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Video Details
Consecutive Anterior Implants: Surgical and Restorative Management of Esthetic Failures - Part 1

Description:
Esthetically successful placement of consecutive implants in the anterior region, especially in the lateral/central environment, remains as one of the most challenging endeavors in implant therapy. This webinar will focus on the diagnosis and treatment design options for the implant replacement of two or more adjacent teeth in the anterior region with emphasis on preventing mid-facial and interdental tissue loss. In addition, the surgical and restorative management and correction of esthetic failures will be discussed including the use of connective tissue allograft.

Date Added:
9/1/2012

Author(s):

Dennis P. Tarnow, DDS Dennis P. Tarnow, DDS
Dennis P. Tarnow is currently Clinical Professor of Periodontology and Director of Implant Education at Columbia School of Dental Medicine. Dr. Tarnow has a certificate...
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Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Stephen J. Chu, DMD, MSD, CDT Stephen J. Chu, DMD, MSD, CDT
Dr. Stephen Chu received his doctoral degree from the University of Pennsylvania School of Dental Medicine in 1984 and his master’s degree in restorative dentistry and ...
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David Garber, DMD David Garber, DMD
Dr. David Garber has a dual appointment at the Medical College of Georgia School of Dentistry, in Augusta Georgia, as Clinic...
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Online Videos / Surgery / Implant / Consecutive Anterior Implants: Surgical and Restorative Management of Esthetic Failures - Part 1




Questions & Comments
omid moghaddas - (7/27/2012 2:40 AM)

that was great prof.Tarnow,enjoyed it as always.i have a question:when we are using a bone level dental implant should we have the same approach according to the depth of implant placement ?(in schematic cases in presentation the tissue level implants were used)
Dr Omid Moghaddas

Maurice Salama - (5/15/2011 7:28 PM)

Andres; I limit the implant head not to socket wall but to the adjacent CEJ or future margin of my restoration. I prefer 2-3mm in depth. As for posting images on XP forum, yes you can. Just follow the instructions on the Forum page. good luck Dr. Salama

Andres Paraud - (2/9/2011 4:14 PM)

Thank you dr Maurice for your answer, its good to know that by this means we can discuss a case and you can help me whit my doubts, how much you limit the depth of the head of the implant in relation to the buccal socket wall, 2,3,4 mm? or at the level of the bone? in the forum of dental xp can i upload the pictures of the cone beam so we can discuss the case? Thank you very much for your concern.

Maurice Salama - (2/9/2011 2:55 PM)

Andres; Many thanks for your post. I believe that either situation that you describe can be successful. My preference is to limit the "depth" of the head of the implant apical to the buccal socket wall. The abutment connection and microgap demands more stability the deeper it is placed or the result is crestal bone loss and chronic zone of inflammation. Many thanks for your discussion. Dr. Maurice Salama

Andres Paraud - (2/9/2011 1:32 PM)

Thank you for the rapid answer, my doubt its about the predicibility of the bucal gingiva and bucal plate in time, and what its better? a cone morse implant of 13 mm about 5 mm under the bucal bone level or a 16 mm implant about 2 mm under the bucal bone level? thinking in inmediate provisionalization. thans in advance dr Salama.

henry salama - (2/9/2011 12:57 PM)

The M-D width of an ave. Max. Central incisors at the CEJ is 6.5mm and maybe slightly less as you converge to the crest of bone. Using a 4 mm implant will leave you with approximately a 2mm gap which according to Botticelli et al. 2005 will still allow for osseointegration to occur. However, that was without an immediate provisional restoration. In the end, its not only about achieving osseointegration, but minimizing loss of the labial crest of bone and subsequent recession.

Andres Paraud - (2/9/2011 11:25 AM)

great presentation. On monday i have a surgery of this exact case, inmediate extraction and implant of tooth n° 7 - 8, dr tarnow i saw your other presentation about extraction site micro-gap, and i got a question, because the diameter of the tooth n°8 is almost 8 mm, and i want to place an implant of 4 mm, if i do inmediate loading the epitelium wont grow faster to apical of the implant if contact the provisional? (sorry my bad english, greetings from chile)

Andres Paraud - (2/9/2011 11:24 AM)

great presentation. On monday i have a surgery of this exact case, inmediate extraction and implant of tooth n° 7 - 8, dr tarnow i saw your other presentation about extraction site micro-gap, and i got a question, because the diameter of the tooth n°8 is almost 8 mm, and i want to place an implant of 4 mm, if i do inmediate loading the epitelium wont grow faster to apical of the implant if contact the provisional? (sorry my bad english, greetings from chile)

Sam Busich - (1/3/2011 7:44 AM)

Paul; Part 2 is available now. Look on main page directly under Part 1. It gets even better! Sam

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