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
Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability

Description:
Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Implant placement level is important for bone stability. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin.

Date Added:
12/20/2017

Author(s):

Tomas Linkevicius, DDS, Dip Pros, PhD Tomas Linkevicius, DDS, Dip Pros, PhD
Dr. Tomas Linkevicius has received DDS degree in 2000 in Kaunas University, Lithuania. In 2004 he finished post-graduate program in prosthodontics in Vilnius Universi...
[read more]




Online Videos / Surgery / Periodontic Surgery / Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability




Questions & Comments
Flavio Kottar - (7/6/2018 8:24 AM)

When is Part release ? Thank You

saadia rehman - (2/6/2018 11:04 PM)

thank you doctor,i would like to ask how much vertical soft tissue thickness is considered as thin ?when we should think that this much soft tissue thickness is safe or may be considered as thin or starting thick?

Lotta Carmelo860 - (1/26/2018 11:54 AM)

The part 2- When

henry salama - (1/25/2018 1:11 PM)

Gerald - I believe that we are at a stage where bone loss should no longer be an expected occurrence. the message is that if the treatment design accounts for the known variables that may influence bone loss, i.e. thin biotype, thin labial bone, biologic remodeling, type of connection, cement, occlusion, hygiene... etc, we can minimize, and in more and more cases, eliminate bone loss.
Tom - I believe that the message is that platform switching protocols alone will not override biological remodeling bone loss in thin tissue environments.
Osama - generally 2mm or more is deemed a minimum thickness of tissue to develop optimum and stable long-term environments.

Gerald Rudick - (1/21/2018 6:28 PM)

Bright young man, nice presentation on the advantages of a thick biotype and platform switching, however, he did not address the issue of perimplantitis and regardless of the tissue type....bone loss will occur. Gerald Rudick dds Montreal, Canada

Tom Cassidy - (1/1/2018 12:36 PM)

Nice presentation. Can we take it that you do not consider biological width a cause for bone loss in thin bio type

Osama Abdel Qader - (12/30/2017 7:05 AM)

Nice presentation of showing the importance of this new parameter... what is the minimum thickness of vertical tissue to call it "Thick Vertical Tissue" ? thank you

ward clemmons530 - (12/26/2017 6:51 PM)

I would imagine that placing an abutment one time and leaving it alone throughout the treatment would also be a factor. Only problem is that you need to use cemented restorations or use some sort of transitional abutment. Very well done. Aciu Labai!

FARHAN DURRANI492 - (12/24/2017 9:53 PM)

great concept .logical

Related Videos
Peri-implantitis: Management and Preventative Strategies Premium Member Content

Peri-implantitis: Management and Preventative Strategies
This presentation reviews the definition, diagnosis and some current treatment modalities of peri-implant mucositis and peri-implantitis today. We will discuss protocols that should be implemented into your office to help establish an early diagnosis of the hard and soft tissue as well as treatment options, preventative strategies, risk management and maintenance to limit future errors.

Presented By:: Anastasia Cholakis, BA, DMD, Dip. Perio
Presentation Style: Video
Community Rating:
 
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
This FDA cleared technology and evidence-based protocol provide consistent, reproducible, positive bone-building results to reverse gum disease. Take control over periodontitis in your practice and treat the disease most people have, the way they want it treated.

Presented By:: Dawn Bloore, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
The Future of Lasers in Periodontal Therapy: Science, Hype or Snake Oil. Premium Member Content

The Future of Lasers in Periodontal Therapy: Science, Hype or Snake Oil.
Substantial controversy continues to surround the use of lasers in periodontal therapy.

Presented By:: I. Stephen Brown, DDS, FACD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability Premium Member Content

Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability
Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Implant placement level is important for bone stability. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorbtion. The role of soft tissue thickness is well established in aesthetic treatment. It is known that thin soft tissues present an unfavorable situation for implant placement, crestal bone stability and subsequent prosthetic treatment.

Presented By:: Tomas Linkevicius, DDS, Dip Pros, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials Premium Member Content

Emerging Perspectives in Soft Tissue Augmentation: Evolving Tools, Techniques & Materials
Soft tissue root coverage microsurgery and pontic site enhancement are frequently utilized periodontal plastic surgery techniques to create an ideal restorative frame for teeth, pontics and implants.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Managing Esthetic Implant Complications Premium Member Content

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Presented By:: Maurice Salama, 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>>
Related Articles
Biologic Rationale of Esthetic Crown Lengthening Using Innovative Proportion Gauges

Biologic Rationale of Esthetic Crown Lengthening Using Innovative Proportion Gauges
Using a series of innovative measuring gauges, the ideal clinical crown length of a tooth as well as the proper occlusogingival placement of the interproximal papilla will be determined based on established, documented tooth proportion relationships.

Author(s): Paul Fletcher, DDS
View Article>>
Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis

Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis
The purpose of this study was to determine the relationship between patients with a history of periodontitis and development of cement-related peri-implant disease. Seventy-seven patients with 129 implants for this retrospective analysis were selected from completed implant cases that were scheduled for regular maintenance or had experienced mechanical or biological complications between years 2006 and 2011 in private practice. Implants with extracoronal residual cement and implants without cement remnants were analyzed.

Author(s): Tomas Linkevicius, DDS, Dip Pros, PhD;Algirdas Puisys; Egle Vindasiute; Laura Linkeviciene; Peteris Apse
View Article>>
Peptide-Enhanced Bovine Xenograft to Treat Severe Defects

Peptide-Enhanced Bovine Xenograft to Treat Severe Defects
The following case studies highlight patients who presented with various severities of recession, and for whom periodontal plastic surgery was successfully completed without the use of the patient's palate as a donor site.

Author(s): David Wong, DDS;Steven Kendrick, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login ·