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The 33rd Annual Dr. Peter Fedi Periodontics Lecture: “Treatment of the Failed Maxillary Central Incisor Tooth: ‘10 Keys’ for Providing Predictable Success and HAPPY Patients”

Thursday, April 11

2 - 5 PM

3 CDE Credits – DDS, DH, DA


This presentation will describe and identify 10 essential “keys” for performing immediate single tooth replacement of hopeless maxillary central incisor teeth. The “Updated 10 Keys Checklist” published in the Academy of Osseointegration News (2022) will provide high predictability in preventing esthetic complications and offers guidelines to ensure high success based on published studies by Dr. Robert Levine and his clinical research group. Patient-reported outcomes and practice “pearls” will be shared to make this complex treatment a seamless experience for the whole team.

This session will enable participants to:
- Recognize the “human factors” that can be primary causes of technical and environmental complications in implant dentistry due to the lack of checklists.
- Describe the “10 Keys” team approach and its use as a diagnostic, surgical and prosthetic sequential checklist to avoid esthetic implant complications.
- Recognize the importance of using and reviewing with the patient the ITI’s Esthetic Risk Profile (ITI Treatment Guide 2017) and “virtual” CBCT implant planning.
- Understand the importance of phenotype modification as part of the surgical protocol with use of autogenous soft tissue grafting or a new volume stable collagen matrix (VSCM) for a “palate-free approach” to implant placement.


Robert Levine, D.D.S., M.A.G.D.

Dr. Levine is a Clinical Professor in Post-Graduate Periodontics and Dental Implantology at the Temple University Kornberg School of Dentistry and has clinical teaching positions at the University of North Carolina, University of Illinois, and University of Pittsburgh. He maintained a full-time private practice at the Pennsylvania Center for Dental Implants and Periodontics for over 35 years. He is a graduate from Temple University School of Dentistry and received his post-grad certificate in Periodontics from the University of Pennsylvania. Dr. Levine is a Diplomate of the American Board of Periodontology, Fellow of the International Team for Implantology, a member of the US ITI Section Leadership Team and its incoming Chair in 2024. He also is a Fellow, and current President of the International Society of Periodontal Plastic Surgeons, and is a Diplomate, and a Board of Director of the Academy of Osseointegration. Dr. Levine has authored over 100 publications and 5 book chapters. Conflict of interest: Geistlich, NA, Straumann, I.T.I.

Robert Levine, D.D.S., M.A.G.D.
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