Outline: - Incision technique/flap mobilization - Implant insertion - Membrane adaptation - Introduction of the replacement material - Attachment of the membrane - Introduction of the second membrane - Flap mobilization - Flap closure List of materials: Titanium implant (Thommen Medical, Waldenburg, Switzerland); e-PTFE membrane (Gore-Tex® reinforced, WL Gore, Flagstaff, AZ, USA); Mineralized collagen bone replacement material (Bio-Oss® Collagen, Geistlich Pharma, Wolhusen, Switzerland); Collagen membrane (Biogide, Geistlich Pharma, Wolhusen, Switzerland)

Outline - Modified tubed flap - NobelActive implant placement - Flapless facial bone augmentation - Immediate provisionalization Materials Checklist: NobelActive™ Surgery Kit Twist drill ø 2, 7-15 mm Twist drill ø 2, 10-18 mm Twist step drill ø 2.4/2.8, 7-15 mm Twist step drill ø 2.4/2.8, 10-18 mm Twist step drill ø 3.2/3.6, 7-15 mm Twist step drill ø 3.2/3.6, 10-18 mm Surgical driver NobelActive™ Man torque wrench, surgical NobelActive™ Internal RP implant Procera® esthetic abutment, NobelActive™ Internal Implant replica, NobelActive™ Internal RP Impression coping, open tray, NobelActive™ Internal RP Protect analog, NobelActive™ Internal.

Procedure: - Topographic anatomy of the palate - Localization of the palatal implant site - Surgical insertion of the palatal implant - Surgical insertion of the cortical screws - Examples of the orthodontic devices Materials: Palatal Implant (Straumann, Orthosystem) and Screw (Aarhus System, Medicon)

Procedure: - Incision Technique and Roll Flap Creation - Excision and Transplantation of Connective Tissue Graft Material from the Palate - Implant Placement and Fixation Procedure Contents: This video describes the preparation of an implant insertion site for placement of an individual implant at site 11 using a roll flap and free connective tissue graft technique. The procedure is designed to shape the implant insertion site and to create a secure, keratinized gingival base. Step-by-step, the operator demonstrates the incision technique, the roll flap creation procedure and the techniques used for excision, transplantation and fixation of the free connective tissue graft within the scope of implant placement.

Procedure: - Extraction - Implant Site Drilling and Implant Placement - T-Adapt Insertion Contents: This live operation starts with the extraction of tooth 12, which was loosened and damaged by trauma. Pin fixation was not possible, and a significant loss of distal papillary substance was observed. We therefore elected for placement a 4.5 mm conical Astra implant. After completion of the implant site drilling and the implant placement, a T-Adapt was inserted to shape and support the mucosa. A temporary crown was inserted chairside and left in place for 3 months.