Objectives: Use of a soft tissue graft for recession coverage at tooth 23 and for gingival augmentation. Content: 1. Incision around tooth 23, intra-sulcular preparation, mobilization of coronal sliding flap, and pre-flap preparation. 2. Root smoothing, reduction of ground cavity with diamond burs from Perioset system. 3. Preparation and harvesting of connective tissue flap from palate, Emdogain application, and wound closure. 4. Placement of interrupted interdental sutures for fixation of connective tissue flap.

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.

Contents: - Minimally invasive, atraumatic extraction of an anterior tooth - Buccal soft tissue augmentation using a modified tunneling technique - Socket preservation technique for conservation of the extraction socket - Provisional restoration and closure using modified suspension sutures Materials Checklist: Tunneling Knife® (Dr. Zuhr), No. 1 / No. 2 Keydent Microblade SR Geistlich Bio-Oss® Spongiosa, particle size 0.25 - 1 mm Geistlich Bio-Gide® membrane, 25 x 25 mm Seralene Blue 7/0 DS-15, 0.5 m sutures CV-5 Gore-Tex sutures

Procedure: - Introduction: History -Taking, Examination, Diagnosis, Etiology, Prognosis for Individual Teeth - Four - Phase Treatment Sequence - Modified Papilla Preservation Technique(MPPT) - Simplified Papilla Preservation Technique (SPPT) - Findings 6 months after Surgery Synopsis The Modified and Simplified Papilla Preservation Techniques for conservation of interproximal papillary tissue were designed to provide access to deep and narrow bony defects to enable regenerative periodontal treatment. The Modified Papilla Preservation Technique (MPPT) was designed to ensure tension-free primary closure via barrier membranes in patients with small interdental spaces. The Simplified Papilla Preservation Technique(SPPT) is used to gain access to narrow interdental spaces ( < 2mm) and to deep defects in the lateral tooth region. Apart from preserving primary wound closure in the interdental space, the two techniques also serve to keep the membrane from collapsing into the bony defect. Both MPPT and SPPT employ special suture techniques to ensure tension-free primary closure of the interdental space. This video clip also serves to demonstrate that the two techniques of interproximal tissue preservation can also be used for periodontal interventions without regenerative measures.

Outline: - Patient presentation - Preparing the implant bed, implant placement, checking implant positions - Securing the insertion posts to the index for fabrication of the cast - Suturing details - Delivery of the adapted long-term provisional - Fabricating the cast and the gingival mask, transferring the pontic emergence profiles to the gingival mask, mask adaptation - The master cast under the strip scanner with scan bodies on the laboratory analogs - CAD crown design and virtual anatomic shaping - CAM fabrication of a zirconia abutment - Adhesively connecting the zirconia abutment to the titanium base - Reentry, split-thickness flap, vestibuloplasty, connecting the zirconia abutments to the implants - Mucosal graft to restore a soft-tissue defect - Intraoral impression of the abutments - Fabricating the definitive lithium disilicate crowns: virtual crown design; CAM milling, characterization of the crowns - Delivery, final adjustments, presentation of the treatment outcome

Contents: - Patient presentation and esthetic analysis - Careful extraction of a non-salvageable tooth - Miniplast splint as a surgical template - Harvesting bone from the implant bed - Placing a CONELOG® implant at site 11 - Obtaining a corticospongeous bone cylinder at site 48 - Alveolar augmentation and reconstruction of the buccal bone lamella - Harvesting a connective-tissue graft - Tunneling the vestibular mucosa, various suturing techniques - Insertion of the provisional restorations - 3 months later: Preparing, impression and arbitrary transfer with a bite fork and facebow, temporary restoration - Master cast, new wax-up, determine the emergence profile - Fabricating a hybrid abutment, Scanning the custom abutment, on-screen crown design - Fabricating a zirconia abutment and a feldspathic ceramic veneer - Conditioning and adhesive attachment of the components, final intraoral check - Try in and adhesive cementation

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.

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.