The lecture presents esthetic reconstruction principles in the anterior maxilla and discusses the challenge to integrate white and pink esthetics - soft tissue and tooth restoration. Dr Coachman presents a clinical case with an implant based crown restoration on an upper central...

A 58-year-old male patient case shows the rehabilitation of failing dentition in the maxilla, including digital treatment planning. The mandible was also included in the treatment process to receive a satisfying functional and esthetic result.

A 65-year-old male healthy patient, who had already experienced implant reconstruction of his lower jaw some 12 years previously, wished to find a fixed alternative to his troublesome removable prosthesis. A good volume of bone and of keratinized tissues remained.

A 47-year-old male patient diagnosed with a maxillary osteosarcoma, treated with excision, leaving a large oro-antral / oro-nasal fistula. He had to wear an obturator which leaked and was uncomfortable, affecting speech & function with a severe impact on his quality of life.

This patient is a young patient asking for dental implants to replace her hopeless maxillary central incisors. The patient's chief complaint was the increased mobility of her maxillary central incisors. She has a history of traumatic injury to the central incisors. 

A 53-year-old female patient lost the teeth when she was 30-year-old and was wearing a denture for many years. The patient was informed about the different therapeutic possibilities and she accepted the quad zygoma technique. 

A 21-year-old female patient presented with a fractured anterior incisor #11 FDI (#8 US). Pre-operative 3D-CT showed an intact buccal bone plate. The incisor had to be extracted, an immediate implant and an immediate provisional restoration were placed the same day.

A 22-year-old male patient presents with ectodermal dysplasia with resultant lack of permanent maxillary and mandibular teeth. He has only 4 malformed maxillary teeth and mandibular cuspids.

A female patient lacks the maxillary posterior support and has tardive dyskinesia. The treatment illustrates virtual planning for the use of zygomatic implants coupled with posterior retraction of the anterior replacement teeth for a more aesthetic result.

A 52-year-old female patient presented a failure of 6 implants supporting a fixed bridge, after 6 years after their placement. The failing implants were removed and all the zygomatic implants were inserted at the level of the zygomatic bone and allocated in the maxillary bone.

A 54-year-old female patient presented with 2 implant failures as well as a bone graft failure. As a result of an apical surgery, an amalgam tattoo was evident on the buccal aspect. The compromised pink aesthetics, as well as prosthodontic discrepancies, were evident. 

A male patient had advanced cancer of the face/sinus, for which he received life-saving surgery with loss of his left eye, cheek, and jawbone and much of his skull. He could not have a surgical reconstruction due to his medical history.

A 68-year-old female patient suffered from tooth loss and removable dentures for more than 20 years.  A protocol considering four zygomatic implants was chosen to avoid lengthy and invasive bone grafting procedures.

A 62-year-old male presented with tooth #16 FDI (#3 US). Despite the lack of bone volume posteriorly, he had sufficient volume anteriorly and an abundant amount of keratinized tissue making him a good candidate for an All-on-4® treatment concept with a hybrid restoration.