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Implant Considerations in the Esthetic Zone

Dental Implant in the Esthetic Zone - Dental CE Course
Launch Course

Course Objectives (2 CE Credits)

Siamak Abai, DDS, MMedSc

With increasing emphasis on ideal esthetic outcomes in implant cases, clinicians require a firm understanding of the biological considerations needed to produce predictable results. Dr. Siamak Abai summarizes considerations with regard to peri-implant soft tissue, gingival biotype and other key characteristics clinicians should account for when treatment planning in the esthetic zone. He further explains the vital role of proper implant placement, site preparation and the role of a properly planned provisional in managing soft tissue, mitigating bone loss and, ultimately, providing a successful esthetic and functional outcome. Topics include:

  • Surgical treatment planning for a predictable restorative outcome
  • Assessing the health and stability of peri-implant soft tissue
  • Importance of maintaining a constant gingival dimension
  • Proper implant selection with regard to cervical width
  • Classifications and effect of gingival biotype
  • Protocol for effectively managing soft tissue through temporization
  • Benefits of immediate placement and provisionalization
  • Determination of the appropriate healing duration

Summary

To practice implant dentistry successfully, clinicians must approach the surgical phase with comprehensive knowledge of the restorative procedures and biological characteristics that impact esthetic outcomes. Biological considerations such as tissue biotype, peri-implant soft tissue, bone preservation and periodontal health should be accounted for when treatment planning, placing and positioning implants, preparing implant sites and managing soft tissue. Careful consideration of these factors offers the best strategy for attaining a high rate of patient acceptance for implant restorations in the esthetic zone.

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

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  10. Claffey N, Shanley D. Relationship of gingival thickness and bleeding to loss of probing attachment in shallow sites following nonsurgical periodontal therapy. J Clin Periodontol. 1986 Aug;13(7):654-7.
  11. Fu JH, Yeh CY, Chan HL, Tatarakis N, Leong DJ, Wang HL. Tissue biotype and its relation to the underlying bone morphology. J Periodontol. 2010 Apr;81(4):569-74.
  12. Kan JY, Morimoto T, Rungcharassaeng K, Roe P, Smith DH. Gingival biotype assessment in the esthetic zone: visual versus direct measurement. Int J Periodontics Restorative Dent. 2010 Jun;30(3):237-43.
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