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Hard & Soft Tissue Days

Faculty: Dr. Ehab Guirges

Limited Seating Hands on Course

Thank you to all attendees of our 2021 program.

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Soft Tissue Topics to be covered:

  • Soft tissue requirements for teeth and dental implants

  • Diagnosis and classification of soft tissue defects

  • Materials, grafts, and armamentarium

  • Decision making in soft tissue grafting

  • Suturing and importance of microsurgery

Harvesting techniques for autogenous tissue:

  1. Connective tissue harvest from palate

  2. Free gingival graft harvest from palate

  3. Tuberosity harvest

  4. Harvesting from retromolar area and edentulous ridges

Techniques for treatment of recession:

  1. Coronally advanced flap for single teeth

  2. Coronally advanced flap for multiple teeth

  3. Tunneling procedures

  4. Free gingival grafts

Techniques for mucogingival deficiencies:

  1. Apically positioned flaps

  2. Vestibuloplasty

  3. Free gingival graft/strip techniques

Techniques for volume deficiencies:

  1. VISTA flaps with CTG

  2. Tunnel approaches with CTG

  3. Roll flap and modifications


  • Post-operative care and medications

  • Complications and management

  • Hard Tissue Topics to be covered:

  • Principles of bone augmentation

  • Defect classification

  • Graft materials and membranes

  • Armamentarium

  • Flap management and suturing

  • Autogenous bone harvest

  • Titanium mesh technique

  • GBR with resorbable barriers

  • Ridge expansion/splitting protocols

  • Bone blocks and plates

  • Decision tree for defect management

  • Complications


​Course Description:


Success in restorative and implant dentistry is highly dependent on soft tissue health. This course will first review the determinants that are necessary to establish mucogingival health and stability. This will be followed by a review of the diagnosis, treatment planning, and decision making process for managing different soft tissue defects around teeth and implants.

A focus will then be made on the different techniques involved in soft tissue harvest and grafting around teeth and implants. This will be done didactically first followed by hands-on exercises to implement these techniques.

Participants who complete this course should be able to diagnose, plan and treat a variety recession and mucogingival deficiency cases.

Bone augmentation can be a very challenging area of implant dentistry. Procedures are very technique sensitive and the complications can be severe. This course will offer an advanced hard tissue augmentation review. Principles involved in bone grafting will first be reviewed along with pertinent didactic information. Focus will be shed on a few techniques that will be thoroughly presented. Clinical cases will be presented to outline the decision making process involved in procedure planning. This will be followed with hands-on exercises to implement the presented information


  • Soft Tissue Hands on Training:

  1. Microsurgical suturing exercises

  2. Harvest of autogenous tissue from palate and tuberosity

  3. Apically positioned flaps

  4. Free gingival graft

  5. Coronally advanced flaps

  6. Tunneling techniques

  • Hard Tissue Hands on Training:

  1. -Labial flap release

  2. -Lingual flap release

  3. -Titanium mesh technique

  4. -GBR with resorbable barrier

  5. -Double layer suturing

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Dr. Ehab Guirges

  • Dr. Guirges obtained his Bachelors degree in dentistry from Alexandria University, Egypt. He then joined his father in a specialty practice focusing on dental implant rehabilitation. In 2012 Dr. Guirges joined the periodontics fellowship program at Case Western Reserve University (CWRU) in Cleveland, Ohio. Following which he pursued a Masters degree and residency in periodontics at CWRU.

  • In 2016 Dr. Guirges joined the implant restoration fellowship program at Louisiana State University in New Orleans, Louisiana. He currently maintains a full time position in private practice limited to periodontal surgery and dental implant rehabilitation.

  • Dr Guirges has lectured nationally and internationally on topics that include; Hard and soft tissue augmentation around implants, periodontal-plastic surgery, and immediate implant placement strategies.

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