Outline: - Incision technique/flap mobilization - Bone removal with trephine cutter 6 mm - Bone bed preparation with trephine cutter 5 mm - Fixation of the autologous bone - Membrane adaptation - Introduction of the replacement material - Attachment of the membrane (with nails) - Introduction of a second membrane - Flap mobilization - Flap closure List of materials: - Trephine cutters (Biomet/3i, Palm Beach Gardens, Florida, USA) - Fixation screws (Biomet Microfi xation, Jacksonville, FL, USA) - e-PTFE membrane (Gore-Tex® reinforced, WL Gore, Flagstaff, AZ, USA ) - Mineralized collagen bone replacement material (Bio-Oss® Collagen, Geistlich Pharma AG, 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: - 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

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.