Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla The Management of Immediate Implant Placement to Optimize Aesthetic Outcome in the Anterior Maxilla

Author(s):

Howard Gluckman, BDS, MChD;Jonathan Du Toit

Date Added:

9/25/2014


Summary:

Following tooth extraction the implant surgeon may select between various implant placement timing and loading protocols. Ideally these are to be determined prior to extraction, be it immediate, early, or late placement. Immediate implant placement even in the aesthetic zone is a literature supported treatment modality with success comparable to alternative placement protocols. Meticulous restorative treatment planning of a tooth destined for extraction is essential. Selecting the appropriate implant and techniques may preserve and ensure natural aesthetics. Utilizing the patient’s own tooth crown can better provisionalize the implant with a ‘walk out as you walk in’ result.

Related Articles
Soft Tissue Waxup and Mock-Up as Key Factors in a Treatment Plan: Case Presentation

Soft Tissue Waxup and Mock-Up as Key Factors in a Treatment Plan: Case Presentation
Rehabilitation of edentulous spaces in esthetic areas is a challenge to the clinician due to the loss of soft tissues. In these clinical situations, it would be desirable to evaluate and predict the gingival architecture to recover in the oral rehabilitation. To fulfill this need, the diagnostic was should anticipate the final rehabilitation with the integration of hard and soft tissue.

Author(s): Pedro Couto Viana, DMD; Andre Correia, DMD, PhD; Manuel Neves, DMD; Zsolt Kovacs, CDT; Rudiger Neugbauer, CDT
View Article>>
Maintaining Interimplant Crestal Bone Height Via a Combined Platform-Switched, Laser-Lok Implant/Abutment System: A Proof-of-Principle Canine Study

Maintaining Interimplant Crestal Bone Height Via a Combined Platform-Switched, Laser-Lok Implant/Abutment System: A Proof-of-Principle Canine Study
Interimplant papillae are critical for achieving esthetic implant-supported restorations in the maxillary esthetic zone. Stable papillary anatomy, however, depends upon a stable volume underlying crestal bone for support. Multiple studies have documented a critical interimplant distance of 3mm under which crestal bone resorption occurs. This preclinical proof-of-principle canine study examines a novel implant-abutment system design, combining platform switching with precisely configured laser-ablated abutment and implant microgrooves to maintain interimplant crestal bone at interimplant distances of 2 and 4 mm. Results of this initial preclinical study suggest that it is possible through precise implant/abutment design modifications to place adjacent implants at distance of 2 to 4 mm without inducing subpapillary crestal bone loss.

Author(s): Myron Nevins, DDS;Marc Nevins, DMD, MMSc; Luca Gobbato, DDS, MS; Hyo-Jung Lee, DDS, PhD; Chin-Wei Wang, DDS; David M. Kim, DDS, DMSc
View Article>>
The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone

The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication, especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication. Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be successful, as is presented hereafter.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit
View Article>>
Related Videos
Innovative Sequencing for Interdisciplinary Aesthetic Treatment Premium Member Content

Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team. This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.

Presented By:: Michael A. Apa, DDS, PC;Brian Chadroff, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Single Incision Technique to Harvest Free and Vascularised Subepithelial Connective Tissue Graft From The Palate Premium Member Content

Single Incision Technique to Harvest Free and Vascularised Subepithelial Connective Tissue Graft From The Palate
In this short lecture a harvesting of free and pediculated connective tissue graft from the palate in one incision technique is presented. One incision technique as described by Huerzeler and Allen is a minimal invasive technique that results in wound healing by primary intention and therefore causes minimal postoperative discomfort. Through pictures and animations this technique is shown step by step. This presentation also deals with a wound healing and possible complications.

Presented By:: Snježana Pohl, MD, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Combination Therapies in the Esthetic Zone: Steps for Success Premium Member Content

Combination Therapies in the Esthetic Zone: Steps for Success
This presentation will cover the critical aspects to consider for deciding the sequence and implementation of combination therapies. Successful esthetic zone treatment must begin with a well thought-out space management plan. This plan involves a three dimensional adjustment of the periodontal attachment, with a possibility of root submergence and partial extraction technique. Following this, a decision is made concerning the timing and position of implant placement, and an adequate hard tissue foundation can be restored using GBR with titanium mesh and collagen membrane. On top of this base a more efficient soft tissue augmentation and adjustment completes the requirements for success in the esthetic zone.

Presented By:: Tomohiro Ishikawa, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Surgical Veneer Grafting: Utilization in Immediate Implant Placement Premium Member Content

Surgical Veneer Grafting: Utilization in Immediate Implant Placement
The management of the digital implant prosthetic dentistry, especially in the anterior esthetic area, is one of the hottest topics in Dentistry. The diagnostic phase is critical. In the course, are discussed all the parameters to achieve the correct diagnosis of the socket and the various treatment plan correlated to each anatomical type of socket. The Dual Zone approach (bone zone and tissue zone) will be evaluated and discussed in detail, regarding each of their variables.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Esthetic Tissue Reconstruction Around Implants - Part 1 of 2 Premium Member Content

Esthetic Tissue Reconstruction Around Implants - Part 1 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free





Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·