Contents: - Periodontal regeneration and alveolar -ridge augmentation using a connectivetissue graft - Implant insertion and augmentation - Implant re-entry and prosthetics Materials Checklist Emdogain, Bio-Oss, BioGide, Block fixating screw for autologous bone cylinder, 4/0 and 5/0 sutures, Resolut membrane Titanium pins, Autologous bone chips, 2 Replace Groovy Tapered 4, 3x13 mm implants

Overview: 1. Preoperative planning and template fabrication 2. Implantation technique for the edentulous lower jaw 3. Intraoperative insertion of connecting bar 4. Postoperative construction of a fixed implant-borne prosthesis 5. Insertion of the fixed dental prosthesis on the three implants on the day of surgery. Contents: This contribution describes the insertion of three screw-type endosseous implants and the fabrication of a fixed dental prosthesis for immediate postoperative loading in the edentulous lower jaw. A thorough description of the indications for implantation, the foundations of planning, and the fabrication of various surgical templates to be utilized as planning aids is followed by a demonstration of the technique for preparation and implantation of three screw-type endosseous implants in an edentulous lower jaw. Selection of the implant site for immediate postoperative insertion of the connecting bar is illustrated in detail. The production of a fixed dental prosthesis for immediate postoperative loading is also shown comprehensively and in detail. At the end, the video demonstrates how to test the functional efficiency of the dental prosthesis by evaluating masticatory function under stress.,

Procedure: - Extraction of upper front teeth not suitable for preservation - Immediate loading of four NobelPerfectTM implants - Intraoperative registration of implant position - Flap-free Vestibular Bone Augmentation - Connective Tissue Graft for Periodontal Regeneration - Immediate Loading of temporary implants on the day of surgery - Definitive restoration 6 months later Materials: NobelPerfect Groovy Implants RP and NP; NobelPerfect Temporary Abutments RP and NP; NobelPerfect Implant Replicas RP and WP; Ribbond, Bondable Reinforcement Ribbon; Ethilon 5-0 FS3 Suture Material; Astra Bonetrap Bone Collector.

Procedure: - Sounding - Extraction of the tooth 21 - Drilling and implantation - Soft tissue preparation (split flap technique / tunnelling technique) - Harvesting of the soft tissue graft from the palatal region and immediate closure of the site - Fixation of the transplant - Application of the healing abutments - Fixation of the transplant coronally Materials: Thommen Medical Implant System: SPI Element 4,2x14, 4,5 Implant shoulder Goretex 5,0, Premilene 7,0 Sutures Thommen gingiva former