Female patient *1966, by M. Lulic and N. P. Lang (2007-2008). Periodontitis case with pain, smoker, single anterior implant crown.

Female patient *1951 by M. Lulic. N. P. Lang (2006-2008). Periodontitis case, smoker, shortened dental arch, reconstructions on implants (3-unit bridge and single crown).

Male patient *1970, by J. Tam and N. P. Lang (2011-2013), University of Hongkong. Periodontitis case with pain and furcation involvement, single implant crown

Male patient *1943, by Matuliene and N. P. Lang (2004-2005). Periodontitis case with mobile tooth and furcation involvement, fixed reconstructions on teeth and implants

Procedure: - Case evaluation - Incision technique - Implant placement - Membrane adjustment and fixation - Introduction of replacement material - Flap mobilization - Suture technique Contents: Implantation was desired for replacement of a missing upper canine tooth and the adjacent lateral incisor tooth. The initial case evaluation revealed a relatively narrow gap between these two teeth in addition to extensive hard and soft-tissue defects. We selected an incision technique that made it possible to do the augmentation work yet subsequently achieve a tension-free flap closure. Since the bony defect was large while the available space was limited, we had to go for the best possible compromise in regard to implant insertion. After the implants had been inserted, augmentation was carried out using a non-absorbable, titanium-reinforced membrane, bone replacement material, and an absorbable membrane. Extreme flap mobilization was needed to achieve flap closure. An optimal suture technique was used to complete the surgery.

Content: - Periodontal maintenance therapy for teeth 34 and 35, including the regeneration of a bone defect using bone replacement material, collagen membrane and sutures. - Curettage for treatment of periodontal pockets. - Treatment of gingival pressure sores caused by tight-fitting orthodontic apparatus. - Incision of buccal attachment to relieve gingival pressure for elimination of gingival recession.

Outline - Introduction: Patient history, clinical findings, diagnoses, etiology, prognosis of individual teeth - Treatment planning for phases - Modified papilla preservation technique (MPPT) - Simplified papilla preservation technique (SPPT) -Clinical situation 6 months postoperatively

Outline: - Reflecting a flap - Cleaning. - Fraction 3 - Fraction 2 - Fraction 1 - Wound closure List of materials All materials required for producing PRGF (BTI Germany) Bone replacement materials Geistlich Biomaterials Surgical instruments, Aesculap Suture materials, Ethicon

Outline: - Aesthetic treatment of multiple gingival recessions List of materials Microblade BUSM-6700 (Stoma) and 15C Swan Morton, Periosteum elevator Free, De Wijs, Molt (Stoma), Curettes minifive 11-12, 7-8 (LM), Pinzette stright 17cm 0,6 (stoma), Neddle holder micro Barraquer straight 18cm extra fine (stoma), Micro-scissor Gomel, curve, 16cm extra fine (stoma), Suture Vicryl 6-0 (V384)

List of materials: Periodontometer, handle #6 (Hu-Friedy); Universal probe, handle #6 (Hu-Friedy); Mirror handle #6 (Hu-Friedy); Transfer handle, round; Respiratory, Hirschfeld; Surgical curettes, Prichard; Universal curettes, Younger-Good, handle #6; Universal curette, Indiana University, handle #6; Universal curette, Langer After-Five, handle #6; Tweezers, Gerald; Tweezers, fine; Spatula, fine; Tissue cutter, Super-Cut; Thread cutter, Godman-Fox; Needle holder, Lichtenberg; Needle holder, Castroviejo; Hemostat; Scalpel blades; Tunneling instruments; Gingivectomy meter, Orban, handle #6; Blade holder, Universal 360°; Suture material, polypropylene C6; Suture material, polypropylene C17.