Surgical Case Library

Real cases. Real decisions.

Each case includes patient presentation, clinical challenge, treatment plan, Dr. Fien's reasoning, and outcome. Some content is member-only.

Clinical Content Warning

The case library contains graphic surgical imagery including preoperative, intraoperative, and postoperative photographs. This content is intended for licensed dental professionals. By proceeding, you acknowledge this is professional educational content and no dentist-patient relationship is created.

Vertical Bone Regeneration — Anterior Maxilla
Member Only
Bone Grafting

Vertical Bone Regeneration — Anterior Maxilla

40-year-old female with missing central incisor and significant vertical bone loss following trauma.

Connective Tissue Graft — Recession Coverage
Member Only
Soft Tissue

Connective Tissue Graft — Recession Coverage

28-year-old with Miller Class I recession on lower central incisor.

Lateral Window Sinus Lift
Public Preview
Sinus Lift

Lateral Window Sinus Lift

55-year-old missing upper first molar with 2mm residual bone height.

Free Preview
Surgical Extraction + Socket Preservation
Member Only
Extractions

Surgical Extraction + Socket Preservation

Non-restorable lower first molar with periapical involvement.

Full-Arch Soft Tissue Reconstruction
Plus Member
Soft Tissue

Full-Arch Soft Tissue Reconstruction

Full-arch implant case with thin tissue biotype.

Management of Implant Complication
Course Owner
Complications

Management of Implant Complication

Failing implant with peri-implantitis.

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Members get full access to all cases, commentary, and Dr. Fien's reasoning behind each decision.

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