Overview: - Periodontal and implant planning - Treatment of a horizontal and vertical bone defect - discussion of the literature - Clinical implementation of bone augmentation using a bone block and treatment of a vertical pocket with Emdogain - Sinus lift in combination with alveolar ridge augmentation and horizontal expansion of the alveolar process; orthodontic straightening of a molar tooth Contents: This contribution illustrates a complex periodontal-implantological case, from treatment planning to clinical implementation. It details the transplantation of two bone blocks from the linea obliqua of the angle of the jaw to the anterior front tooth region, the treatment of a vertical bone pocket with Emdogain, the straightening of a molar tooth using orthodontic mini-implants, and a sinus lift together with alveolar ridge augmentation in the maxillary region using a piezo surgical technique.

Procedure: - Presentation of procedure for immediate implant loading in the edentulous mandible according to the Ledermann concept - Surgical implantation of XIVE® TG implants - Bite registration and impression-taking - Presentation of prosthetic components - Fitting and passive fixation of the mesostructure in the mouth - Integration procedure Contents: This video demonstrates the extraction of teeth in a partially dentate mandible followed by immediate loading of six XIVE® TG implants. Following the Ledermann immediate loading concept, a mesostructure will be used for tension-free primary interlock in this special case. Bridge-like lower full dentures with plastic teeth will then be inserted on this frame and retained with an occlusal screw. Since the dentures can only be removed by the dentist, they are \fixed\ as far as the patient is concerned. This simple and quickly produced yet extremely well-fitting restoration, which requires only minimal time and effort for the implant components, is the subject of this contribution.

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: - 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)