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Introduction: Implants have become the preferred method of single tooth replacement. One of the challenges is the ability to do immediate implant placement and provisionalization on the day of extraction in a consistent and esthetically predictable manner.Case Presentations: Using a newly developed microsurgical approach, the SMILE (Simplified Microsurgical Implant Lifelike Esthetics) Technique, successful outcome of 298 of 300 cases has been achieved. The success is attributed to microsurgical precision associated with this technique. The goal of this technique report is to establish some of the benefits and versatility of dental implant microsurgery and the SMILE Technique for these esthetically challenging situations.Conclusions: With the SMILE Technique, a clinician has an orderly treatment sequence for providing immediate implant placement and provisionalization. It results in excellent esthetics, as well as predictable success of dental implant osseointegration.

Dentists worldwide have hoped to realize the potential for dental implants for immediate replacement of failing teeth in the maxillary esthetic zone. This article is an analysis from private practice of a case series of 100 dental implants in the anterior maxilla placed under the microscope in extraction sockets with immediate implant-supported provisionals.

The purpose of this article is to introduce the history of microsurgery in the surgical disciplines. It reviews the benefits and potential applications of magnification and microsurgery in the specialty of periodontics. Esthetic procedures encompassing periodontal plastic microsurgery are described with an emphasis on clinical cases to demonstrate their application.The use of magnification, in particular the use of surgical operating microscopes, has increased in many areas of dentistry. This article demonstrates the usefulness of microscope-enhanced periodontal surgery and addresses many issues involved in its application to the surgical discipline of periodontics.