Implant placement has become a routine procedure, and results can be achieved with a high predictability. The most challenging field is still the esthetic zone, especially if two or three adjacent teeth are missing. In most cases, the challenge is to build up enough bone, especially in the papillary area, without compromising the soft tissue, a goal that is often not achievable. A three-dimensional approach is the key to success. On completion of this presentation, participants should be able to understand the need for augmentation procedures in different situations as well as the different techniques and the biologic limits of augmentation procedures for bone and soft tissue.

Ueli Grunder, DMD, received his dental degree as well as postgraduate education in advanced fixed prosthodontics from the University of Zurich, Switzerland, where he has been senior lecturer since 1987. He is a certified specialist in reconstructive dentistry. Dr Grunder has maintained a private practice in Zollikon-Zurich since 1989. He has published numerous papers and lectured nationally and internationally on the surgical and prosthetic aspects of implant dentistry. Dr Grunder is a past president of the Swiss Society of Oral Implantology and a past president of the European Academy of Esthetic Dentistry.