This case is an excellent demonstration of the use of the minimally invasive access flap technique for treatment of (chronic) periodontitis in an esthetically critical zone. The access flap was used in conjunction with enamel matrix proteins for regenerative therapy.,

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.

Contents: 1. Removal of free connective tissue graft from palate 2. Suturing to close graft removal site 3. Making the incision for coronal sliding flap 4. Cleaning and smoothing root surface with instruments 5. Removal of granulation tissue 6. Setting the free connective tissue graft into position 7. Graft fixation 8. Mobilizing the coronal sliding flap 9. Flap fixation

Contents. Aggressive periodontitis leads to early and extensive loss of periodontal supporting tissue. Controlling the infection is of serious importance to avoid further loss of attachment. The surgical procedure is difficult, especially if the tissue is already severely damaged. The challenge for the surgeon is to protect and conserve the tissue as much as possible.

Contents: - Blood sampling - Platelet separation activation - Introduction of bone replacement material - Access flap and curettage - Introduction of PRGF and bone replacement material - Plastic suture Materials Checklist: All materials required for producing PRGF (BTI Germany) Bone replacement materials Geistlich Biomaterials Surgical instruments, Aesculap Suture materials, Ethicon

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.

On June 1-4, 2014 the AAP organised an international consensus workshop, co-chaired by the Osteology Board members William V. Giannobile and Pamela K. McClain. The workshop was of huge interest to the Osteology Foundation and therefore supported with an educational grant. The proceedings of this workshop are available with free access in a special supplement of the Journal of Periodontology: