SPEAKERS

Dr. Allen has served as President of the American Academy of Esthetic Dentistry, the American Academy of Restorative Dentistry, and the American Academy of Periodontology Foundation. He is the recipient of the Master Clinician Award from the American Academy of Periodontology, the President’s Award for Excellence in Dental Education from the American Academy of Esthetic Dentistry, and the Saul Schluger Award for Excellence in Diagnosis and Treatment Planning. In 2019, he was honored with the AAP Gold Medal Award, the highest award bestowed by the Academy. He has served on the Editorial Boards of the Journal of Esthetic andRestorative Dentistry, the Journal of Periodontology and the International Journal of Periodontics and Restorative Dentistry. Dr. Allen is founder of the Center for Advanced Dental Education in Dallas, an educational facility where he teaches surgical technique courses. He has over 100 publications and has presented numerous lectures and over 200 surgical demonstrations worldwide.

Root Coverage with the Tunnel Technique: 25 Years’ Experience

Soft tissue grafting has advanced over the past 75 years to become a refined surgical procedure with predictable root coverage, enhanced esthetics, and a more pleasant experience for the patient. Development of effective alternative graft materials has reduced the dependence on the palate for donor tissue and site preparation has become less invasive with the introduction of the tunnel technique.

Although the tunnel technique has become increasingly popular, there are misunderstandings about its use where there is thin mucosa, minimal keratinized tissue, aberrant frenal pull, or shallow vestibular form. This lecture will address these concerns with the tunnel technique.

Learning Objectives:

  • Describe the evolution of soft tissue grafting techniques.
  • Describe the modifications of tunnel technique in mandibular anterior sites with complications including aberrant frenal attachment, deep recession, shallow recession and shallow vestibule.
  • Explain the lack of significance of keratinized tissue gain in bilaminar techniques.

Soft Tissue Grafting with the Tunnel Technique

This interactive limited attendance hands-on course presents detailed information for successful soft tissue grafting with the tunnel technique using current allografts and xenografts. The treatment concepts presented are based on clinical and biological research. Step-by-step illustration of the surgical technique along with hands-on exercises on custom models, provide in-depth knowledge and experience in the use of minimally invasive grafting to achieve predictable coverage of single and multiple recessions, increase in tissue thickness, and extension of the vestibule. An illustrated step-by-step procedural manual is included.

Please bring loupes for the hands-on workshop

The participants will learn:

  • Microsurgical instrumentation for the tunnel technique
  • Continuous sling suturing technique specifically designed for the tunnel technique
  • Evidence-based selection of a grafting tissue

Graduated in Medicine and specialized in Maxillo-Facial Surgery at the University of Milan, Italy.

Professor, Unit of Oral Surgery - Department of Biomedical, Surgical, and Dental Sciences, University of Milan – Italy

Visiting Associate Professor, Loma Linda University, Los Angeles, California, USA from 2007 since 2021

Faculty Member, Egas Moniz University, Lisbon, Portugal, since 2020

Member of the European Board of Oral and Maxillo-Facial Surgeons, Active Member EAO, ITI Fellow and President Italian Section ITI (2007-2011), President Italian Society of Oral Surgery (2002-2004), President Italian Society of Osseointegration (2014-2016), Founder of the Italian Academy of Osseointegration (IAO).

Referee for Clinical Oral Implants Research, International Journal of oral and maxillofacial Surgery, and European Journal of Oral Implantology.

His main fields of interest areoral and maxillofacial surgery, with particular focus on orthognatic surgery and advanced implant dentistry procedures. He has extensively lectured on these topics in the last 25 years all over the world. 

He is the author of approximately 340 publications on Italian Journals and 130 on international, peer-reviewed journals.

H- Index = 51 (Scopus Citation overview 2023).

He is the author and co-author of approximately 15 textbooks, some of them translated in more than 10 languages.

Complex Bone and Soft Tissue regeneration procedures in The Digital Era

In the last decade, the rehabilitation of edentulous patients presenting with relevant or severe bone defects with implant-supported restorations has become routine, although large defects reconstruction /regeneration is still challenging.

Different reconstructive procedures can be applied to regenerate/reconstruct severely atrophic edentulous ridges, such as GBR or autogenous bone block grafts, but, still, some procedures are complex and technique-sensitive.

The development of digital technologies, including customized CAD-CAM devices have played a significant role in simplifying planning and treatment of patients.

Moreover, the management not only of deficient bone, but also of peri-implant soft tissues, demonstrated to play a fundamental role in the medium to long-term outcome of implant-supported prostheses, both from a functional and an aesthetic point of view.

Aim of this lecture is to present the most recent developments of hard and soft tissue regenerative procedures according to the principle of PGR (prosthetically Guided Regeneration), underlying pros and cons of each technique.

LEARNING OBJECTIVES

  • How to plan a case presenting with a large defect of the alveolar bone according to the PGR principle (Prosthetically Guided Regeneration)
  • How to select the most appropriate technique for the regeneration/reconstruction of hard and soft tissues
  • How to take advantage from digital technologies
  • How to reduce morbidity and prevent complications following extensive reconstruction of hard and soft tissues

Protected Bone regeneration with Customized Titanium Meshes

LEARNING OBJECTIVES

  • How to optimize pre-operative planning of a clinical case in need of reconstruction of an atrophic edentulous ridge with a customized Ti-Meshes
  •  How to optimize the combination of autogenous bone chips with bovine bone mineral for guided bone regeneration 
  • How to adapt the preformed Ti-Mesh to the defect and how to stabilize it with titanium screws
  • How to release mucoperiosteal flaps to obtain a water-tight and tension-free suture (hands-on on animal model (pig);
  • How to optimize timing of implant placement and prosthetic loading.

PROGRAM

This workshop offers a unique opportunity to practice both form an animal and plastic model all the surgical steps for optimizing a bone regenerative procedure with a CAD-CAM customized Titanium mesh

INTRODUCTION 

  • The initial scenarios and the reconstruction alternatives
  • How to plan a case presenting with atrophy of and edentulous alveolar ridge
  • The rational of Customized titanium meshes

HANDS- ON ON ANIMAL MODEL – PIG MANDIBLE

  • Incision lines and elevation of flaps for ideal approach to the atrophic area
  • Bone harvesting with scrapers from the pig mandibular ramus
  • Releasing incisions to obtain a tension-free suture after bone augmentation using an alloplastic material
  • Suturing techniques

HANDS-ON ON PLASTIC MODELS

  • Handling of a customized titanium mesh
  • Mixing bone particles taken from the pig mandible with a xenograft
  • Fixation of the customized mesh with screws
  • Fixation of a resorbable membrane over the mesh 

Professor Heitz-Mayfield received a Masters in Periodontology (1996) and Odont Dr (PhD) (1998) from Lund University, Sweden. Awarded a Brånemark Scholarship at the Brånemark Center, Malmo, Sweden. Awarded an ITI scholarship at the University of Berne, Switzerland where she became Head of the Oral Microbiology Research Laboratory, from 1999-2003. Received the André Schroeder Research Prize in Implant Dentistry. Chair of the International Team for Implantology (ITI) Research Committee, and member of the ITI Board of Directors from 2013 – 2021. In 2022 was awarded an Honorary ITI Fellowship. Current positions include Adjunct Professor at the International Research Collaborative, The University of Western Australia, Professor at The University of Sydney, and Guest Professor at the University of Berne and the University of Shanghai. Osteology Foundation board member. She is the Editor-in-Chief of Clinical Oral Implants Research. Scientific publications in the fields of periodontal regeneration and management of peri-implant diseases. As a specialist in periodontology Prof Heitz-Mayfield maintains a private practice limited to periodontology and implant surgery with an emphasis on regeneration, prevention and comprehensive treatment planning.

Peri-implantitis: Challenges and solutions

Peri-implantitis occurs in around 1 in 5 patients restored with implant-supported prostheses. Peri-implantitis is a plaque associated pathologic condition characterised by clinical inflammation of the peri-implant soft tissues (bleeding/suppuration) and progressive bone loss. Peri-implantitis may progress rapidly and is challenging to treat.

In this presentation the key aspects of an accurate diagnosis, control of risk factors and effective treatment will be outlined following a step-wise anti-infective approach. Indications for the choice of surgical approach (resective or reconstructive) when required will be discussed based on implant-, site- and patient-related factors. Protocols to reconstruct peri-implantitis bony defects while minimising soft tissue recession will be outlined providing the evidence for treatment outcomes in the medium to long-term. Patient-reported outcomes following treatment will be discussed, providing an insight into management of patient expectations. The importance of prosthetic, hard and soft tissue management will be highlighted in order to achieve healthy peri-implant tissues, stability and a satisfied patient.

Learning objectives

  • Understand the aetiology and diagnosis of peri-implant diseases
  • Understand when to choose which treatment approach 
  • Understand how best to prevent peri-implantitis and its recurrence

Dr. Rasperini is Associate Professor of Dentistry and Periodontology at the Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy. Adjunct Associate Professor and Faculty Harvard School of Dental Medicine, Boston, MA USA Adjunct Clinical Associate Professor at the Department of Periodontics and Oral Medicine at the School of Dentistry, University of Michigan MI USA. Adjunct Professor Department of Periodontics, School of Dental Medicine, University of Pennsylvania, PA, USA

Dr.Rasperini received his D.D.S. from the University of Pavia in 1990, his certificate of specialist in Orthodontics from the University of Milan in 1997, his certificate as Active Member of the Italian Society of Periodontology and Implantology (SIdP) in 1997. He later received his certificate as Active Member of the European Academy of Esthetic Dentistry (EAED) in 2009, Full member British Academy of Aesthetic Dentistry (BAAD) 2015-2022 and Italian Academy of Osseointegration (IAO) in 2022.

Dr. Rasperini is member of the Editorial Board of the International Journal of Periodontics & Restorative Dentistry and is ad hoc reviewer in the editorial boards of multiple journals. He has published over 120 papers on PubMed, h-index 40 and more then 6000 citations. He lectured extensively in the five Continents in the fields of Periodontology and Implantology, Regenerative Medicine, Surgical techniques for periodontal and peri-implant tissues reconstruction. Winner of Awards for research with his co-workes: International Quintessence Publishing Award (Boston 2000 - 2004), Goldman Prize (SIdP 1996 - 2010 - 2017), Clinical Research Award (EAO 2010), Earl Robinson Periodontal Regeneration Award (AAP 2012), Align Research Award (2013).

He is the founder of the iPerio Education Center in Piacenza, Italy, where he teach his philosophy of treatment and concepts of the modern dentistry.

Interproximal Attachment Gain and Papillae

In today’s dentistry the aesthetic demand from the patients has become the main challenge in Periodontology. Besides the obvious functional results is now important to achieve aesthetic success, particularly in the anterior areas, where the expectations of the patients are higher. Understanding the biology of the periodontal wound healing, will lead to respect and protect the healing phase. The New Classification of Periodontal Disease is focused on the interdental Clinical Attachment level. The Aim of Classic Periodontal reconstructive surgical techniques is the regeneration of the infrabony defects or the root coverage in case of gingival recessions. Recently the evolution of the regenerative plastic surgery makes possible to treat simultaneously both. So, the develop of regenerative clinical and biological concepts, biomaterials and new surgical techniques during the last years, makes possible to answer to the patient’s demands and regenerate the interdental attachment of compromised teeth with predictable long-term results.

Interproximal Attachment Gain and Papillae

On the hands-on course would be shown and developed by the participants main periodontal surgical techniques. Paying attention simultaneously to the soft and hard tissues in the treatment of intrabony defect, will maximize the prognostic and aesthetic outcome in the treatment of periodontally compromised natural teeth. The hands on will be with exercise on the use of different techniques and biomaterials in different clinical scenario of missing papillae and interproximal attachment loss.

Professional Experience

Professor and Chairman of the Department of Periodontology at the Dental School of the University of Milan.
Member of the Board of the European Association for Osseointegration (EAO) 1998 -2005.
President of EAO for the years 2001-2003 and Immediate Past-President for years 2004/2005.
Member of the Council of EAO since the year 2005.
Founder of the Italian Society of Osseontegration and of the Italian Academy of Osseointegration.
Active Member and Vice-President of the Italian Society of Periodontology (SidP) for the years 2003-2005.
Referee of the International Journal of Periodontics and Restorative Dentistry, President Italian Academy of Osseointegration (IAO).
He published several scientific papers and is international lecturer about the topic Periodontology, Osseointegration and Bone Regeneration.

Degree and training

Degree of Medicine and Surgery at the University of Milan in 1979.

Specialization in Odontostomatology and Dental Prosthodontics at the University of Milan in 1982. .

Vertical Ridge Augmentation: Tradition and new technologies

Localized vertical ridge augmentation with GBR has demonstrated to be a predictable technique in long term studies with more than 30 year follow-up. The use of titanium reinforced PTFE membranes associated with autologous particulated bone grafts and deproteinized bovine bone is the most documented method, however, it is technically sensitive and available only for experienced surgeons. The non-resorbable membrane must be manually trimmed, shaped to fit with the anatomical characteristics of the defect
and fixed with several tacs or screws. New devices are actually available to simplify the surgical technique, like customized semi-permeable titanium meshes that can be manufactured in advance from a tridimensional CBCT image and fixed with only a couple of mini-screws. The traditional and the new techniques will be presented and compared by
means of histological analysis. 

LEARNING OBJECTIVES
Describe the traditional GBR technique by means of e-PTFE membranes associated with autologous particulated bone grafts and deproteinized bovine bone. Consider what is possible to obtain with GBR techniques in advanced cases. Describe the new technique by means of semi-permeable customized titanium meshes associated with autologous particulated bone grafts and deproteinized bovine bone. Describe the histologic characteristics of the bone regenerated with the new titanium meshes technique.

Vertical Ridge Augmentation Surgical Technique

Localized vertical ridge augmentation with GBR has demonstrated to be a predictable technique in long term studies with more than 30 year follow-up. The use of titanium reinforced PTFE membranes associated with autologous particulated bone grafts and deproteinized bovine bone is the most documented method, however, it is technically sensitive and available only for experienced surgeons. The non-resorbable membrane must be manually trimmed, shaped to fit with the anatomical characteristics of the defect
and fixed with several tacs or screws. New devices are actually available to simplify the surgical technique, like customized semi-permeable titanium meshes that can be manufactured in advance from a tridimensional CBCT image and fixed with only a couple of mini-screws. The traditional and the new techniques will be presented and compared by
means of histological analysis. 

LEARNING OBJECTIVES
Describe the traditional GBR technique by means of e-PTFE membranes associated with autologous particulated bone grafts and deproteinized bovine bone. Consider what is possible to obtain with GBR techniques in advanced cases. Describe the new technique by means of semi-permeable customized titanium meshes associated with autologous particulated bone grafts and deproteinized bovine bone. Describe the histologic characteristics of the bone regenerated with the new titanium meshes technique.

  • Dr. Urban received his DMD degree and subsequently his MD degree from Semmelweis University School of Medicine and Dentistry (Budapest, Hungary) in 1991 and 1996.

  • He completed a full-time program in oral surgery at St. Istvan Hospital in Budapest, Hungary (1992-1996). He completed his internship program in Periodontics at UCLA. After he graduated from the Fellowship Program (1999-2000) in Implant Dentistry at Loma Linda University in Loma Linda, California, he was appointed assistant professor the following year. Dr. Urban is licensed in the state of California (USA) and has a private practice in Budapest, Hungary.

  • Dr. Urban received his PhD degree in Periodontology in 2012 at the University of Szeged, Hungary. He is currently an honorary professor at the University of Szeged.

  • Dr. Urban is a board member of the Osteology Foundation and has published scientific articles and textbook chapters on bone regeneration and soft tissue reconstructive surgery around dental implants. Dr. Urban is an adjunct clinical associate professor at the Department of Periodontology and Oral Medicine at the University of Michigan. Recently, Dr. Urban has become a lecturer at Harvard School of Dental Medicine.

  • Dr. Urban is the author of the textbook titled Vertical and Horizontal Augmentation published by Quintessence, which has been published in 12 languages. Dr. Urban recently authored the second part of the book titled VERTICAL 2: The NEXT LEVEL

Timelessness in Regeneration

New Perspectives on Vertical Augmentation using bone and soft tissue reconstruction

Vertical augmentation presents one of the greatest challenges in implant dentistry.
This is primarily due to the difficulty of the surgical procedure and its potential complications.
The reconstruction of the Extreme Vertical Deficiency of different regions will be one of the key topics of this presentation. The detailed surgical anatomy of the floor of the mouth,
the Modified Lingual Flap as well as the technique for protecting the mental and infraorbital nerves will be presented in details.
New research revealed details of the regenerated ridge that is essential for bone maintenance around implants. The utilization of this knowledge for long term success will be discussed as
well as the Sausage technique TM applied to extremely atrophic ridges.
Selection and use of different growth factors will be discussed in details such as the use of growth factors for simultaneous GBR and periodontal regeneration of denuded interproximal
roots. Research on the Lasagna technique using micro dose of BMP-2 will be also presented.
Peri and inter-implant papilla regeneration around implants using the Iceberg and Garage connective tissue graft techniques will be introduced during this presentation.
The reconstruction of the vestibule and mucogingival junction using the minimally invasive labial Strip Graft Technique will be presented with long-term clinical outcomes.
The CPR of the bone graft will be discussed with the goal of the successful management of complications.

Minimally Invasive Approach on Vertical and Horizontal Augmentation using the Sausage Technique TM

Vertical and horizontal augmentation presents one of the greatest challenges of bone regeneration in implant dentistry. This is primarily due to the difficulty of the surgical procedure and its potential complications.

These complications include postsurgical swelling, bruising, and potential neurosensory disturbances. Minimally invasive flap management that can minimize the chances of these complications will be revealed during this hands-on course. Graft harvesting, membrane fixation for vertical augmentation as well as for the Sausage Technique TM will be practiced.

A step by step approach how to protect the neurovascular bundles such as the mental nerve and to achieve a safe, tension free closure will be learned during this practical course.

Learning objectives:

  • Understand the surgical anatomy of the floor of the mouth
  • Learn the surgical principles of ridge augmentation surgery
  • Learn the tension free closure of the flaps after vertical ridge augmentation
  • Learn soft tissue reconstructions after ridge augmentation

The Reconstruction of the Peri-implant Papilla using Bone and Soft Tissue Reconstructive Techniques

The reconstruction of the peri implant papilla presents one of the greatest challenges in implant dentistry. Hopeless teeth are often characterized by interproximal clinical attachment loss at the adjacent dentition, which inevitably increases the complexity of implant therapy, especially in the esthetic zone. Without proper management of the hard and soft tissue components after the extraction of hopeless dentition, dental implants often have suboptimal esthetic outcomes. These outcomes can be related to the midfacial level of the peri-implant soft tissue margin alone, or also to the interproximal soft tissue. Implants with deficient papillae and black triangle are common findings. It should be noted that both clinicians’ and patients’ standards for dental implants have significantly increased in the last decade.  Even a small deficiency of a peri-implant papilla in the anterior region can be considered a compromised clinical outcome.

This workshop will focus on ridge augmentation using Guided bone regeneration in difficult clinical scenarios when patients presenting with a lack of the interproximal bony peak.

The utilization of biomaterials, membranes and growth factors such as ABBM, perforated d-PTFE in combination with collagen membranes and PDGF-BB for the  combination of vertical ridge augmentation and interproximal bone reconstruction will be discussed in details.  Subsequent soft tissue augmentation for papilla reconstruction using the Iceberg and Garage connective tissue graft techniques will be introduced. These techniques are also applied to enhance inter implant papilla height after vertical ridge augmentation. Long-term follow-up utilizing these techniques will be presented.

  • To learn material selection for combined ridge and interproximal reconstructions
  • To learn surgical technique for combined ridge and interproximal reconstructions
  • To learn soft tissue reconstructive techniques for peri-implant papilla reconstruction.
  • Collegiate Endowed Professor of Periodontics
  • Professor and Director of Graduate Periodontics, University of Michigan
  • Diplomate, Former Director & Chair, American Board of Periodontology
  • President, Fellow and Diplomate, Academy of Osseointegration
  • Fellow, American College of Dentist
  • Past President, Midwest Society of Periodontology

Short Biography

  • Professor and Director of Graduate Periodontics at the University of Michigan. 
  • Published 3 textbooks, 60 book chapters/invited reviews and more than 850 peer-reviewed scientific articles.
  • Chair of AAP Task Force for management of peri-implantitis as well as the Co-Chair for AO-AAP consensus conference for management of peri-implant diseases. 
  • Member of AAP Board of Trustee 
  • President of the Academy of Osseointegration. 
  • Co-Editor-in-Chief for CIDRR, Associate Editor for IJOMI, IJOI, JERD and Editorial Board member for IJOS, JCP, COIR, Periodontology 2000 etc. 
  • Recipient of many awards including but are not limited to: Morton L. Perel Annual Award for Dental Implant Educators (ICOI 2007), Distinguished Faculty Research Mentoring Award (UM 2018), AAP Outstanding Educator Award (2017), AAP Distinguished Scientist Award (2017), AAP Master Clinician Award (2019). AAP Distinguished Service Award (2021), AAP Clinical Research Award (2021), AADA William J. Gies Annual Periodontology Award (2018, 2023), AAP R. Earl Robinson Periodontal Regeneration Award (2023), and AADOCR Irwin D. Mandel Distinguished Mentoring Award (2024).

Prevention and Management of Complication of Hard Tissue Reconstruction

Guided bone regeneration (GBR) or bone augmentation procedures, integral to routine implant therapy, involve both horizontal and vertical augmentation to facilitate optimal hard tissue reconstruction. Despite their commonality, complications associated with these procedures pose significant challenges for implantologists. This course delves into the essential aspects of preventing and effectively managing complications in these procedures. The presentation addresses the primary etiologies linked to hard tissue reconstruction complications and emphasizes strategies for their avoidance. Additionally, it explores key considerations for implant prosthesis design, crucial for ensuring long-term stability post-horizontal and vertical bone augmentation procedures.

Learning Objectives:

  • Understand the primary etiologies associated with complications in hard tissue reconstruction during bone regeneration procedures.
  • Acquire knowledge on effective strategies to prevent complications in horizontal and vertical bone augmentation.
  • Learn practical approaches for managing complications when they arise during the course of implant therapy.
  • Gain insights into the latest advancements and techniques in bone regeneration to optimize patient outcomes and enhance clinical expertise.

EP-DDS approach for Peri-implantitis infraosseous defects regeneration

Implant complications pose a significant challenge for many dentists who placed implants. This hands-on exercise is designed to equip participants with expertise in the innovative "EP-DDS submerged approach" for regenerating peri-implant infraosseous defects. This exercise will help participants to familiarize with "EP-DDS submerged approach" and its intricate techniques, offering valuable insights into addressing implant complications effectively.

Learning Objectives:

  • Gain practical experience and confidence in determining how to treat different types of peri-implantitis lesion. 
  • Master the EP-DDS protocol for regenerating peri-implant defects, gaining proficiency in a cutting-edge approach to enhance clinical outcomes.
  • Familiarize yourself with specialized tools for disinfecting contaminated implant surfaces including implantoplasty, enhancing your ability to manage and resolve complications associated with implant placement.
  • Graduated in 1988 from the university of Bologna, Italy with a degree in dentistry. 
  • He was awarded PhD in Medical Biotechnology in 1999 from the University of Bologna, Italy: 
  • Full Professor and Dean of the Periodontal Department at the University of Bologna, Italy from 2000 
  • Received many awards for clinical research in periodontology in Europe and the United States.
  • In 2006 and 2008 is the winner of The AAP Foundation-E Bud Tarrson Research Award in Oral Plastic Surgery
  • In 2020 awarded Honorary member of the AAP
  • President of the Italian Academy of Osteointegration (IAO)
  • Active member of EAED (European Academy of Esthetic Dentistry), SIdP (Italian Society of Periodontology) and IAO (Italian Academy of Osteointegration); member of the European Federation of Periodontology 
  • Associate Editor of the International Journal of Esthetic Dentistry and Member of the editorial board the International Journal of Periodontics and Restorative Dentistry. 
  • Peer reviewer in most ranked Periodontal Journals 
  • Author of 130 publications in PubMed 
  • Innovator of several soft tissue plastic surgical techniques 
  • Speaker at major international conferences on periodontology 
  • Has taught theoretical and practical (with live Surgery) courses in all countries. 
  • Co-author of two illustrated textbooks on periodontal plastic surgery (Ed. Martina) 
  • Co-author of chapter “Mucogingival Therapy-Periodontal Plastic Surgery” in Clinical Periodontology and Implant Dentistry (Lindhe J, Lang NP, Karring T [eds], Wiley-Blackwel
  • Author of the book, ‘Mucogingival Esthetic Surgery’ from Quintessence , published in 12 languages’

Beyond the limits of soft tissue management in implant esthetic therapy

Soft tissue management around implants is becoming more and more critical e especially for the esthetic outcome. The possibility to maintain a good buccal soft tissue profile and papilla height is well established in the case of immediate implant placement when the anatomic condition at the tooth that has to extracted are ideal: intact papillae and interdental  bone picks, healthy buccal bone position and thickness and correct position of the gingival margin. What still has not been established is the possibility to improve the buccal and interproximal soft tissue profile in the presence of interdental papilla loss or loss of attachment at the level of the tooth adjacent to that that has to be extracted.

Even more is not well established the possibility to reconstruct peri-implant papilla in the presence of multiple edentulous sites with horizontal and vertical soft and hard tissue
defects

The possibility and limits of soft tissue management to solve these challenging clinical
situations will be shown during the lecture.

Beyond the limits of soft tissue management in implant esthetic therapy

Soft tissue management around implants is becoming more and more critical e especially for the esthetic outcome. The possibility to maintain a good buccal soft tissue profile and papilla height is well established in the case of immediate implant placement when the anatomic condition at the tooth that has to extracted are ideal: intact papillae and interdental  bone picks, healthy buccal bone position and thickness and correct position of the gingival margin. What still has not been established is the possibility to improve the buccal and interproximal soft tissue profile in the presence of interdental papilla loss or loss of attachment at the level of the tooth adjacent to that that has to be extracted.

Even more is not well established the possibility to reconstruct peri-implant papilla in the presence of multiple edentulous sites with horizontal and vertical soft and hard tissue
defects

The possibility and limits of soft tissue management to solve these challenging clinical
situations will be shown during the lecture.