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Video Details
連続した前歯インプラント:審美的失敗の外科的・補綴的治療 Part4

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:
1/20/2011

Author(s):

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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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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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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Online Videos / Surgery / Implant / Consecutive Anterior Implants: Surgical and Restorative Management of Esthetic Failures - Part 4




Questions & Comments
Maurice Salama - (7/22/2013 7:48 PM)

Simon and Tom; Tough question. We had bone loss interproximally, we were a little too close to the lateral incisor, and we should have considered a "papilla sparring" incision here. If you review the preop you would notice that this papilla was already reduced by the bone loss in this area. A diagnostic and technique-incision design failure. thanks Dr. Salama

henry salama - (6/7/2013 2:32 PM)

Tom, thanks for bringing us back to a very important subject matter. To answer Simon's question, in my opinion an important factor contributing to the failure of that 1st case is related to not factoring in the deficiency present at the inter proximal height of bone on the mesial of the lateral; look at the pre-implant slide, as well as intra-surgical. That deficiency should have been factored into a) factoring prognosis, b) incision design, and c) Whether to do a 1 stage approach or 2 stage. The corrective procedure performed was necessarily 2 stage and required managing a multitude of surgical and restorative considerations, as well as overcoming the odds.

Tom Cassidy - (6/7/2013 12:59 PM)

Thought that the question below by Simon Milbauer was worthy of an answer.

Simon Milbauer - (2/6/2011 5:30 PM)

State of the art cases and superb lecture docs!My question is what in your opinion was the reason behind the esthetic failure of the implant in your 1st case?It seemed to be a little bit close to the adjacent lateral incisor on x-ray but when flap was raised the distance appeared acceptable? Many thanks, Simon Milbauer

Maurice Salama - (1/25/2011 9:39 AM)

Samir; If you are thinking about effect on phonetics, as long as their is an air tight seal with the gingiva this has not been a problem at all. good luck Dr. Salama

samir younis - (1/25/2011 6:12 AM)

good result esthetically but what about phonation

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