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
Osama Abdel Qader - (1/23/2018 9:27 AM)

thank you for the straight and simple technique

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
Cirugía plástica periodontal para aumento de tejido blando alrededor de implantes Premium Member Content

Cirugía plástica periodontal para aumento de tejido blando alrededor de implantes
En la actualidad, los objetivos de la odontología han ido evolucionado a partir de las necesidades y las demandas de los procesos quirúrgicos, así como por los defectos o lesiones del periodonto, sobretodo cuando intervienen factores estéticos, donde se requieren restauraciones prostodónticas con aspectos naturales, que busquen un equilibrio armónico entre la arquitectura gingival y el rostro en sí del paciente, aún más en los casos donde se presenta sonrisa gingival. Es por esto que se han estudiado varias técnicas mucogingivales para recubrimientos de recesiones, cambios de color por biótopo muy fino, aumento de volumen por pérdida del contorno gingival y colapso de los tejidos duros y blandos; siendo la más estudiada el injerto de tejido conectivo, como mecanismo de compensación y estabilidad para contribuir a una sonrisa más armónica y bella a la hora de la rehabilitación con implantes en el área anterior.

Presented By:: Emilio Mateo, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects Premium Member Content

The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects
In this clinical video, the “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique is displayed in the treatment of multiple anterior recession defects on previously restored teeth. Debridement, root conditioning, incisions, ACDM placement, instrumentation and suturing are highlighted as well as two week postop results.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Clinical Case Review Premium Member Content

Clinical Case Review
Dr. Rosenberg reviews a severe clinical case.

Presented By:: Ed Rosenberg, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
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>>
Non-Surgical Periodontal Therapy: Decision Making in the 21st Century Premium Member Content

Non-Surgical Periodontal Therapy: Decision Making in the 21st Century
Non-surgical periodontal therapy is a vital part of everyday dental practice. Since the majority of periodontal therapy is performed by general dentists and dental hygienists, it is critical that clinicians have all of the requisite skills and information needed to perform these services at the highest level possible. The purpose of this presentation is to provide the latest evidence- and practice- based information on periodontal debridement and adjunctive therapies that can improve patient outcomes. Though surgical procedures may still need to be performed in some sites, the majority of inflammatory periodontal disease can be eliminated or reduced significantly using the techniques and protocols discussed in this educational segment on non-surgical periodontal therapy.

Presented By:: Connie L. Drisko, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
What to do when Good Teeth and Implants go Bad? The Standard of Care for Laser Periodontitis Treatment Premium Member Content

What to do when Good Teeth and Implants go Bad? The Standard of Care for Laser Periodontitis Treatment
In this course, you will understand the laser energy and how the LANAP® protocol creates the specific environment to turn periodontal “degeneration” into “regeneration” around failing teeth and implants.

Presented By:: Dawn Bloore, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Peri-Implant Tissue Response Following Connective Tissue and Bone Grafting in Conjunction with Immediate Single-Tooth Replacement in the Esthetic Zone

Peri-Implant Tissue Response Following Connective Tissue and Bone Grafting in Conjunction with Immediate Single-Tooth Replacement in the Esthetic Zone
The case series evaluated the peri-implant tissue response following extraction and immediate placement and restoration of an implant in conjunction with subepithelial connective tissue graft (SCTG) and bone grafting in the esthetic zone.

Author(s): Hirotaka Tsuda, DDS; Kitichai Rungcharassaeng, DDS, MS; Joseph Y. K. Kan, DDS, MS; Phillip Roe, DDS, MS; Jaime L. Lozada, DDS; Grenith Zimmerman, PhD
View Article>>
Unique Implant Technology for Immediate Provisional Restorations at Implant Placement

Unique Implant Technology for Immediate Provisional Restorations at Implant Placement
To achieve adequate bone regeneration and implant stability, external forces that cause micro- or macro movement to the bone graft and implants had to carefully eliminated.

Author(s): Paul S. Petrungaro, DDS
View Article>>
Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series

Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series
After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth.

Author(s): Markus Glocker, Dr. Med. dent ; Thomas Attin; Patrick R. Schmidlin
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login ·