Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
A Novel Surgical-Prosthetic Approach to Optimize Peri-Implant Tissue Esthetics

Description:
The achievement of an aesthetic implant-supported restoration is a constant challenge to the restorative dentist. Due to the circular shape of the implant and its smaller diameter, when compared to the root of a natural tooth, a dilemma inevitably occurs of how to construct an artificial crown that will imitate the natural tooth crown form. The appearance of the surrounding soft tissue is of major importance, and various techniques have been developed to guide its topography. The Marginal Migration Concept is a technique that helps the clinician in order to achieve a long-term predictable outcome in the Aesthetic zone by enhancing the surrounding tissues. The lecture will show step-by-step clinical procedures from diagnostic models through surgery with immediate provisional restoration therapy to the definitive restorations.

Date Added:
7/13/2017

Author(s):

Konstantinos D Valavanis, DDS Konstantinos D Valavanis, DDS
Dr. Valavanis attended the National and Kapodistrian University of Athens Dental School, Greece, where he received his degree in dentistry in 2000. After graduating he ...
[read more]




Online Videos / Surgery / Periodontic Surgery / A Novel Surgical-Prosthetic Approach to Optimize Peri-Implant Tissue Esthetics




Questions & Comments
konstantinos valavanis - (8/16/2017 6:17 AM)

Dear dr. Pohl, thank u for your comment. As for the part you mentioned you don't like, xenografts still remain the golden standard for the aesthetic zone among many experts in such a scenario. Scientific evidence and many many beautiful results have shown this.

konstantinos valavanis - (8/16/2017 6:00 AM)

Dear dr. Emil , we don't gain papillae in such a scenario as they belong to the neighboring teeth with sharpey fibers. We just "squeeze" them properly in order to have an ideal tone. The distal papilla on a central incisor in a NON THICK soft tissue biotype will shrink a bit due to the fact that only the smaller surface of the neighboring lateral has been left to support it with sharpey fibers. The main issue though on the prosionalisation phase is to gain the marginal tissue. The more marginal migration of the tissue we have the smaller the papillae appear..... cheers

konstantinos valavanis - (8/16/2017 5:33 AM)

Thank you dr.Durrani.

snjezana pohl - (7/30/2017 12:32 PM)

Very nice concept and great results. The second law of physics says that two objects cannot occupy the same place at the same time. And you show very nice how to make a space for the soft tissue. What I don`t like is the fact that a buccal implant surface is surrounded with a xenograft only.

emil quispilaya - (7/29/2017 11:56 AM)

I like This technique, but i think you can gain More papilla during provisional phase

FARHAN DURRANI492 - (7/23/2017 8:54 AM)

Great Presentation

konstantinos valavanis - (7/22/2017 2:58 PM)

Hi Mo:) great question which means a long answer... type 2 socket is the one with the most controversial treatment scenarios as there is a defect in the hard but not in soft tissues. Of course clinically there are many different sub-categories of type 2 sockets. i like to see 5 sub-categories: a) small mid-facial defect of the buccal plate b) a bigger defect but the base of the buccal plate is present c)no buccal plate is present d)no buccal plate is present and also inteproximal defect(s) is/are present e) no buccal plate and palatal bone defect we can understand that the bigger the hard tissue defect present, the thicker the soft tissue biotype is in order to be in the type 2 socket category, meaning there is no way to have a missing buccal plate, thin soft tissues and no soft tissue recession. Keeping all this in mind i treat with my concept as described on the video the 2 first sub-categories of type 2 sockets with minor modifications as i show in the last case. I promise to share and discuss with you and the dental XP community my treatment approach for all subcategories in type 2 sockets on February in Florida. big hug

Maurice Salama - (7/16/2017 6:08 PM)

Kostas can you describe your approach to Type 2 Sockets using the "marginal migration" concept you describe here? Thanks Maurice

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>>
Controversies in Modern Implant Therapy; Lasers and Immediate Loading Premium Member Content

Controversies in Modern Implant Therapy; Lasers and Immediate Loading
The biological basis for clinical applications of Lasers and Immediate Loading will be discussed and and protocols for clinical applications will be demonstrated. Protocols for soft tissue management, treatment of peri-implantitis with lasers and the positive effects of the loading forces on the bone will be used in order to accelerate treatment in Implant dentistry.

Presented By:: Georgios E. Romanos, DDS, PhD, Prof. Dr. med. dent.
Presentation Style: Video
Community Rating:
 
Watch Now>>
Treatment of Refractory Periodontal Disease Premium Member Content

Treatment of Refractory Periodontal Disease
The Key to Understanding the Refractory Case.

Presented By:: Ed Rosenberg, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Managing the Extraction Site - Optimal Preservation and Enhancement Techniques Premium Member Content

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Presented By:: Michael Sonick, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Periodontal Clinical Issues Premium Member Content

Periodontal Clinical Issues
Examination of Different Aspects of Periodontics

Presented By:: Eduardo Anitua, MD, DDS, PhD;Maurice Salama, DMD;David Garber, DMD;Edwin S. Rosenberg, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Connective Tissue Graft Harvesting Techniques - Part 1 Premium Member Content

Connective Tissue Graft Harvesting Techniques - Part 1
In this presentation, Prof. Giovanni Zucchelli develops a critical comparison between the different CTG harvesting techniques, and shows the correct management of this kind of graft as well as its use in coronally advanced flap surgical technique for the treatment of gingival recessions.

Presented By:: Prof. Giovanni Zucchelli, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Maximizing Esthetic Transformations Using a Closed Flap ErCr - YSGG Modality

Maximizing Esthetic Transformations Using a Closed Flap ErCr - YSGG Modality
The clinical study presented in this article demonstrates that, in selected cases, combining minimally invasive laser therapy with detailed restorative design and technique can satisfy the bioesthetic functional requirements.

Author(s): Hugh Flax, DDS, PC
View Article>>
Periodontal Photo Essay

Periodontal Photo Essay
Dr. Daniel J. Melker presents a Periodontal Photo Essay. Question: Why do we barrel in furcations?

Author(s): Daniel J Melker, DDS
View Article>>
Restoration of Optimal Esthetics in Complex Clinical Situations

Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Pre-existing malocculsion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases.

Author(s): Tomohiro Ishikawa, DDS;Xavier Vela-Nebot, MD, DDS; Kenji Kida, DDS; Hidetada Moroi, DMD; Hajime Kitajima, DDS; Takahiro Ogawa, DDS, PhD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login ·