DentistryOnline coursePeriodontology
Pink esthetics around anterior implants — smile design, connective tissue grafts, tunnelling and provisional emergence profiles
Brazilian clinician Ricardo Kern, known for soft tissue design and immediate implants with temporisation, recorded Beautiful Soft Tissue Around Anterior Implants as an 18-part lecture series of just over 17 hours. He links digital smile planning and lab communication to the surgery itself: crown lengthening, graft harvesting, tunnelling, papilla reconstruction and shaping tissue with provisional restorations.
- 18parts
- 17 h 14 minof video
- 37–73 minper part
What you’ll be able to do
- Set zenith points, smile lines and tooth proportions from correct photographs before surgery
- Perform crown lengthening with bone contouring adapted to thin and thick biotypes
- Harvest palatal and tuberosity connective tissue grafts, de-epithelialise them and store them safely
- Place grafts with tunnelling, roll flap, pinhole and VISTA approaches
- Use the provisional as a prototype to form the emergence profile and critical zone
- Handle socket shield and partial extraction therapy, and rescue soft tissue defects around existing implants
Inside the course
Planning and talking to the technician
Early parts cover soft tissue biology, digital planning time away from the patient, gingival impression indexes and how to give the laboratory enough detail — including seeing the cast from the technician’s side.
Grafting techniques in detail
Surgical videos show free gingival and connective tissue harvesting, trap door incisions, blood supply of the palate, pig-head practice, blocking grey root shine, delicate tunnelling instruments and anchorage points for sutures.
Implants, provisionals and complex cases
Kern demonstrates all-on-four placement with immediate temporaries, single anterior implants, crestal sinus lift, bundle bone and shield techniques, implant removal with defect grafting, guided surgery, and orthodontic cases with bone perforation. One part looks honestly at a case where the wrong surgical option was chosen.
Built for
- Implant surgeons in the esthetic zoneSoft tissue skills that decide whether a technically sound implant looks natural.
- PeriodontistsRoot coverage, papilla building and graft handling shown on real patients.
- Restorative dentists who place implantsA bridge between smile design, provisionals and surgical execution.
Curriculum
Part 1 (1 h 13 min) 11 topics
- Understanding the biology and anatomy of soft tissue
- Multiunit implants with temporaries
- Time without the patient to digital plan
- Digital planning
- Correct photographs needed and how to take them
- Correct placement of smile design lines
- Zenith point
- Smile curvature
- Tooth measurements and percentages
- Planning clinical cases
- Cementoenamel junction
Part 2 (53 min) 10 topics
- Live cases reviewed
- Removing exostosis
- Crown lengthening- bone contouring to follow soft tissue design desired
- Crown lengthening and correct measurements for accurate results
- Different scalpel handling techniques for different biotypes
- Bone removal for different biotypes
- How far to raise a gingival flap
- Suturing
- Changing the muscular position
- Alternative ways to perform crown lengthening
Part 3 (1 h 02 min) 13 topics
- Approaching different biotypes (tissue)
- Types of suturing and why
- Correct steps for gum contouring
- Alternative treatment options for longer/ shorter treatment times
- Thin and thick bone biotypes
- Case review
- Understanding the root/ implant/ temporary to graft correctly
- Gingival impression index
- Working with the technician
- Giving your technician as much detail as you have
- Viewing a cast and information from the technicians’ point of view
- Treatment planning cases
- How to design your horizontal and vertical lines for smile design
Part 4 (52 min) 7 topics
- Smile planning – getting precise measurements
- Smile lines- the three lines needed to create a smile
- Symmetry in a smile – different treatment options
- Creating harmony between the smile and the face; and smile and the lips
- Placing all-on-four implants with immediate temporisation (surgery video)
- Taking impressions for full arch/ all-on-four implants
- Making a gingival impression index
Part 5 (1 h) 14 topics
- Cases- full upper clearance; implant placement; temporaries
- Time blocks for implant placements and realigning temporaries
- Making your temporary with modifications to replicate the final work
- Taking impressions of implants/ soft tissue contour
- The temporary is a prototype
- Giving the technician precise impressions to replicate prototype
- Treatment planning difficult cases with several issues apparent
- Making implant temporaries using acrylic resin
- Soft tissue grafts
- Soft tissue thicknesses; nourishment to survive over different materials/ surfaces
- Where to run your blade when raising a flap
- Where to start your incision and why
- Suturing your connective tissue
- Placing your temporary over your soft tissue graft
Part 6 (1 h 11 min) 5 topics
- Soft tissue modification and implant index impressions
- Building up a papilla
- Planning to plan a case
- Single implant placement procedure
- Emergence Profile
Part 7 (54 min) 9 topics
- Single implant placement and temporary abutment
- Soft tissue of the socket
- Bone loss around the implant
- Bone crest behaviour in different biotype
- Creating the environment to shape biological width
- Reviewing older cases of extraction/ implant/ no graft
- The importance of shaping a temporary properly
- What is the Critical or Sealing zone?
- Forming your emergence profile
Part 8 (1 h) 7 topics
- Harvesting connective tissue
- Free gingival graft surgery video
- Blood flow on the palate
- Practicing on pig heads
- How to de-epithelialize
- Leaving epithelium on the graft
- Tuberosity harvesting technique
Part 9 (52 min) 11 topics
- Intrasulcular incisions
- Harvesting connective tissue
- Trap door technique
- Video demonstration of graft
- How to store a graft after harvesting
- Deciding on a graft site
- Different graft techniques/ areas depending on where you are going to use it
- How to block grayness from a tooth root
- How to use tunneling instruments correctly
- How to tunnel your graft into position
- Anchorage point when suturing your graft
Part 10 (1 h 03 min) 4 topics
- Clinical case of tunnelling: tunnelling instruments need to be delicate, measure out size of grafting after you have done the tunnelling, trim connective tissue prior to starting any sutures, using a different technique to a receding area
- Clinical cases
- Pinhole Technique
- VISTA access
Part 11 (37 min) 7 topics
- Roll flap for posterior not anterior
- How to approach for a soft tissue graft
- Incisions go toward the bone contouring
- Contour over the Frenum
- Checking the pull of the tissue
- Always need to contour
- Prepare the contour
Part 12 (1 h 10 min) 8 topics
- Rebuilding papilla with implant placement and soft tissue grafting
- Suturing
- Post-op follow up and grafting discussion
- Temporary emergence profile and implant loading
- Socket sealing and grafting
- Implant placement and grafting following extraction
- Inserting temporary and post-op follow up
- Emergence Profile
Part 13 (52 min) 11 topics
- If you approach the roll flap correctly you can fix a lot of different cases
- Promote the incision
- Mechanical support
- Dremel tool
- Raising a full thickness flap
- Closing the flap
- Harvest extra connective tissue
- Crestal sinus lift
- Healing abutments
- Sutures
- Bone graft
Part 14 (1 h 13 min) 11 topics
- Shape and size of graft
- Placing the graft
- Covering exposed root
- Protocol for cleaning root
- Pediculated graft
- Simple approach
- Shaping to implant with little keratinized tissue
- Apically reposition the keratinized area
- Workflow to create prosthesis
- Apically reposition the keratinized area
- Mistakes
Part 15 (50 min) 11 topics
- Techniques and applying the right one to the patients situation
- How to treat a soft tissue defect while keeping an existing implant (placed by previous professional)
- Making the wrong surgical decision for a patient
- Using the “Tunnelling” technique
- How to design and cover roots
- How to treat teeth with different levels of recession
- Working with an orthodontic case
- Free gingival graft, split in 2, to cover whole arch
- Perforations of the bone to encourage inflammatory response for orthodontic movement
- Extraction and single implant
- Making the temporary using existing veneer
Part 16 (1 h 02 min) 9 topics
- Bundle Bone
- Shield Technique
- Extraction Technique
- Partial Extraction Therapy
- Emergence profile
- Making temporary
- Ceramic crown
- Implant Planning
- Temporisation
Part 17 (46 min) 9 topics
- Soft tissue management
- Implant maxillary lateral incisor
- Managing a defect
- Implant removal
- Grafting the defect
- Suturing
- Temporisation management
- Graft harvesting
- Guide Surgery
Part 18 (44 min) 9 topics
- Shaping soft tissue around temporaries
- Crown lengthening
- Soft tissue contouring
- Composite restorations
- Temporary crown adjustment for impression
- Smile Curvature
- Adjusting temporary
- Insertion of implant crown
- Cleaning implant crown
Before you buy
Are the eighteen parts organised by theme?
Only loosely — the series follows the flow of a live lecture, so topics such as emergence profile, suturing and crown lengthening come back in several parts with new cases.
Is there surgical footage or mainly slides?
Many parts include surgery videos and case reviews, among them graft harvesting, tunnelling and full-arch implant placement.
Do I get CME credit or a certificate?
No. Clinicapedia provides the educational content only — no CME or CE credits, MOC points or certificates of completion are included with this product.
Specifications
| Format | Online video lecture series |
|---|---|
| Instructor | Ricardo Kern |
| Contents | 18 parts |
| Duration | 17 h 14 min |
| Access | Lifetime, self-paced |
| Department | Dentistry |
| Delivery | Instant download · lifetime re-download |
Related products
Dentistry
$195.00
$165.00
Anesthesiology
$600.00
$240.00
Dentistry
$360.00