-
0
Introduction
00:00 - 02:53
-
1
Implant soft tissue interface: materials and manipulation
02:53 - 18:02
-
2
Prosthetic concepts
18:02 - 23:17
-
3
Tissue management: surgical and prosthetic strategies
23:17 - 28:32
-
4
Immediate implant placement in the anterior region
28:32 - 37:23
-
5
Conclusions
37:23 - 37:52
- 6 Community questions
Eric Rompen: Long-term tissue health and stability - how to achieve
Video highlights
- Comprehensive discussion of factors influencing soft tissue health and stability in the esthetic zone
- Either tissue level implant design or bone level implants with the one-abutment-one-time concept are soft tissue-friendly procedures, disconnection of the abutment should be avoided
- Platfom shift implants and adequate concave abutment emergence profile design can further increase the soft tissue volume
- Sufficient soft tissue volume is crucial, e.g. with connective tissue graft augmentation
- Prosthetic procedures can be detrimental to the adhering soft tissue around the implants
- Macao 2015 symposium presentation
Stable and healthy soft tissue conditions are important for the longevity of implant restorations and crucial for their esthetic success, especially in the esthetic region. Dr Rompen is reviewing aspects of the biological width and gingival biotypes and is discussing important influencing factors on gingival health and stability, such as material biocompatibility, soft tissue augmentation, implant and abutment design and prosthetic procedures. Either tissue level implant design or bone level implants with the one-abutment-one-time concept are soft tissue-friendly procedures. Titanium and Zirconia abutment materials show highest biocompatibility. To support the biological width and gingival stability it is important to have sufficient soft tissue volume around the implant and sufficient keratinized gingiva, if needed by tissue augmentation with connective tissue grafts. Platform shift implants and adequate concave abutment emergence profile design can further increase the soft tissue volume. Prosthetic procedures need to take into account that there is no attached but rather adhering gingiva present around implants, to which e.g. cementation procedures, retraction cords etc. can be detrimental.