A 26-year-old female patient is treated following the "MeteenDoor"- protocol. This Dutch protocol includes the placement of a bone substitute simultaneously with Immediate Implant Placement and Provisionalization (IIPP) reducing the horizontal buccal bone changes.

A 26-year-old female patient wanted to have her teeth straightened. This clinical case describes the extractions of the lower deciduous second molars, followed by immediate implant placement. After the completion of the orthodontic treatment the final restorations were placed.

Today, the time factor plays an increasingly important role in a patient’s treatment decisions and effective solutions are expected from the dentist. This raises issues when deciding on immediate or delayed implant placement even in the posterior zone. Several factors need to be...

In this presentation different ways to treat severe cases will be presented. The presentation will focus on the rationale and long term results for sinus elevation and implant placement in the extremely resorbed maxillae.

Dr. Patrick Palac

The success of immediate loading expanded the clinical basis for restorations in the early postoperative period. On the other hand, there is no doubt that in order to ensure the stability of the soft tissues and to reduce bone remodeling, it is necessary to minimize manipulations...

In order for a patient to receive a properly placed implant with a functional and esthetically successful restoration, the clinician must be aware of the anatomical limitations of the maxillo-mandibular complex.  

The goal of this presentation is to provide the clinician with...

This presentation will review the contemporary surgical and prosthetic concepts in management of implants in the aesthetic zone with a view to achieving optimum long term esthetics and stability.
The outcomes depend on the clinical management and an understanding and application of...

This lecture will focus on the biologic criteria when it comes to restoring anterior implants using as an alternative a screw or cement retained restoration. The main problematic aspect for the cemented implant restoration will be discussed widely with different clinical examples...

Pink Esthetic Score assesses 7 soft tissue variables, it allows for reproducible assessments of peri-implant soft tissue around single tooth implants (Gehrke 2009). Different treatment modalities can be compared, flapless procedures show better outcomes than flapped procedures...

It has been stated that the periodontist's primary role is to maintain the natural dentition in health, function and esthetics. Patients' dentitions can fail for a variety of reasons, periodontal bone loss being only one of them. As periodontal treatment concepts of disease and...

The trend today is to augment after a tooth is extracted to avoid significant loss of ridge volume and shape. Is there an indication for surgical technique and does the literature support this approach? This presentation will compare results from selected studies and systematic...

There is a need for a critical dimension of soft tissue seal protecting the osseointegration (biological width) and a minimum width and thickness of keratinised mucosa surrounding an osseointegrated implant. The standard surgical interventions to treat these conditions need a...

Immediate implants and immediate provisionalization (IIPP) has been shown to provide optimal preservation of soft and hard tissues which is paramount in the esthetic zone. Often IIPP are reserved for carefully selected cases with minimal risks as this technique was considered to be...

Reaching for an aesthetic end-result involves optimized soft tissue protocols. The use of provisional restorations gives advantages and makes the final prosthetic steps easier to achieve an excellent esthetic result. The handling of the soft tissue and its manipulation at the right...

The necessary treatment steps from reaching osseointegration around an implant to optimized esthetics are a challenge for every clinician. The treating clinician needs to consider surgical, perio and restorative aspects to reach best outcomes. What tools could be used to facilitate...