Efficiency. Accuracy. Simplification of implantological treatment. 40 years of experience and copyright techniques by Patrick Palacci (part 2)

1) Evaluation of the esthetic needs and different treatment options

- Anterior Maxilla classification for esthetics (Palacci, Ericsson)

2) Precision in implant positioning

- Simplified methods for precise implant positioning
- The use of implant positioning guides
- Influence on soft tissue esthetic restoration

3) Hard tissue reconstruction

- The need for hard tissue
- Horizontal/ vertical augmentation
- The need for posterior support, short implants or sinus elevation
- The use of narrow implants in single/ partial/ full archi restorations, 15 years of experience.

4) Soft tissue manipulation

- Needs for soft tissue reconstruction
- Use of connective tissue grafts
- Donor sits, simplified methods and protocols
- Before / during/ after implant placement

5) Papillae regeneration technique (Palacci)

- Rationale
- Methods/ principles
- Step by step surgery for complete comprehension of the concept
- Treatment of partially edentulous patients
- Fully edentulous patients
- Single tooth restorations
- Variations of techniques: Single papillae/ double papillae, from labial/ palatal and/or palatal/labial
- Long term results
- Complications and how to avoid them
- Long term results - 25 years of experience

6) Treatment of extreme cases

- The use of Narrow implants
- Combination of the different techniques presented
- When can we get biologic papillae, when do we need prosthetic papillae
- Full arch restorations (immediate leading)
- Efficiency, reduced morbidity and esthetic outcomes