiple surgeries with significant morbidity. The gold standard of care has long been the use of autologous block grafts from the iliac crest prior to implant placement however harvesting bone from the iliac crest comes with significant donor site morbidity. New treatment modalities using minimal invasive procedures and the use of Bone marrow stem cells and growth factors will be discussed.

Advanced Bone Grafting Techniques: Part 2 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Maxillary Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic maxillary alveolar ridge. This will include a discussion of the various options to this form of grafting, such as short implants, maxillary sinus augmentation, sub-nasal elevation procedure, connective tissue grafting and soft tissue manipulation, Le-Fort I down fracture/osteotomy and the use of progenitor cells: bone marrow aspirating concentrated.

Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc... However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.

Regenerative Procedures for Implant Site Optimization: Establishing the Perio-Implant Interface
Emerging concepts in implant dentistry have allowed bone preservation to become a reality, thus reducing the need for extensive augmentation procedures. Nevertheless, clinicians are still confronted with atrophic defects that require complex regenerative strategies for dental implant rehabilitation. This presentation will focus on some of the essential elements for a predictable regenerative protocol in implant site development. A discussion will include the use of defect topography as a guide in choosing a suitable augmentation technique. Several considerations that allow for tension free wound closure will be reviewed. Furthermore, an evidence based approach in graft material selection will be presented. Clinical cases will then be reviewed, to demonstrate how to integrate the presented principles into daily clinical practice.

Management of Narrow and Short Ridge Dimensions in Implant Dentistry: New Minimally Invasive Concepts
The management of narrow and short ridge dimensions has posed a great concern for most implantologists. Often large GBR or block augmentation procedures are suggested with high morbidity but this lecture presents more minimally invasive options to restore these ridge challenges. Ridge Expansion with motorized drills as well as the utilization of ultra-short and wider implants to avoid sinus and nerve proximity challenges will be discussed. The role of blood born bioactive modifiers, specifically PRGF (Plasma Rich in Growth Factors) to enhance wound healing will similarly be highlighted.

The AGE Approach: A Combination Protocol for Hard and Soft Tissue Augmentation in Complex Cases
Although new restorative materials have improved predictability and outcomes, hard and soft tissue management plays a fundamental role when working in aesthetic areas. To achieve ideal results, preservation of the natural hard and soft tissue architecture is the primary clinical objective. This new proposed AGE protocol illustrates the importance of hard and soft tissue management when working in esthetic and highly compromised areas. This protocol and schematic approach was developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow.

Flap Management and Site Preparation in Anterior Bone Augmentation - Part 1 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.

Bio-Surgery; Tips for More Biological and Prosthodontic Approach
In oral rehabilitation, obtaining a good aesthetic outcome is no longer enough for our patients. It is imperative that these good results do prevail in time. The best way to achieve this goal, is to correctly diagnose each individual clinical case, and to choose Biological tools and Biological treatment techniques, that respect our own physiology and Nature. Through this lecture, the authors try to share a few Surgical and Prosthodontic Bio-tips in Implant Dentistry, that in a simple and predictable way, can lead us to a great long lasting aesthetic results.

Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist
Contemporary patient expectations have made esthetics a major requisite of all treatment plans, especially in situations where there is a high smile line. Although new restorative materials have highly improved predictability and esthetic outcomes, soft and hard tissue management play a fundamental role when working in esthetic areas. To achieve ideal esthetics, preservation of the natural soft and hard tissue architecture is a primary clinical objective. These new proposed techniques illustrate the importance of pre-prosthetic soft and hard tissue management when working in highly esthetic compromised areas.

Optimizing Surgical Implant & Augmentation Outcomes Through CBCT Technologies
This presentation will focus on challenging bone deficiencies and how pretreatment and post grafting CBCT evaluations can optimize and evaluate the success of our surgical outcomes. Ideal case planning using CBCT data and 3D software will be shown for large horizontal/vertical bone defects, challenging immediate implant surgeries with provisionalization and grafting of buccal plate deficiencies around teeth.

Surgical & Prosthodontic Team Approach: Bone Reconstruction with Fibula Graft, Case Report
Patients with benign tumors can and should be reconstructed immediately after removal of the tumor, if possible. In this brief presentation, Dr. Doñas shows a case where the surgical and prosthodontic team work together from the start and how it can impact the overall outcome for the patient and how certain prosthetic treatment modalities & issues can be including as a part of the surgical plan.

Horizontal Ridge Augmentation with Ti Mesh and Simultaneous Implant Placement - Part 1 of 2
In this surgical video, Dr Moghaddas will demonstrate an implant placement in a ridge with large concavity at the buccal aspect and reconstruction of the deficient area with freeze dried bone allograft, Neobiotech Ti-membrane, and thickening the soft tissue with dermal graft.

Novel Surgical BioSealing & Original BioProfiling Techniques - Part 1 of 2
Biphosphonates Related Osteonecrosis of the Jaw is one of the tragedies affecting our patients each time more often representing a new challenge in what we like to call human dentistry. This severe and unpredictable outcome can evolve from something as simple as a tooth extraction or simply an implant placement. In this presentation the authors display one of the first BRONJ cases in the world treated with the surgical biosealing technique using the PRGF ENDORET graft. Understanding the BIOlogy behind the healing process has been as much surprising as useful in trying to alleviate our patients pain and improve their quality of life. This video presents a novel technique to the post-extraction site based upon taking care of the overall tissue support from the bone level and we will discuss treatment planning, options and limitations with this technique/protocol.

Soft Tissue Conversion For Increased Predictability of Bone Graft in Large Ridge Defects
In this video, Dr. H. Ryan Kazemi presents a technique for conversion of thin tissue biotype to thick tissue biotype improving the quality and quantity of soft tissue necessary for predictable bone augmentation of large ridge defects. Improved soft tissue thickness will decrease risk of tissue dehiscence and provide a better quality of tissue for flap repositioning and suturing.

Diagnosis and Management of a Maxillary Periapical Cyst
In this video, Dr. H. Ryan Kazemi discusses diagnosis and treatment for a large maxillary periapical cyst. He presents the use of CBCT for accurate diagnostics, flap design, cyst enucleation technique, and bone grafting.

The Use of SonicWeld Ultrasonically Fabricated Barriers for Enhanced Outcomes in Guided Bone Regeneration
This video will outline the basic science, clinical techniques and outcomes of the SonicWeld technique.

Severe Atrophic Edentulous Maxilla – A Case Presentation - Part 2 of 2
Anterior maxillary alveolar bone deficiency, can prevent implant placement for fixed rehabilitation and jeopardize the esthetic outcome. Clinical case of severe atrophy of anterior maxilla, due to loss of implants, is described: A combination of sub-nasal procedure and intra-oral autologous onlay bone graft were used for ridge augmentation and dental implant placement in steps procedure, combined with Bio-Oss saturated in Platelets Rich Plasma (PRP) and covered with platelets-poor-plasma (PPP) as a "biological membrane".

Severe Atrophic Anterior Maxilla: Advantages of Combined Therapy - Part 1 of 2
Anterior maxillary alveolar bone deficiency, can prevent implant placement for fixed rehabilitation and jeopardize the esthetic outcome. Clinical case of severe atrophy of anterior maxilla, due to loss of implants, is described: A combination of sub-nasal procedure and intra-oral autologous onlay bone graft were used for ridge augmentation and dental implant placement in steps procedure, combined with Bio-Oss saturated in Platelets Rich Plasma (PRP) and covered with platelets-poor-plasma (PPP) as a "biological membrane".

Surgical Protocols for Socket Type 2 in the Aesthetic Zone
The topic of this presentation is an implant surgical procedures for a socket type 2 (socket missing buccal bone) in an aesthetic area, with emphasis on modified IVAN* technique for socket preservation. IVAN* stands for inter-positional vascularised augmentation neogenesis. Author`s guidelines for selection of appropriate surgical protocols for sockets missing buccal bone wall, protocols that are proved to be most effective, are presented. Early implant placement with GBR, prosthetic socket preservation and socket augmentation with socket sealing are shortly presented as alternatives for some cases. From author modified IVAN technique is shown step by step.

i-Gen Titanium Mesh in Ridge Augmentation Simultaneous with Implant Placement
IN THIS VIDEO Dr Moghaddas will demonstrate ridge augmentation utilizing new type of titanium mesh design(i-Gen) simultaneous with implant placement and also discuss about options that we may have for doing this type of procedures.

Dentalxp Clinical Masters Week Hands-On Courses
Dr. Maurice Salama describes briefly the first ever Dentalxp Clinical Masters Week Program where 6 courses were performed in 7 days at the Dentalxp Teaching Center in Atlanta, GA to help provide global members the skills, tools and techniques to perform better and more predictable dentistry to their patients.

Fresh Frozen Allograft Bone plus Bone Marrow Aspiration as a NEW Alternative to Autogenous Bone Augmentation - Part 2 of 2
This lecture presentation will describe the behaviour and utilization of of fresh frozen allograft vs. autogenous bone in major bone augmentation cases. The advantages and disadvantages as well as the potential of adding bone marrow aspirate to fresh frozen bone will be further highlighted. In depth review of how to manage and use this new technique in clinical practice will be clearly explained.

Fresh Frozen Allograft Bone Plus Bone Marrow Aspiration as a NEW Alternative to Autogenous Bone Augmentation - Part 1 of 2
The lecture describes the behaviour of autogenous bone, how to handle it, its major indications and several challenging cases will be presented. In addition the peculiarities of Fresh Frozen Allograft Bone will be will thoroughly described, as the advantages of adding bone marrow aspiration.

Efficiencies in Block Harvest and Fixation: Keys to Success
Block grafts are indicated for the restoration of significant bone defects and site development for proper placement and support of dental implants. In this presentation, Dr. H. Ryan Kazemi will discuss the three key stages for successful block grafts: opening, placement, and closure, with specific emphasis on graft harvest and fixation. Approaches for preparing the recipient and donor sites, along with adaptation and fixation techniques for predictable results will be presented. In addition, Dr. Kazemi will review flap design and closure techniques critical to graft survival and healing.

Immediate Dentoalveolar Restoration - Labial Contour Grafting at the Time of Immediate Placement
Until recently, tooth replacement at compromised sites in the aesthetic zone, required long-term treatment with possible undesirable complications in the tissue architecture. The Immediate Dentoalveolar Restoration (IDR) is a technique established to broaden indications for immediate loading on individual teeth. In this way, tissue losses with varied extensions are reconstructed in the same surgical session of implant placement and provisional crown installation, reducing the number of interventions and keeping predictability on aesthetic aspects. The IDR, which advocates minimally invasive procedures, will be presented as a viable and reproducible alternative.

Managing Large Odontogenic Cysts; Decompression or Marsupialization Technique Part 2 of 2
Decompression and marsupialization are techniques used to reduce size of large odontogenic jaw cysts, hence making its complete removal and bone regeneration simpler, safer, and more predictable. In this video, Dr. H. Ryan Kazemi demonstrates a simple technique for decompression or marsupialization and provides a brief review of its application in management of odontogenic cysts

Advances in Bone Augmentation and Related Armamentarium
Bone augmentation is one of the most important and most difficult steps in implantology. Also the standard techniques used are very sensitive, bound to a certain experience from a large number of surgeries and have a high learning curve. Despite these facts augmentation procedures are often the least planned part of the therapy and based on poor diagnostics. Due to a lack of standardized protocols these procedures are often performed by the surgeons favorite method instead of the most indicated one. It is astonishing , that for the implant placement most advanced techniques are used - cone beam, navigation templates etc. - whereas augmentation procedures are often based on a high percentage of improvisation.

The Ridge Split Technique in the Edentulous Maxilla: Technique and Management of Complications
The Ridge Split Technique in the Edentulous Maxilla: Technique and Management of Complications

Creative Ridge Expansion Solutions Utilizing Ultrasonic Technologies
Management of the narrow ridge is a common challenge in modern prosthetically-driven implant dentistry. Treatment using a simple and highly predictable procedure for alveolar ridge expansion can be employed using new techniques and technologies which will be introduced on this presentation.

Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry
This course will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy. Extraction site management, labial bone enhancement as well as current gingival augmentation techniques will be featured. These highly acclaimed clinicians and educators will team up to provide a glimpse of their upcoming LIVE Synergy VI conference June 11th - 14th, 2015 in Orlando, Florida.

New Generation of Customized Titanium Membranes for Achieving Predictable Buccal Bone Regeneration Every Time
Stable soft tissue can only be maintained over the long term if there is adequate buccal bone. Achieving this bone can be unpredictable at times. The grafted bone requires space maintenance along with graft stability in order to allow angiogenesis to reach all the bone that is being grafted as well as enough time for the bone conversion process to occur. This short video presents of an extremely simple technique using a titanium membrane that can be used with most implant types to create stable buccal bone. It also goes through the criteria for successful bone regeneration and how to implement them.

Bone Management in Defective Sites: What Techniques Work Best TODAY?
Bone Management in Defective Sites: What Techniques Work Best TODAY?

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.

Reconstruction of a Failed Implant Site
In this clinical video, Dr Moghaddas will demonstrate a large type 2 defect following an implant failure after 6 months of its placement utilizing a collagen and resorbable membrane.

Ridge Split Procedure with Simultaneous Implant Placement
A ridge split procedure has been suggested in literature for increasing the bucco-lingual width of the alveolar ridge prior to implant placement. The procedure can be performed in one or two surgical appointments. It is usually combined with additional augmentation utilizing a bone substitute material and a collagen membrane. In this video Dr Kher demonstrates a ridge split procedure that has been facilitated using a piezo surgical device. Following that he places 2 implants for the proposed restoration of a missing maxillary canine and first bicuspid after preparing the ossteotomy site using expansion screws. Thereafter he uses a CPS putty to graft the gap between the implants to fill all voids and achieves a satisfactory tension free closure.

Alveolar Ridge Regenerative Strategies: Autogenous Bone vs BMP-2
This clinical based presentation will compare the use of autogenous bone vs BMP-2 for alveolar ridge reconstruction. The science, indications, advantages and disadvantages of each approach will be featured. Single tooth to full arch reconstruction cases will also be shown along with understanding the application of non-resorbable vs resorbable mesh barriers for alveolar ridge reconstruction.

Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Preexisting malocclusion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases. The authors emphasize the importance of carefully planning the timing and sequence of performing periodontal, orthodontic, and implant therapies. The advanced techniques and technologies successfully implemented in this case report include the growth factor and titanium mesh (Ti mesh)-assisted bone augmentation; ovate pontic-mediated, noninvasive soft tissue contouring; and photofunctionalization

CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
The era of in-office Cone Beam Computed Tomography (CBCT) has unequivocally transformed interdisciplinary dentofacial therapy (IDT). While in-office CBCT imaging may be the latest technological breakthrough enhancing opportunities for treatment planning, it is diagnosis that has remained the constant variable critical for predictable patient outcomes.

Bi-Directional Augmentation of Double-Arched Posterior Maxillary Vertical Defects
Double-arched posterior maxillary defects present a unique challenge requiring special considerations for implant replacement. This deformity is characterized by vertical bone loss from both the sinus aspect as well as the ridge. In this video, Dr. H. Ryan Kazemi demonstrates a bi-directional vertical bone augmentation technique to develop sites that not only support the implants but also improve tissue harmony for enhanced aesthetics, function, and longevity.

The Critical “Pink” Interface in Esthetic Dentistry—A Cross-Disciplinary Approach: Options, Limitations, and Solutions
This program is a perspective into how cross- disciplinary interface planning has become and integral part of clinical esthetic dentistry, in particular implant diagnostics. Today it is essential to combine “white” tooth esthetics with “pink” gingival aspects. Understanding the individual prosthetic, surgical, and biologic limitations is part of innovative treatment-planning protocols developed in an approach to provide, simplify, and expedite minimally invasive limited therapy. Preemptive CBCT and 3D CAD/CAM planning of soft and hard tissue procedures, implant placement, ridge reduction, and restorative design now utilize new innovative protocols for the entire restoration from top to bottom - implant, abutment, and restoration - and the interfaces in between.

A Clinical Update in Bone Regeneration: Autogenous Bone vs. BMP-2
For historical and biological reasons autogenous bone has long been considered the gold standard of bone graft materials. For bone augmentation procedures autogenous grafts provided predictable volume gains, favorable bone quality with short healing periods. However, the need to harvest the graft and associated morbidity are inherent disadvantages. The choice of a technique for bone augmentation is dependent on a number of factors including the use of bone substitutes. More recently recombinant human bone morphogenetic protein (rhBMP-2) has been shown to be effective in repairing buccal wall defects from extractions and in sinus bone grafting. The use of rhBMP-2 is currently under clinical investigation as a replacement for autograft in ridge augmentation process.

Ridge Split Technique for Ideal Implant Position and Ideal Buccal Bone Thickness
Ridge Split Technique for Ideal Implant Position and Ideal Buccal Bone Thickness

ANYTIME Immediate Loading Utilizing a Minimally Invasive Approach in Posterior Maxilla
This lecture will highlight a modified approach to the management of the posterior maxilla using a minimally invasive approach to sinus lift and augmentation. It will also focus on a modified implant placement protocol for obtaining and maintaining the ideal primary and secondary stability for immediate loading in the maxillary unilateral posterior area. The long term clinical results of the over 97% success rate for that protocol will be shown. In this lecture, new guidelines and factors for the successful anytime loading in the unilateral posterior maxilla will be discussed.

Osseous Regeneration and Soft Tissue Management: An Inseparable Binomial - Part 1 of 2
For a long time the soft and hard tissue management has been separated. In this conference series, we will present the principal factors for the attainment of results with high quality standards. This will result in long term stability for our restorations with excellent esthetic and functional outcomes.

3D Vertical Augmentation in the Maxilla Utilizing the “Box Technique”
In this clinical video, a large Vertical Defect in the Maxilla following multiple implant failure is reconstructed utilizing the “Box Technique”. Vertical Tenting Screw with Rigid PLA membranes are utilized for space maintenance followed by 50:50 mixture of BMP-2 and mineralized bone. Soft tissue incisions and suturing as well as post-op follow up are also included.

Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic posterior mandibular alveolar ridge. This will include a discussion of the various options to this form of grafting, such as Short implants, Lingual positioning, nerve repositioning, distraction osteogenesis, and GBR. The Mutli-Tier onlay Bone Graft Technique will be highlighted in this presentation. Additionally, a review of a recently submitted research paper of long term follow up of implants placed into autologous bone blocks harvested from the mandibular ramus, retromolar and sympheseal areas will be discussed.

Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization
A unique presentation of a combined surgical techniques and implants provisionalization, simultaneously performed, in the anterior maxilla. With the aid of computerized assisted guides, a surgical template and a temporary bridge for immediate temporization was prepared.

Controlled Ridge Splitting (CRS)
To demonstrate a new technique of controlled ridge splitting (CRS) in severely atrophied maxillary cases as an alternative to autogenous block graft. Twenty cases were completed using a controlled ridge splitting (CRS) technique with a total of 65 implants were placed in severely atrophied Maxillae and followed after the implants were loaded.

Alveolar Ridge Regenerative Strategies: Clinical Application of Autogenous, Allogeneic and Xenograft Substrates with Bioactive Modifiers and Mesh
This clinical based presentation will feature a CBCT based sequential diagnostic protocol including the latest hard and soft tissue grafting techniques for single tooth to full arch implant reconstruction. The use of autogenous, allograft, and xenograft substrates along with resorbable and nonresorbable mesh will be covered. Foundational tissue engineering principles will be covered and will include the use of PRGF, rhPDGF, and rhBMP-2/ACS.

Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations
Titanium mesh has been used in reconstructive surgery and ridge augmentation for several years. The traditional technique involves using cancellous autogenous bone under the mesh scaffold. More recently growth factors and bone substitutes have been utilized as autograft replacements. There are several advantages to using titanium mesh for space maintenance including strength, ease of use, low cost and biocompatibility. However, the difficulty in removing the mesh has led to a search for other space maintenance scaffolds including tenting screws, dense preshaped collagen and porous high-density polyethylene. This webinar will discuss the use of rhBMP-2 for managing horizontal and vertical bone deficiencies with various scaffolds.

Biologic Strategies to Enhance Clinical and Aesthetic Success in Oral Implantology
This webinar will discuss clinical strategies for treatment of the complex implant site involving bone grafting and implant placement. Our understanding of cellular pathways, and our ability to control the wound response, expands our capacity to effect better aesthetic outcomes and compress treatment time. The reduction of the inflammatory phase of tissue regeneration speeds up osseointegration, prevents crestal bone loss, maintains papillary form, increases the density of peri-implant bone and increases tissue biotype. This enhanced tissue response allows us to predictably treat even the most complex surgical cases, compress time to final reconstruction, and to maintain these favorable tissue outcomes over an extended period of time. The use of dental implants with advanced biologic features and the incorporation autologous growth factors will be demonstrated.

The Science and Technology Supporting Graft Material Selection
A wide variety of grafting materials is currently available. Understanding the right indications and the possible limitations of certain materials can be challenging. The main objective of this course is to provide guidelines for selection of the adequate materials to be used for specific indications in order to maximize treatment predictability.

Growth Factor Mediated Regenerative Therapies
In this very technical and scientific presentation, Dr. Joseph Choukroun, a physician and researcher from France, describes the benefits of Platelet Rich Fibrin (PRF) in wound healing. He emphasizes the effect of PRF on the two essential factors of wound healing which are new vessels and cells in surgical sites like extraction sockets, sinus augmentation and more.

Autologous Block Grafting in Ridge Augmentation
This presentation discusses the step-by-step approach for harvesting, shaping and stabilizing autologous bone blocks in ridge augmentation.In addition, several variations of the technique will be compared, including Dr. Fouad Khoury technique as well as that of Dr. Alberto Fernández.The critical keys for successful block graft are also discussed. The featured case was treated on Campos Clinicae School of Implantology in Vigo, Spain.

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.

The Bone Reduction Template Used for Simultaneous Implant Placement and Immediate Restoration
Dr. Ganz harnesses the full power of CT Scan technology and interactive treatment planning software to fabricate a template to sufficiently reduce a knife-edge ridge, followed by immediate restoration in one visit.

Bioengineering and Bone Grafting in Deficient Anterior Sites: A Case Presentation
Dr. Pikos shares a case presentation elucidating the need for bioengineering and osseous grafting to overcome severe deficiencies in anterior sites prior to implant placement. The case is that of a 19 year old caucasian female that presented with congenitally missing maxillary lateral incisors. Both sites were deficient in alveolar width. Subsequent treatment included a single ramus buccal shelf block bone graft that was utilized for bony augmentation along with mineralized allograft and PRGF with collagen membrane. This was followed 4 months later by two 3.8 mm diameter BioHorizons tapered internal Laser-Lok implants. Four year follow up is included.

Management of The Critical Size Defect; New Age Tools and Techniques
This presentation highlights the placement of 2 implants in a large 3D Vertical & Horizontal defect in the anterior maxilla. The defect is treated by utilizing a mix of autogenous bone harvested using Auto-bone collector and cortical-cancellous particulate Allograft. The mix is then secured by a customized 3D pre-formed titanium membrane followed by "labial contour" augmentation of the defect which is then secured by a rigid absorbable collagen membrane to create and maintain space. This will protect the graft and help stabilize the blood clot during the critical healing time. This membrane is fixed by bone tacks for stability. The final results showing good healing of the soft and hard tissues is displayed.

Innovative Technique for Ridge Augmentation Using SonicWeld RX Rigid Resorbable Barrier System - Part 1 of 5
Dr. Gerhard Iglhaut describes the science as well as the step-by-step techniques for incorporating hard and soft tissue augmentation in everyday clinical practice focused on esthetic implant therapy.

Immediate Dentoalveolar Restoration
The IDR (Immediate Dentoalveolar Restoration) technique has been used for over 6 years. With it, we can reconstruct socket tissue losses in the same surgical session of dental extraction, implant placement and provisional crown installation, minimizing the treatment time and morbidity of the procedures. In this presentation we discuss the hard and soft tissues stability when the IDR technique is applied in different types of periodontal biotypes and in sites with different defect levels. The clinical, radiographic and tomographic follow-up of some cases is shown, allowing us to evaluate the maintenance of gingival architecture and peri-implant bone stability around the implants.

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.

Internal Hydraulic Sinus Lift Procedure utilizing the Crestal Approach
In this video case report, “conservative” internal management of posterior maxilla is highlighted featuring new tools, techniques and biologics. Evaluation and Management of the deficient posterior region is handled by via CBCT Diagnostics and the CAS-KIT Crestal Approach Sinus Kit from Hiossen. Flap Reflection, Drilling sequence, Hydraulic Sinus Lifting of the Schniderian Membrane as well as the utilization of PRGF, Fibrin and Synthetic Bone Putty is highlighted in a conservative crestal approach. This is followed by final suturing using a horizontal and running mattress method.

Surgical Options and Solutions in Maxillary Ridge Augmentation: Advantages of Combined Therapy
This surgical video presentation will demonstrate the treatment of two advanced cases of maxillary deficiency. The emphasis of this presentation will be on combining several state-of-the-art surgical augmentation therapies to optimize dimensional increases in the deficient ridges in the maxilla in preparation of implant therapy. The two cases presented, of severe and moderate bone defects, in the Anterior Maxilla, the bone were reconstructed by using the anatomy (sub-nasal elevation), and several surgical techniques (bone augmentation, soft tissue manipulation and implant placement) in a systematic team oriented protocol (Surgeon, Restorative Dentist and Lab) to get the best esthetic results.

Vertical Bone Augmentation Utilizing Ultrasonic Surgery and Symphyseal Bone Block Graft
In this video by Professor Dong-Seok Sohn and translated into English by Dr. Maurice Salama, a large 3D vertical defect in the Maxilla is treated utilizing autogenous chin block graft harvested and shaped with an Ultrasonic device and then secured with bone fixation screws. Bone shaping and fitting of the block and particulate bone is highlighted. Incision design and suturing techniques for both the harvest site in the mandible as well as the recipient site in the Maxilla are clearly featured on this video. Final outcome is displayed.

Extraction and Bone Grafting Techniques to Optimize Site Preservation
Implant placement is dependent upon bone quantity and quality. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost.

Contemporary and Future Trends in Advanced Bone Augmentation
Synopsis; Modern grafting technologies are changing at a rapid pace. To stay current we must engage new technologies and research to better face the challenges of our diverse patient population. This presentation will focus on new strategies and technologies to manage both Vertical and Horizontal Deficiencies in the partially edentulous patient. New membrane technologies, bioactive modifiers and materials will be a focus.

Simplified Approach to Sinus Bone Grafting and Management of Sinus Perforation
Simplified Approach to Sinus Bone Grafting and Management of Sinus PerforationTwo cases involving crestal window technique and lateral window technique will be shown in detail. Proper implant placement with aid of innovative surgical guide will be used in this presentation. Sinus membrane perforation occurred during the surgery, and management of sinus perforation are demonstrated using collagen membrane

BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery
Biological modifiers and growth factors are substances that the body produces naturally in response to injury or disease. The use of these substances in regenerative procedures has made hard and soft tissue regeneration more predictable while accelerating healing and decreasing patient morbidity. This webinar will review the wound healing process and the role that growth factors play in regeneration. BMP, PRP, PRF and PRGF will be reviewed and their clinical applications will be demonstrated. At the end of this webinar the participant will have a good understanding of the differences between these biological modifiers and their benefits.

Modern Bone Augmentation Techniques: An Alternative Donor Site
In this lecture, Dr. Glickman will give the participants an alternative bone block harvesting site that is in the same area as the anterior maxillary teeth, eliminating the need for a second site surgery. This also provides a site that is painless and easily accesible therefore allowing the patients to have the gold standard of bone grafting rather than settling for treatment options with a more more variable outcome.

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.

Ridge Splitting and/or GBR - Maxilla vs. Mandible - Part 2 of 2
Mandibular ridge splitting has been a clinical challenge due to high density of cortical bone. Therefore, some clinicians recommends two stage approach to overcome this issue. We will also present a unique ridge splitting technique that is easy to do and predictable using one stage approach.

PRGF-Endoret Protocol (Platelet Rich in Growth Factors)
PRGF®-Endoret Technology is based on the activation of the patient's own platelets for the stimulation and acceleration of tissue healing and regeneration. Dr. Maurice Salama’s assistant, Charlene Bennett, will elaborate in detail describing the step-by step PRGF preparation and how it can be utilized clinically.

Sonic Weld and BMP-2 for Bone Augmentation of a Severe Anterior Maxillary Defect
This video highlights the diagnosis and treatment of a Severe Type 3 Vertical deficiency in the Anterior Maxilla. The utilization of a new resorbable rigid Poly Lactic Acid (PLA) membrane and the technique of Sonic Weld is highlighted using clinical video and animation. The process of debridement of the site and then shaping and securing the rigid PLA pins and mesh are featured utilizing clinical video and animation. The additional use of BMP-2/ACS and Mineross in a 50-50 mixture is used a bone graft substitute. Tension Free closure, suturing and early healing are also displayed.

The Use of Emdogain and BioOss Collagen in Bone Regenerative Procedures
This video will discuss the steps necessary to preapre a site for bone regenerative procedures. The materials used for regeneration in the cases discussed will be Emdogain and BioOss collagen. Reentry of the areas will be shown and in several cases 10+ years visual evaluation will be seen.

Autogenous Bone Graft - Part 1: Flap Management
Detailed treatment planning and flap management.

Alveolar Ridge Regenerative Strategies: Autogenous Bone vs BMP-2
This clinical based presentation will compare the use of autogenous bone vs BMP-2 for alveolar ridge reconstruction. The science, indications, advantages and disadvantages of each approach will be featured. Single tooth to full arch reconstruction cases will also be shown along with understanding the application of non-resorbable vs resorbable mesh barriers for alveolar ridge reconstruction.

Pre-Implant Ridge Bioengineering: The Bone Block Allograft Technique - Part 2 of 2
Narrow ridge deficiencies can limit dental implant placement. As well, the pain and various complications associated with chin, ramus and hip bone block grafts for ridge augmentation purposes discourage many from pursuing this method of treatment. The 'bone block allograft technique' helps overcome narrow ridge limitations for dental implant placement as well as minimizing surgical post-op pain, risks and complications. This is an extremely versatile procedure which can be performed in the anterior and posterior sextants of both the maxillary and mandibular arches. The 'bone block allograft' technique helps overcome narrow ridge limitations for dental implant placement as well as minimizing surgical post-op pain, risks and complications. This is an extremely versatile procedure which can be performed in the anterior and posterior sextants of both the maxillary and mandibular arches.

Simultaneous Autogenous Block Grafting & Implant Placement
Autogenous bone is the gold standard of bone augmentation. Studies have also shown that bone blocks achieve far more predictable bone volume while reducing the need for further grafting at the time of implant placement.

Pre-Implant Ridge Bioengineering: The Bone Block Allograft Technique - Part 1 of 2
Narrow ridge deficiencies can limit dental implant placement. As well, the pain and various complications associated with chin, ramus and hip bone block grafts for ridge augmentation purposes discourage many from pursuing this method of treatment. The 'bone block allograft' technique helps overcome narrow ridge limitations for dental implant placement as well as minimizing surgical post-op pain, risks and complications. This is an extremely versatile procedure which can be performed in the anterior and posterior sextants of both the maxillary and mandibular arches.

Vertical Bone Augmentation: Current Concepts and Techniques
This lecture will review several approaches used for vertical bone augmentation and discuss the benefits and limitations of each. There will be special emphasis on the titanium mesh and inter-positional osteotomy techniques.

Titanium Mesh GBR in Combination with Bioactive Modifiers and Implant Placement
This Surgical Video will highlight the utilization of a new CTi Titanium Mesh product that intimately connects to the top of the implant to create space for Guided Bone Regeneration.

Titanium Mesh and it's Role in Bone Augmentation; A Clinical Review
Different surgical procedures have been proposed in reconstruction of deficient alveolar ridges for placing dental implants in optimum prosthetic and esthetic position. One of the inconveniences of titanium mesh which has been reported is the exposure of it but on the other hand the benefit in comparison to non resorbable membranes is that there is no need for removal and the risk of infection is very low. In this lecture different cases will be presented and clinical points to be considered in using titanium mesh will be highlighted.

Titanium Mesh Assisted 3-Dimensional Mandibular ridge Augmentation
In this surgical clinical video, Dr. Dong Seok Sohn describes the utilization of Titanium Mesh to create and maintain a space in the 3-dimensional augmentation of a deficient posterior mandibular ridge. Demonstration of flap design and management, recipient site preparation in addition to the manipulation and fixation of the mesh is shown in great detail.

Managing Complications in Immediate Implant Therapy - Part 3 of 3
Immediate implant placement in fresh extraction sockets offers several advantages which include patient comfort, ridge preservation as well as decreased treatment time.

Managing Complications in Immediate Implant Therapy - Part 2 of 3
Immediate implant placement in fresh extraction sockets offers several advantages which include patient comfort, ridge preservation as well as decreased treatment time.

Creative Next Generation Surgical Tools and Solutions for the Implant Practice
This lecture will highlight specifically New Age Tools which offer creative and effective solutions for space maintenance, autologous bone harvesting, atraumatic implant removal, and screw fixation. Creative mini-titanium mesh shapes(CTI), autologous bone harvesting drills (ACM Auto Chip Maker), counter torque implant removal systems as well as tenting and fixation screw systems will be discussed and featured.

New Age Esthetics: Integration of Tissue Reconstruction, Tooth Replacement and Ceramics
Dr. Miguel Stanley exhibits detailed clinical cases that represent his "No Half Smiles" philosophy integrating site development, tooth replacement and esthetic composition.

Ridge Splitting and/or GBR - Maxilla vs. Mandible - Part 1 of 2
Mandibular ridge splitting has been a clinical challenge due to high density of cortical bone. Therefore, some clinicians recommends two stage approach to overcome this issue. We will also present an unique ridge splitting technique that is easy to do and predictable using one stage approach.

Bone Putties for GBR and Ridge Augmentation: A review for the general practitioner - Part 2 of 2
Dr. Michael Tischler reviews the utilization of bone allografts in putty form for guided bone regeneration, GBR, and ridge augmentation.

Bone Putties for GBR and Ridge Augmentation: A review for the general practitioner - Part 1 of 2
Dr. Michael Tischler reviews the utilization of bone allografts in putty form for guided bone regeneration, GBR, and ridge augmentation.

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation.

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.

Management of Deficient Ridges: A Case Review - Part 4
Part 4 of the 5 part series on bone grafting with Dr. Pikos.

Titanium Mesh in Anterior Augmentation - Surgical Technique Video
Dr. Akiyoshi Funato describes the utilization of the FT Wing titanium mesh to aid in the reconstruction of lost labial plate in the anterior maxilla.