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Dedication vii Preface viii Acknowledgments x Beyond Osseointegration I * Anatomy and Biology of Peri-implant Soft Tissues * Choosing Between a Submerged and Nonsubmerged Approach Systematic Evaluation of the Esthetic Implant Patient 13 * A Simplified Approach to Patient Evaluation * Facial and Dental Symmetry * Periodontal Biotype * Anatomic Limitations * Marginal Tissue Recession * Classification of Alveolar Ridge Defects in Esthetic Implant Therapy Surgical Techniques for Management of Peri-implant 43 Soft Tissues * Instrumentation for Soft Tissue Management in Implant Therapy * Criteria for Optimal Flap Design in Implant Therapy * Application of Plastic Surgery Principles in Implant Therapy * Flap Management Considerations * Surgical Maneuvers for Management of Peri-implant Soft Tissues * Flap Management Considerations for Mandibular Implant Surgery * Flap Management Considerations for Maxillary Implant Surgery * Flap Design and Management Considerations for Esthetic Implant Therapy The Bio-Col Technique 75 * The Importance of Site Preservation * Bio-Col Technique for Delayed Implant Placement * Bio-Col Technique for Immediate Implant Placement * Long-Term Clinical Results Obtained with the Bio-Col Technique * Suggested Refinements * Summary Soft Tissue Grafting in Implant Therapy 113 * Periodontal Plastic Surgery * Oral Soft Tissue Grafting with Dental Implants * Modified Palatal Roll Technique for Dental Implants * Epithelialized Palatal Graft Technique for Dental Implants * Subepithelial Connective Tissue Graft Technique for Dental Implants * Summary The Vascularized Interpositional Periosteal-Connective 163 Tissue (VIP-CT) Flap * Rationale and Biologic Basis * General Considerations * Potential Complications * Surgical Procedure * Clinical Experience * Summary Esthetic Implant Therapy:A Comprehensive Approach 189 * Philosophy of Care * Rationale for Site Preservation * Implant Site-Development Techniques * Prosthetic Considerations for Enhancing Outcomes in Implant Therapy * Surgical Considerations for Enhancing Outcomes in Implant Therapy * Use of Platelet-Rich Plasma to Enhance Outcomes in Implant Therapy * Conceptual Framework for Esthetic Implant Site Development Appendix:Treatment Algorithms for Esthetic Implant Therapy 263 References 275 Index 278Library of Congress Subject Headings for this publication: Dental implants, Dental implants Aesthetic aspects, Dental Implantation methods, Esthetics, Dental