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Clinical Tip: Implant Placement in the Esthetic Zone

Implant Placement in the Esthetic Zone - CE Course
Launch Course

Course Objectives (1 CE Credit)

Siamak Abai, DDS, MMedSc

Determining the optimal position and angulation of implants in the esthetic zone requires a multifaceted approach that combines restorative-driven treatment planning with thorough examination of the implant site and underlying bone. By evaluating the unique anatomical characteristics and biological factors presented by each patient, the clinician can confidently position the anterior implant to set up an esthetic outcome. In this multimedia presentation, Dr. Siamak Abai outlines the general parameters and considerations for diagnosing, treatment planning and surgically placing implants for cases in the esthetic zone. Topics include:

  • Educating patients on implant treatment and managing patient expectations
  • Initial diagnosis, including intraoral, extraoral and radiographic examination
  • Assessing the patient’s quality and quantity of bone
  • Evaluation of the patient’s gingival biotype
  • Proper spacing between the implant, adjacent teeth and anatomical structures
  • Positioning the implant platform to accommodate the final prosthesis
  • Utilizing diagnostic tools and prosthetic stents to optimize implant placement
  • Guidelines for mesial-distal, apico-coronal and labio-lingual implant positioning
  • The advantages of immediate provisionalization
  • The use of custom components to foster esthetic case outcomes
  • Considerations for screw-retained temporary and final restorations

Summary

When placing an implant in the esthetic zone, it is vital to accommodate the available bone while positioning the implant to maximize the esthetics of the restoration as it emerges from the soft tissue. This involves a careful assessment of adjacent dentition, occlusal considerations, vital anatomical structures, and the hard and soft tissue surrounding the implant site. Clinicians can follow a clear path to success by visualizing the final restoration throughout planning and treatment, and utilizing the appropriate diagnostic tools and prosthetic components.

CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.


References

  1. Kazor CE, Al-Shammari K, Sarment DP, Misch CE, Wang HL. Implant plastic surgery: a review and rationale. J Oral Implantol. 2004;30(4):240-54.
  2. Talwar BS. A focus on soft tissue in dental implantology. J Indian Prosthodont Soc. 2012 Sep;12(3):137-42.
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