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

Maintaining Interimplant Crestal Bone Height Via a Combined Platform-Switched, Laser-Lok Implant/Abutment System: A Proof-of-Principle Canine Study Maintaining Interimplant Crestal Bone Height Via a Combined Platform-Switched, Laser-Lok Implant/Abutment System: A Proof-of-Principle Canine Study

Author(s):

Myron Nevins, DDS;Marc Nevins, DMD, MMSc; Luca Gobbato, DDS, MS; Hyo-Jung Lee, DDS, PhD; Chin-Wei Wang, DDS; David M. Kim, DDS, DMSc

Date Added:

6/6/2013


Summary:

Interimplant papillae are critical for achieving esthetic implant-supported restorations in the maxillary esthetic zone. Stable papillary anatomy, however, depends upon a stable volume underlying crestal bone for support. Multiple studies have documented a critical interimplant distance of 3mm under which crestal bone resorption occurs. This preclinical proof-of-principle canine study examines a novel implant-abutment system design, combining platform switching with precisely configured laser-ablated abutment and implant microgrooves to maintain interimplant crestal bone at interimplant distances of 2 and 4 mm. Results of this initial preclinical study suggest that it is possible through precise implant/abutment design modifications to place adjacent implants at distance of 2 to 4 mm without inducing subpapillary crestal bone loss.

Related Articles
Fundamentally Changing Soft Tissue Grafting

Fundamentally Changing Soft Tissue Grafting
Soft tissue augmentation procedures to increase the existing zone or create a new zone of keratinized tissue have been classically, and are routinely, performed using the patient's palate as the donor material. This article describes the simplistic use of a periodontal material that can be used for soft tissue augmentation procedures without using the patient's own palate to procure the donor tissue. This periodontal material is an acellular dermal allograft that has been used extensively in medicine.…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique

Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique
An optimal esthetic implant restoration is a combination of a visually pleasing prosthesis and surrounding peri-implant soft tissue architecture. This article introduces a clinical method, the dynamic compression technique, of conditioning soft tissues around bone-level implants with provisional restorations in the esthetic zone. The technique has several goals: to establish an adequate emergence profile; to recreate a balanced mucosa course and level in harmony with the gingiva of the adjacent teeth, including papilla height/width, localization of the mucosal zenith and the tissue profile's triangular shape; as well as to establish an accurate proximal contact area with the adjacent tooth/implant crown.

Author(s): Julia-Gabriela Wittneben, DMD, MMSc; Daniel Buser, DMD; Urs C. Belser, DMD; Urs Bragger, DMD
View Article>>
Soft Tissue Management and Functional Mock-Ups

Soft Tissue Management and Functional Mock-Ups
Patients desiring a cosmetic smile improvement can present treatment planning challenges. An excessive display of gingiva resulting from a high lip line often complicates treatment planning and can compromise the final esthetic result. As we evaluate the patient, we often have to ask ourselves, do we “lower the river” (increase tooth length incisally), “raise the bridge” (increase tooth length gingivally) or use a combination of both approaches? This article addresses this issue using a methodological…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
View Article>>
Related Videos
Abutment Selection and Tissue Modeling in Implant Dentistry Premium Member Content

Abutment Selection and Tissue Modeling in Implant Dentistry
Dr. Barry Goldenberg outlines the unique role that the implant abutment/connection complex plays in peri-implant tissue stability. Specifically, how the interactions of the various components in this complex, and their relationship to each other, influence the shape, color and contour of the critical soft tissue around implants in the esthetic zone. In addition, stock and custom abutments are compared relative to their respective benefits.

Presented By:: Barry Goldenberg, DMD, MS, Pc
Presentation Style: Video
Community Rating:
 
Watch Now>>
Reconstruction of Large Post-Extraction Defects within the Esthetic Zone Premium Member Content

Reconstruction of Large Post-Extraction Defects within the Esthetic Zone
Dr. Miguel Stanley discusses the reconstruction of large post-extraction defects within the esthetic zone involving both bone and soft tissue deficiencies.

Presented By:: Miguel Stanley, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Growth Factor Mediated Regenerative Therapies Premium Member Content

Growth Factor Mediated Regenerative Therapies
In this very technical and scientific presentation, Dr. Joseph Choukroun, a physician and researcher from France, describes the benefits of Platelet Rich Fibrin (PRF) in wound healing. He emphasizes the effect of PRF on the two essential factors of wound healing which are new vessels and cells in surgical sites like extraction sockets, sinus augmentation and more.

Presented By:: Joseph Choukroun, MD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry Premium Member Content

Tissue Responsible Dentistry - Part 1: Contemporary Concepts in Hard & Soft Tissue Management in Implant Dentistry
This clinical and evidence based presentation emphasizes the importance of proper 3-dimensional implant surgery and how soft tissue grafting can effect the final end result. There will be a special focus on immediate extraction site placements and surrounding tissue management as well.

Presented By:: Attila Bodrogi, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
A Review of Clinical Applications for Soft Tissue Allografts & Autografts: Solutions for Teeth, Implants, and Dentures Premium Member Content

A Review of Clinical Applications for Soft Tissue Allografts & Autografts: Solutions for Teeth, Implants, and Dentures
The presentation focuses on the clinical applications for acellular dermal graft (ADG) materials. ADGs have been commonly presented and discussed to provide solutions for treating gingival recession. Compared to autogenous grafts, they have the advantage of minimizing pain, discomfort, and surgery time for patients by avoiding an intraoral donor site such as the palate. In addition to treating gingival recession, ADGs also have uses in bone grafting surgeries such as socket grafting and ridge augmentations (GBR) when they are utilized as a barrier membrane. Finally, ADGs can be combined with bone grafting materials to aid in the augmentation of edentulous ridges to aid denture support. While this last application is less common, it's use is worthy of discussion.

Presented By:: David Wong, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Revisiting the Papilla in 2016 - Part 2 of 2 Premium Member Content

Revisiting the Papilla in 2016 - Part 2 of 2
While different surgical techniques can restore most aspects of a ridge deficiency,as part of the soft tissue restorative frame, the regeneration of lost proximal papilla form is surgically limited to those papillae bordered on each side by a pontic The Classification of 6 types of papilla defects is based on the specifics of the restorative support on either side of the individual site,and can therefore be a tooth, implant or pontic, or combinations of the 3.

Presented By:: David Garber, DMD
Presentation Style: Online Self-Study 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
©2018

Preferred Language: English Flag
Contact Us · Login · Register