Cursusomschrijving
Management of implant soft tissue complications in the esthetic zone
The recession of the buccal soft tissue margin is a frequent complication
of well integrated dental implants. The appearance of metallic structure
or even their transparency through the thin buccal soft tissues are
common reasons for patient aesthetic complains. Moreover, bad implant
installation frequently results in excessive apical dislocation of the buccal
soft tissue margin of the implant supported crown.
Soft tissue plastic surgical procedures and bilaminar techniques in
particular, can be successfully used in combination with a pre and
postsurgical prostethic approaches to increase the volume of the
interdental soft tissue, to treat buccal soft tissue dehiscence around dental
implants and to provide the new implant supported crown with an esthetic
transmucosal emergency profile.
Aims:
• To show a combined surgical prosthetic approach for the treatment of
soft tissue dehiscence.
• To provide long-term results showing the stability of the obtained
outcomes.
Learning Objectives:
Participants will learn:
• Solve peri-implant soft tissue complications
• Perform a coronally advanced flap to cover a soft tissue dehiscence
• Harvest connective tissue graft
• Prosthetically manage the soft tissue conditioning after mucogingival
surgery
Regenerative strategy in the treatment of infrabony defects in the
esthetic area
Traditionally the outcomes of the regenerative therapy were considered
the radiographic bone defect fill and the clinical attachment level gain.
Nowadays, in the esthetic area, these aspects are not enough, and the
improvement of soft tissue esthetic appearance along with periodontal
regeneration is of paramount importance.A novel procedure combining
a papilla preservation technique with a connective tissue graft below the
coronally advanced flap will be presented.
The connective tissue graft act as the buccal “soft tissue wall” of the
intrabony defect treated with amelogenin increasing the blood clot
stability to obtain periodontal regeneration and to improve the esthetic
result.
Soft tissue prognostic factor influencing the selection criteria for
regenerative therapy or tooth extraction will be discussed
Learning objectives:
1)Which are the prognostic factors for the success of the regenerative
therapy?
2)Which are the criteria to determine whether to maintain a tooth with an
infrabony defect or extract it?
3)Is it really possible to improve esthetic outcomes in regenerative surgery?