Course outline

Surgical and Restorative Management of Intact (Type 1) Extraction Sockets with Dental Implants in the Esthetic Zone

Morning:

• Flap Versus Flapless Tooth Extraction: Evidence-Based Rationale
• Blood Supply to the Labial Plate
• Labial Contour and Ridge Dimensional Change
• Tooth Extraction Techniques with Specific Instrumentation
• 3D Spatial Implant Placement within the Anterior Extraction Socket
• The Influence of Implant Position on Restorative Emergence Profile
• Gap Distance and Wound Healing
• Primary Flap Closure Versus Secondary Intention Wound Healing
• Hard Tissue Grafting the Gap

Afternoon:

• Risk of Apical Socket Perforation based upon CBCT Studies
• Bone Thickness and Ridge Dimensional Change
• Peri-implant Soft Tissue Thickness
• Dual-Zone Socket Management
• Bone Graft Material for Dual-Zone Therapy
• Prosthetic Socket Sealing
• Sulcular Bleeding at First Disconnection of an Implant Healing Abutment
• Cement- Versus Screw-Retained Provisional and Definitive Restorations
• Angulated Screw Channel Abutments
• Platform Switching
• Co-Axial Versus Uniaxial Implants
• Clinical Case Examples

Immediate implant placement into anterior and posterior extraction sockets with co-axial and ultrawide diameter implants

Morning

• Surgical and Restorative Management of Molar Extraction Sockets
• Tooth Extraction techniques for Multi-Rooted Teeth
• Utilization of special implant designs for molar sockets
• Molar Socket Classification
• Implant Placement into Molar Extraction Sockets
• How to deal with gap distances
• When to graft around molar implants
• How to deal with molar sockets with dehiscence defects
• Timing of loading
• Fabrication and use of custom healing abutments

Afternoon Hands-On:

• Discussion and demonstration of atraumatic tooth removal without flap elevation
• Techniques using co-axial implants placed into maxillary anterior extraction sockets
• Provisional crown restoration fabrication and custom healing abutment on co-axial implant
• Techniques used to remove multirooted teeth through tooth sectioning
• Placement of ultrawide implants into molar extraction sockets
• Custom healing abutment fabrication on ultrawide diameter implant
• Use of Pre-formed Ovate Pontics (POP)

Interdisciplinary Management of Esthetic Problem Cases

Morning

• When to Remove or Save and Remediate Implants in the Esthetic Zone
• Connective tissue grafting and type
• Double grafting technique
• Triple grafting technique
• Angled screw channel abutments with uniaxial implants
• Loss of papilla
• Black triangle problems

Afternoon

• Integration of periodontics, orthodontics and restorative dentistry
• Pink solutions versus grafting
• Ridge augmentation procedures
• Types of bone graft materials for each situation
• Type of membranes
• Splinting to natural teeth
• When and how to do it to prevent intrusion
• Long term growth and changes in adult that can effect your esthetic outcomes
• Proper sequence of therapy to maximize outcomes