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After tooth extraction, the real challenge begins: choosing the right implant timing for the case. This lecture breaks down the decision tree—ridge preservation, late, early, or immediate placement—balancing predictable osseointegration with a truly natural look. Expect prosthetically driven 3D positioning, digital planning, guided workflows, and step-by-step protocols, with a sharp focus on immediate implant restoration.

Guided surgery enables the transfer of planning into surgery with greater accuracy. Furthermore, it offers the possibility of having a temporary restoration before surgery, requiring only minimal adjustment and activation at the end.

Jason® membrane, a stretchable collagen membrane, was introduced by botiss in 2009. In the time since, its excellent handling and biocompatibility, in combination with the extended barrier function, have set a new standard for both larger and smaller augmentation procedures. In the following, three selected clinicians – Prof. Daniel Rothamel, Dr. Michael Kristensen, and Dr. Massimo Frosecchi – discuss the scientific background and indication range of the Jason® membrane, also providing personal recommendations for its application in daily practice.

The treatment plan in this case report included the placing of six BLT implants in the maxilla, followed by full reconstruction of the entire jaw. No complications or adverse situations were observed at any time during the treatment, from the planning to the final prosthetic installation. The patient was extremely satisfied with his new denture. Overall, the treatment required a relatively low number of appointments, with just a single surgical session. An immediate replacement of natural dentition in the upper jaw with an implant-supported full-arch bridge was achieved in a controlled and planned way, minimizing the risks and potential patient discomfort. The patient appreciated the immediate loading approach, since it enabled him to maintain a “fixed teeth” situation and avoid a removable denture stage during the osseointegration period.

This webinar explores the key biological and prosthetic principles that guide successful bone augmentation, with a focus on Guided Bone Regeneration (GBR) and sinus lift procedures. Through practical insights into grafting techniques, graft management, and defect handling, the session equips clinicians to navigate complex clinical situations with confidence. Since no single technique or biomaterial fits all clinical needs, the webinar emphasizes a case-by-case approach—helping participants understand how to choose the most appropriate solution based on defect type and treatment goals. Expect valuable tips and tricks to enhance predictability and optimize outcomes.

Peri-implantitis is an inflammatory disease that affects the mucosa and alveolar bone around dental implants and represents a major biological complication. Furthermore, it is considered a common risk factor for late implant failure. The following clinical case report describes the management of peri-implantitis in two locations and with two complementary approaches in a periodontal patient. Non-surgical periodontal treatment was applied before addressing the peri-implantitis sites. After periodontal improvement of the natural dentition, the two implants affected were treated with two different strategies. In the most severe bone loss site, access to the site, explantation, and regenerative treatment was done. On the other hand, the implant with less severe peri-implant bone loss was treated to stop further bone resorption and obtain a more stable peri-implant soft tissue situation. For these successful approaches, bovine bone substitute granules (Straumann® XenoGraft), porcine dermis matrix (mucoderm® soft tissue graft, botiss®, distributed by Straumann Biomaterials), and enamel matrix derivatives (Straumann® Emdogain®) were used.

This report highlights the importance of combining the Straumann® BLX implant with GBR techniques and soft tissue substitutes in the management of the esthetic zone. By addressing both biological and esthetic challenges, this approach ensures long-term success, delivering functional and visual harmony while enhancing patient satisfaction. Immediate restoration must always be considered a challenging procedure. Implant planning, surgical procedure and prosthetic procedure must be extremely accurate. Optimal primary stability, absence of occlusal lateral forces and good patient compliance can be considered prerequisites for this kind of procedure.

In the following case report, Dr. Frosecchi presents a bimaxillary full-arch treatment utilizing the LOCATOR FIXED® system, highlighting its clinical efficacy and patient-centered advantages. This case report aims to provide insights into the significant benefits of the LOCATOR FIXED® attachment system in addressing the challenges of bimaxillary full-arch rehabilitation. The LOCATOR FIXED® system simplifies procedures for a variety of patients, making things easy not just during the initial prosthetic phase but also in follow-up care. This is especially helpful for those facing age-related cleaning challenges during full-arch rehabilitation. LOCATOR FIXED® system is a practical alternative to screw-retained prostheses, avoiding the need for complex removal procedures for cleaning or for addressing complications. A LOCATOR FIXED® prosthesis can be removed within seconds using the appropriate removal tool.

This lecture is about the decisional tree after tooth extraction. Several options are analyzed to determine the most effective treatment approach. Implant dentistry represents a predictable and successful treatment for partial and full edentulism. After tooth extraction, clinicians are called daily to decide the ideal timing for implant placement in different clinical situations. Ridge preservation, late implant placement, early placement or immediate placement represent the standard options. Each approach has specific advantages and disadvantages that must be evaluated to ensure not just osseointegration, but also a final natural appearance. Tridimensional ideal prosthetically driven implant placement is always mandatory to provide function and esthetics. Digital planning and a computer-guided approach became a standard of care in most implant cases. After scientific and clinical considerations, step by step procedures for every option will be shown. Special attention will be dedicated to immediate implant placement and restoration, considering implant features, biomaterials and prosthetic tools.

The Jason® membrane was introduced by botiss in 2009. Since then, it has set a new standard for any guided bone regeneration procedure. What makes it so special? We have asked Dr. Massimo Frosecchi.

The Jason® membrane was introduced by botiss in 2009. Since then, it has set a new standard for any guided bone regeneration procedure. What makes it so special? We have asked Dr. Massimo Frosecchi.