Unstable soft tissue seal at implants favors an inflammatory reaction that can lead to facial recession, pocket formation and loss of bone support. The more stable and tight the soft tissue seal, the more predictable the outcome of implant rehabilitation. A major criterion influenc

The goal of creating a harmonious aesthetic outcome around dental implants that mimics the surrounding dentition and soft-tissue condition as well as morphology is indeed difficult to create and maintain long term. The subepithelial connective tissue graft (CTG) is a favored option...

This presentation will review the contemporary surgical and prosthetic concepts in management of implants in the aesthetic zone with a view to achieving optimum long term esthetics and stability.
The outcomes depend on the clinical management and an understanding and application of...

Narrow spaces, especially in the aesthetic zone, have always been challenging for implant placement. Anatomic hard tissue reconstruction before implant placement is a pre-requisite in case of deficiency. At the time of implant placement, surgical guides in the past were not adapted...

This lecture will focus on the biologic criteria when it comes to restoring anterior implants using as an alternative a screw or cement retained restoration. The main problematic aspect for the cemented implant restoration will be discussed widely with different clinical examples...

Pink Esthetic Score assesses 7 soft tissue variables, it allows for reproducible assessments of peri-implant soft tissue around single tooth implants (Gehrke 2009). Different treatment modalities can be compared, flapless procedures show better outcomes than flapped procedures...

Dental implants have evolved dramatically over the last decade, and so have our expectations in terms of function and aesthetics. The augmentation of soft tissue around dental implants for enhancing inter-implant papilla architecture has emerged as an area of much concern and focus...

There is a need for a critical dimension of soft tissue seal protecting the osseointegration (biological width) and a minimum width and thickness of keratinised mucosa surrounding an osseointegrated implant. The standard surgical interventions to treat these conditions need a...

Is a failing implant a red flag scenario in the learning curve?

With the explosive penetration of implantology in the dental community, we are more often confronted with complications and failing implants. Corrections and re-treatment are difficult and time consuming. Inadequate...

Replacement of failed implants (functional or esthetic) can be a daunting task and often achieves unsatisfactory results. A decision on implant removal, according to set guidelines, should be made as soon as possible to avoid unnecessary tissue loss. Normal bone physiology should...

A 33-year-old male patient's chief complaint was a missing lateral incisor which had been extracted several years earlier. A one-stage implant procedure simultaneous to connective tissue grafting and the use of a slim healing abutment was planned.

Immediate implants and immediate provisionalization (IIPP) has been shown to provide optimal preservation of soft and hard tissues which is paramount in the esthetic zone. Often IIPP are reserved for carefully selected cases with minimal risks as this technique was considered to be...

Reaching for an aesthetic end-result involves optimized soft tissue protocols. The use of provisional restorations gives advantages and makes the final prosthetic steps easier to achieve an excellent esthetic result. The handling of the soft tissue and its manipulation at the right...

The necessary treatment steps from reaching osseointegration around an implant to optimized esthetics are a challenge for every clinician. The treating clinician needs to consider surgical, perio and restorative aspects to reach best outcomes. What tools could be used to facilitate...

This presentation will describe their experience in challenging cases as a team in a two-way communication. Clinicians and dental technicians have access to an astounding array of new technologies, tools and materials to design beautiful smiles.

This presentation puts an emphasis...