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Video Details
Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy

Description:
When considering implant therapy in the esthetic zone, replicating the natural soft tissue frame may present challenges for the treating clinician. A harmonious gingival form and architecture are not only fundamental for achieving adequate peri-implant pink esthetics, but also for simulating a natural emergence for the future restoration. When dealing with clinical situations in which adequate tissue architecture and volume are present, preserving or further enhancing the available support may provide an improved esthetic outcome with less associated morbidity and treatment duration. Nevertheless, reconstruction of atrophic sites due to lost hard and soft tissue volume is often inevitable in the anterior zone, which may necessitate more complex grafting procedures with varying degrees of predictability in achieving ideal peri-implant soft tissues. This presentation will highlight different clinical scenarios in which the lack of hard and soft tissue volume may pose difficulties in achieving ideal peri-implant esthetics, in addition to available clinical strategies on how to manage and minimize hard and soft tissue deficiencies when dealing with implant therapy in the esthetic zone.

Date Added:
6/9/2016

Author(s):

Sherif Yousri Said, BDS Sherif Yousri Said, BDS
Dr. Sherif Said received his bachelors degree in dental surgery (BDS.) and AEGD training from MSA University in Cairo Egypt where he graduated magna cum laude...
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Online Videos / Surgery / Bone Grafting / Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy




Questions & Comments
sherif said - (7/12/2016 10:19 AM)

Ronnie, thank you for your kind words. I would like to clarify that the shrinkage of the mucograft may be extensive i.e. as mentioned 60-70% in some cases so i would reserve this technique to larger augmented sites where harvesting autogenous tissue will increase the surgical involvement greatly. Also the size of the mucograft has to be sufficient to compensate for that shrinkage. Having said that, the use of the FGGs helps dictate the phenotypic expression, I'm not sure how the mucograft would behave in terms of keratinization if the apical border is all mucosa. I think it would work if you mobilize an adequate band of keratinized tissue from the palate apically to aid with keratinization. Hope this helps.

Ronni Deniger - (7/6/2016 11:31 PM)

Excellent presentation, explained in great detail so that I fell comfortable in implanting this immediately on my next case. Question would be could you use the patient's own flood and spin it down in order to get the plugs to use in the sites that you used free-gingival graft tissue . Would that work just as well ?

sherif said - (6/30/2016 2:09 PM)

Thank you Dr. Hisham for your beautiful compliments and encouragement! Regards, Sherif

HISHAM NASR - (6/30/2016 8:31 AM)

Outstanding presentation Sherif. Impressive work with appropriately cited literature in a high quality, main podium worthy presentation. Congratulations to you and your wonderful father, Dr. Yousri Said. Keep it up.

sherif said - (6/22/2016 9:32 PM)

Ahmad and Robin, Thank you very much for your kind words!

Ahmad Hawasli - (6/22/2016 7:41 PM)

Very impressive work sheriff, nice presentation. Proud to see and have expert here from Egypt ;) Wish you all the best in your career.

Robin Tran - (6/22/2016 11:29 AM)

very informative

sherif said - (6/22/2016 1:43 AM)

Chuck, Your Words left me speechless!! Thank you for your wonderful comment! I do believe that CT grafting and enhancing the tissue biotype is really of crucial importance in the esthetic zone, whenever the pt. is willing and the esthetic demands are high. With regards to DFDBA, i agree with you that FDBA may seem to outperform the demineralized grafts, but the literature is there. TBH i was not really a believer until i saw the cases, yet again the drawback of the time needed to mineralize may make it inferior to the mineralized counterparts. As for the PET philosophy I'm all for it, I've been monitoring your cases on the forum and you're approach and results are unquestionable, however, i do believe careful case selection is key in those cases. My case results are definitely short term, but were able to give me an idea of how different approaches would perform in my hands, so the question is how long will they hold?? Thank you again for your Beautiful words and compliments. Best regards, Sherif

Robin Tran - (6/22/2016 12:44 AM)

Very infomative

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