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

Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique

Author(s):

Julia-Gabriela Wittneben, DMD, MMSc; Daniel Buser, DMD; Urs C. Belser, DMD; Urs Bragger, DMD

Date Added:

10/2/2013


Summary:

An optimal esthetic implant restoration is a combination of a visually pleasing prosthesis and surrounding peri-implant soft tissue architecture. This article introduces a clinical method, the dynamic compression technique, of conditioning soft tissues around bone-level implants with provisional restorations in the esthetic zone. The technique has several goals: to establish an adequate emergence profile; to recreate a balanced mucosa course and level in harmony with the gingiva of the adjacent teeth, including papilla height/width, localization of the mucosal zenith and the tissue profile's triangular shape; as well as to establish an accurate proximal contact area with the adjacent tooth/implant crown.

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>>
Esthetic Correction of Gingival Recession Using a Modified Tunnel Technique and an Acellular Dermal Connective Tissue Allograft

Esthetic Correction of Gingival Recession Using a Modified Tunnel Technique and an Acellular Dermal Connective Tissue Allograft
Esthetic correction of gingival recession is an important goal of periodontal therapy. This article describes a surgical technique that combines a modified tunnel technique and an acellular dermal connective tissue allograft. With the aid of vertical incisions, a tunnel is created under the buccal mucosa of the affected tooth. These incisions enable easy access for graft placement and create mobility for gingival coronal positioning. The use of an accelular dermal connective tissue allograft eliminates the need for a surgical palatal donor site. This minimizes post-surgical complications.

Author(s): Douglas H. Mahn, DDS
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
Esthetic Management for Compromised Extraction Sites - Part 1 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 1 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
"The Soft Block": Treating Severe Recessions Around Dental Implants Premium Member Content

"The Soft Block": Treating Severe Recessions Around Dental Implants
Implants have been one of the major breakthroughs in dentistry. Tissue collapse around dental implants is our number one enemy as it gives rise to serious problems that go from inflammation, through many times chronic infection, all the way down to severe recession, seriously compromising not only esthetics, but also function and our patients well being. Strategies have been developed to help clinicians to try to avoid collapse. Among the most important are procedures such as: grafting the gap; GBR with several biomaterials and barriers; flapless approaches; immediate implant placement after tooth removal with provisionalization using CAD-CAM & 3D technologies and ultimately PET strategies also combined or not with immediate load

Presented By:: Filipe Lopes, DDS, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 3 of 3 Premium Member Content

The Evolving Role of Soft Tissue Enhancement in Esthetic Reconstructive Dentistry - Part 3 of 3
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Perioderm), platelet rich in growth factors (PRGF, PRF), and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, and dentulous ridges, will be reviewed as to its critical role in "Complete Esthetics".

Presented By:: Maurice Salama, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities Premium Member Content

Acellular Dermal Grafts in the Correction of Gingival Recession: Discovering the Possibilities
In this presentation, follow the evolution of root coverage surgery from autogenous grafts to the more contemporary alternatives of today.

Presented By:: David Wong, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEUs (Continuing Education Units)
Watch Now>>
Protocols for Aesthetic Zone Management: From Maintenance to 3D Reconstruction Premium Member Content

Protocols for Aesthetic Zone Management: From Maintenance to 3D Reconstruction
Managing aesthetic zone with dental implants is one of the most challenging and demanding treatments in dentistry due to biological limitations. During the lecture the author will systematize how to face each different clinical situation, utilizing different autogenous tissues combined with a micro surgical approach, in order to have the best healing patterns and scar-less surgery.

Presented By:: Luis Lapa Bessa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Eduication Credit)
Watch Now>>
The Evolving Role of Soft Tissue Grafting in Esthetic Reconstructive Dentistry Premium Member Content

The Evolving Role of Soft Tissue Grafting in Esthetic Reconstructive Dentistry
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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 ·