Aesthetic Enhancement of Anterior Dental Implants with the Use of Tapered Osteotomes and Soft Tissue Manipulation
Jack A. Hahn, DDS;Lee H. Silverstein, DDS, MS, FACD, FICD
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.
A comparative study of bone densitometry during osseointegration: Piezoelectric surgery versus rotary protocols
The aim of this study was to compare the radiographic differences, through evaluation of peri-implant bone density, between implant insertion using traditional surgical technique and piezoelectric technique.
Flapless Postextraction Socket Implant Placement, Part 2. The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height & Thickness - A Retrospective Study
This article presents the results of evaluating the changes in peri-implant soft tissue dimensions associated with immediate implant placement into anterior post-extraction sockets for four treatment groups: no BGPR(bone graft, no provisional restoration), PR (no bone graft, provisional restoration), BG (bone graft, no provisional restoration), and BGPR (bone graft, provisional restoration). The vertical distance of the peri-implant soft tissue was greater for grafted sites than for non-grafted ones. The facial soft tissue thickness at the gingival third was greater for grafted than for non-grafted sites and for sites with provisional restorations compared to sites without them, respectively. The net gain in soft tissue height and thickness was about 1mm. The increases in vertical and horizontal dimensions for grafted sites were between 0.5 and 1.0mm, as compared to sites with no bone graft and no provisional restoration.
Making Clinical Choices on Implant Diameters
A discussion regarding the utilization of software applications to document and compare case results in regards to choices of various implant diameters.
Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 1 of 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration.
Drilling at low speed
Low speed and heat for better implant surgeries.
Prosthetic Strategies to Enhance Dental Implant Aesthetics
The principle focus of implant dentistry has changed significantly from the era of ‘Anatomically driven implant placement’ to the current practice of ‘Restoration driven implant placement’. When we now look at the failing dentition in the aesthetic zone we now must immediately consider conversion to implants. We are continually seeking greater control of the peri-implant tissues and ultimately the aesthetics of the restoration. Implant/abutment designs allow us to consider immediate implant replacement, and immediate non-functional loading especially in the aesthetic zone, where preservation of hard and soft tissue is of paramount importance in order follow the principles of aesthetics by maintaining the elements which are already there
7 Ways to Improve Patient Care with 3D Implant Dentistry and Guided Surgery
Whether you are learning something new, or comparing notes, I look forward to sharing with you in this new age of digital dentistry. Join me for a discussion on the world of digital patient care. I will give you the tools to navigate and speak confidently with patients and other providers about 3D implant dentistry and guided surgery.
Simplification of the Complex Case - Restorative Efficiencies
Contemporary implant dentistry relies on a proper diagnosis, astute treatment planning with an interdisciplinary team. Vision, communication and execution are indispensable for a long term healthy esthetic outcome.
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