MISCH International Implant Institute
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Peri-implant plastic surgery
Course Topics
• Prosthetic Guidelines for Esthetics
• Soft Tissue Healing
• Gingivectomy / Crown Lengthening
• Gingival / CT / AllodermT Grafts
• Esthetic Crown Lengthening
• Root Coverage
• Tooth vs Implant Soft Tissue 
• Keys for Soft Tissue Management
• Soft Tissue Management Around Dental
  Implants
• Orthodontic Extrusion
• Soft Tissue Consideration and Timing
  for Surgery
• Ridge Preservation
• Implant Size and Position for Esthetics
• Extraction / Immediate Implant
  Placement
• N-Fit vs One Stage
• One Stage vs Two Stage
• Live Surgery
• Laboratories - Workshops
• Derma Fillers
Course Objectives
  • Discuss the guidelines for esthetics relative to the hard and soft tissues of the mouth.
  • Review the anatomy and biologic principles of soft tissue healing and suturing.
  • Describe and compare crown lengthening on natural teeth and implants for esthetics.
  • Observe crown lengthening procedures on patients in conjunction with implant insertion or uncovery.
  • Present step by step procedures required for root coverage of natural teeth.
  • Compare the techniques of keratinized tissue grafts, connective tissue grafts and freeze dried acellular dermis grafts used for root coverage.
  • Appreciate the similarity and differences in soft tissues around implants and natural teeth.
  • Apply the anatomy and biology of soft tissue to the keys for soft tissue management techniques around dental implants.
  • Learn the soft tissue timing techniques involved in the soft tissue drape around dental implants.
  • Understand the step by step techniques in ridge preservation following the extraction of natural teeth.
  • Discuss the advantages and procedures for hard and soft tissue improvement via orthodontic extrusion procedures.
  • Appreciate the implant size requirements for soft tissue esthetics.
  • Relate the position of the implant and the resultant esthetic appearance of the restoration.
  • Utilize the tooth extraction/implant placement procedure to maintain soft tissue esthetics.
  • Appreciate the difference between a 2-stage a 1-stage or a N-FIT concept relative to esthetic considerations.
  • Recognize and treat soft tissue complications.
  • Observe live patient surgery for esthetic soft tissue management procedures in implant dentistry.
  • Perform soft tissue surgical procedures including free gingival grafts, connective tissue grafts, and acellular dermis grafts on laboratory/ animal models.