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This article presented the immediate provisional and definitive restoration at 6 weeks of a novel small-diameter titanium-zirconium implant, with a 6-month follow up. The manufacturer purports that the implant described herein has superior mechanical and biological properties that could expand treatment options for small-diameter implants, thus benefiting accelerated protocols by further shortening the total treatment time. Human studies are needed to validate these claims.

Considering the ever increasing demand for youthful and attractive smiles, collaborative patient care among restorative clinicians and periodontists is paramount. Successful aesthetic rehabilitation often demands a multidisciplinary approach and requires more than a prescribed treatment plan. "Beginning with the end in mind" not only helps the patient actualize treatment possibilities-thus making them a part of and engaged in their dental care from the start--but also provides clinicians with the appropriate data vital to accomplishing any required surgical and restorative procedure. Conjoint treatment planning will help each clinician accomplish treatment objectives more effectively while achieving a functional and aesthetic outcome for optimal patient care. The lines of communication between clinicians must remain open and accessible at all times. As demonstrated, many practitioners involved with complex dental treatment will utilize many levels of education, communication, and

The morphic classification developed is a silver lining enabling projection, as well as retraction, for complex surgical approaches where ultimate decisions may have to be taken extemporaneously as the surgical case develops. From both a consent form and clinical standpoint, this approach brings clarity to the patient avoiding surprises and disappointment. It also guides the practitioner whose best clinician intention may not alway materialize and guaranty the best and most reasonable possible achievement.