Discussion: Drs. Mankoo & Bonnet with speakers

• What are the clinical criteria that influence the decision of which protocol (immediate or delayed placement) can be employed after the extraction of a tooth?
• Which criteria do you use to determine whether an implant placed in an anterior edentulous ridge can be loaded (provisionalized) immediately?
• If the implant cannot be loaded immediately with a temporary, how long do you wait before loading it?
• If the implant cannot be loaded immediately with a fixed temporary crown, what kind of provisional do you use?
• How long do you wait after implant exposure or placement before proceeding with the definitive restoration?
• Show how you behave in the following situations:
  • thin phenotype 
  • thick phenotype 
  • tooth with dehisence
  • tooth agenesis with resorbed edentulous ridge
  • trauma case
• Show the outcomes of your approach in terms of: total time of treatment, number of appointments from start to end of therapy, number of surgical interventions, the ability to recreate the ideal anatomy of the soft tissues, stability of the hard and soft tissues over time.
• Does immediate loading indeed save time?
• Is there a price that is paid in terms of tissue volume maintenance with immediate loading?
• How does the bone architecture direct your approach for extraction situations?
• What are the most common causes of failure of your approach?
• What price is paid if the procedure fails and what is the exit strategy? 

Dr. Bjorn Ludwig

• In case of congenitally missing lateral incisors, when is space closure indicated and why?
• When and why is space maintenance desirable?
• Is implant placement necessarily the ultimate goal or other restorative options can be implemented and, if so, with what reliability?

Prof. Florian Beuer

• In case of lack of an anterior tooth, when does it make sense to place an implant and when a traditional Maryland Bridge or an all-ceramic single wing Maryland Bridge?
• Can an adhesive bridge be considered a “definitive” solution?

Dr. Martina Stefanini

• Which are the prognostic factors for the success of the regenerative therapy?
• Which are the options and strategies for the treatment of these defects?
• Which are the criteria to determine whether to maintain the tooth or remove it?

Prof. Eric Rompen

• What are the etiological factors in periimplintitis?
• Which are the strategies for the prevention and, when it occurs, the treatment of periimplintitis?
• Which are the criteria to determine whether to maintain the implant or remove it?

Dr. Douglas Terry and Willi Geller, MDT

• Which are the traditional protocols for an effective and time efficient planning of esthetic changes?
• Which materials do you prefer to use and why?

Michael Bergler, MDT

• What are the advantages of going digital?
• Is the clinical outcome justified by the investment?
• Which materials do you prefer to use and why?

Dr. Didier Dietschi

• Can composite resin be considered as the “definitive” restorative material for the rehabilitation of patients with extensive tooth wear or does it need to be eventually replaced by ceramics?
• Should modern composite resins be considered all the same material or should they be differentiated? If so, how?
• What are the treatment options with composite resins when reconstructing multiple teeth where the VDO has to be increased?

Dr. Riccardo Ammannato

• When to restore and when not to restore?
• What is the evidence & clinical data for the use of composite resins in treating tooth wear?
• What are the pros & cons of a direct technique in building the occlusal surfaces of posterior teeth?