Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Aesthetic Enhancement of Anterior Dental Implants with the Use of Tapered Osteotomes and Soft Tissue Manipulation Aesthetic Enhancement of Anterior Dental Implants with the Use of Tapered Osteotomes and Soft Tissue Manipulation

Author(s):

Jack A. Hahn, DDS;Lee H. Silverstein, DDS, MS, FACD, FICD

Date Added:

7/1/1998


Summary:

As osseointegration of endosseous dental implants has become predictable and well-documented, the emphasis in dental- implant treatment has shifted from functional concerns to the achievement of long-term aesthetic results. An adequate alveolar bone base is the prerequisite for functional and aesthetically optimal reconstruction of the soft-tissue architecture. This is true for both fixed partial denture (FPD) pontic sites and dental implant sites. In patients with sufficient bone height but insufficient bone width resulting from tooth loss, a ridge enlargement technique using osteotomes combined with soft-tissue manipulation may be utilized to facilitate proper implant placement and optimize the aesthetics of the final implant prosthesis. This article discusses the principles involved in proper application of this technique.

Related Articles
Anterior Extraction & Implant Placement in a Severely Deficient Site

Anterior Extraction & Implant Placement in a Severely Deficient Site
Extraction and implant placement is a functionally predictable therapeutic modality. Esthetic predictability, however, can sometimes prove elusive. This is especially true for the implant replacement of severely compromised anterior teeth with hard and soft tissue deficiencies within the esthetic zone.

Author(s): Sergio Rubinstein, DDS;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Mark B. Jacob, DDS
View Article>>
Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series

Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series
After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth.

Author(s): Markus Glocker, Dr. Med. dent ; Thomas Attin; Patrick R. Schmidlin
View Article>>
Healing of Osseotite Implants- After 2 months

Healing of Osseotite Implants- After 2 months
A growing number of clinical studies show that early (2 months) and immediate loading protocols may be predictable. However, they are based on clinical stability only. The aim of this case report was to document the osseointegration status of two Osseotite implants after 2 months of healing in soft bone corresponding to type IV and subjected to two distinct mechanical environments. A completely edentulous patient received a total of 11 Osseotite implants in the mandible. Six were immediately loaded…

Author(s): Tiziano Testori, MD, DDS, FICD;Serge Szmukler-Moncler, DDS, PhD, Luca Francetti, MD, DDS, Massimo Del Fabbro, BSc, PhD, Paolo Trisi, DDS, PhD, Roberto L. Weinstein, MD, DDS
View Article>>
Related Videos
Platform Switching Research and Clinical Decisions in Implant Therapy – Part 2 Premium Member Content

Platform Switching Research and Clinical Decisions in Implant Therapy – Part 2
Dr. Tord Lundgren presents his research on the effectiveness of the abutment-implant connection of the Ankylos system to prevent bacterial leakage.

Presented By:: Dr. Tord Lundgren
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Platform Switching Research and Clinical Decisions in Implant Therapy - Part 1 Premium Member Content

Platform Switching Research and Clinical Decisions in Implant Therapy - Part 1
Dr. Alan Fetner discusses how he utilized a retrospective analysis of his clinical results to confirm his decision to utilize a platform switch implant design combined with subcrestal placement to optimize and stabilize osseous and esthetic soft tissue levels.

Presented By:: Alan Fetner, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Ridge Split Procedure with Simultaneous Implant Placement Premium Member Content

Ridge Split Procedure with Simultaneous Implant Placement
A ridge split procedure has been suggested in literature for increasing the bucco-lingual width of the alveolar ridge prior to implant placement. The procedure can be performed in one or two surgical appointments. It is usually combined with additional augmentation utilizing a bone substitute material and a collagen membrane. In this video Dr Kher demonstrates a ridge split procedure that has been facilitated using a piezo surgical device. Following that he places 2 implants for the proposed restoration of a missing maxillary canine and first bicuspid after preparing the ossteotomy site using expansion screws. Thereafter he uses a CPS putty to graft the gap between the implants to fill all voids and achieves a satisfactory tension free closure.

Presented By:: Udatta Kher, BDS, MDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction Premium Member Content

Prosthetic Soft Tissue Development From Single to Full Arch Reconstruction
In addition to surgical intervention is the creation of the specific emergence profile that is essential in the aesthetic zone. The emergence profile composed of 2 parts, the abutment and the subgingival part of the crown. The shape of abutment can be individually shaped so that it gives natural appearance and varies individually (depending on the depth, angulation and diameter of the implant). Sometimes it even dictates the implant position. From a surgical perspective, soft tissue height, position and thickness need to be diagnosed and corrected when needed. From the prosthetic point of view, the emergence profile has to be created to mimic the natural appearance and maintained over time in respect to the biological changes. The course teaches step by step how to be successful with implant prosthetics from single tooth, partially edentulous to full arch reconstruction.

Presented By:: Marius Steigmann, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Achieving Stable Esthetic Results with Implant Supported Restorations Premium Member Content

Achieving Stable Esthetic Results with Implant Supported Restorations
This presentation will focus on the management of the hard and soft tissue around dental implants and analyzing the characteristics of different periodontal biotypes. We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.

Presented By:: Gianluca Paniz, DDS, MS, FACP;Luca Gobbato, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
A Treatment For The Prevention of Maxillary Edentulism: All On Four For The Maxilla Premium Member Content

A Treatment For The Prevention of Maxillary Edentulism: All On Four For The Maxilla
Since the advent of osseointegration, the patient who is edentulous or soon to be edentulated has many options to prevent wearing complete removable prosthesis. In the maxillary arch there are anatomical features that may preclude patients successfully utilizing an implant prosthesis. Some of these include alveolar resorptive changes after extractions, pnuematized sinuses, hard and soft tissue palatal vault configurations, and bone exostosis with associated undercuts. Psychological, many patients suffer after the loss of teeth with loss of self-esteem and avoidance behaviors. This program will focus specifically on the diagnostic, surgical, and prosthetic procedures of the All On Four patient. In this webinar, Dr. Duello will build upon the material provided in previous presentations on DentalXP with detailed guidance on clinical procedures for the All On Four in the maxilla.

Presented By:: George V. Duello, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free



Contact Us | Privacy Policy | Terms of Use
©2016

Preferred Language: English Flag
Contact Us · Login · Register