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Controlling Tissue Contours with a Prosthetically Driven Approach to Implant Dentistry

Controlling Tissue Contours with a Prosthetically Driven Approach - CE Course
Launch Course

Course Objectives (2 CE Credits)

Timothy Kosinski, DDS, MAGD

By approaching implant cases with a prosthetically driven mindset, where the final restoration is visualized from the very beginning and carried through each phase of treatment, clinicians can help ensure predictable and esthetic restorative outcomes. Custom healing abutments control tissue contours during the healing phase to mimic those that surrounded the tooth being replaced, helping to ensure a natural-looking final restoration. Dr. Timothy Kosinski outlines a case where a missing tooth in the anterior maxilla is replaced using a restorative-driven approach, demonstrating how this technique fosters predictable and esthetic outcomes in the most challenging of circumstances. Topics include:

  • Prosthetic considerations for the surgical and healing phases of treatment
  • Sculpting soft tissue contours to set up a smooth delivery of the final restoration
  • Restorative and anatomical factors for anterior implant cases
  • Preserving natural gingival contours with patient-specific components
  • The comprehensive approach to implant therapy offered by the Inclusive® Tooth Replacement System
  • Basic surgical parameters for implant restorations in the esthetic zone
  • Establishing natural emergence profiles with custom healing abutments
  • Guidelines for ensuring proper implant positioning, depth and angulation


To meet patient expectations, clinicians should make the prosthetic outcome a key consideration during every phase of implant therapy from diagnosis and treatment planning, to surgical placement of the implants, through delivery of the final restoration. The anatomically correct shape of patient-specific components help implement this restorative-driven approach by managing soft tissue during the healing phase to establish esthetic margins, contours and a natural emergence profile. By keeping the final prosthetic outcome in mind at every step, clinicians can restore missing teeth and be confident of obtaining an esthetic result.

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.

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