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

Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement Surgical Veneer Grafting - Compensation for Natural Labial Plate Remodeling After Immediate Implant Placement

Author(s):

Alessandro Agnini, DMD;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Andrea Mastrorosa Agnini, DDS

Date Added:

3/14/2017


Summary:

Contemporary implant therapy aims to provide highly esthetic and predictable treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore be cognizant of circumstances with a predisposition toward esthetic outcomes and treatment plan accordingly. Preservation of the surrounding hard and soft tissues associated with an immediate postextraction socket implant to replace a nonrestorable tooth in the esthetic zone is one of the greatest challenges facing the dental team. Several studies have documented the biologic and esthetic benefits of bone graft containment with either a custom healing abutment or provisional restoration. Because esthetic complications increase in patients with a thin periodontal phenotype, additional surgical intervention may be necessary to enhance the surrounding soft tissue architecture before, during, or after implant placement. A combination of bone graft and connective tissue graft can help in overbuilding the socket site and achieve a sustainable and predictable esthetic outcome, especially in patients with a thin gingival phenotype. A case report of a hopeless maxillary left central incisor in a patient with a thin periodontal phenotype illustrates this new surgical and prosthetic approach. Clinical, radiological, and esthetic parameters were recorded to evaluate primary treatment outcomes.

Related Articles
Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery

Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery
During the past two decades, significant advancements with the integration of periodontal plastic surgery into esthetic restorative dental procedures have received increased attention. While ovate pontics have traditionally been used as a restorative design following augmentation procedures to enhance esthetics, an alternate E-pontic design aims to predictably support and maintain the gingival architecture between a single missing anterior tooth adjacent to a natural tooth or an implant that is in harmony with the lip line and face. In addition, the E-pontic design promotes the gingival facial tissue to coronally migrate over the pontic, creating a gingival sulcus. This article describes an innovative new technique and a pontic design that predictably will develop, support, and maintain the gingival architecture to provide a long-term esthetic and functional outcome.

Author(s): Robert P. Korman, DDS, MAGD
View Article>>
Quest for the All Ceramic Restoration

Quest for the All Ceramic Restoration
The all-ceramic, full-coverage restoration has long been the center of the profession's ardent quest for the consummate esthetic restoration. Over the years, we have come to acknowledge the optimal esthetics of the all-porcelain crown, but its tendency to fracture over time rendered it an "alternative" restoration for specifically selected cases when compared to the "workhorse" of porcelain-fused-to-metal restorations. The initial dental feldspathic porcelains exhibited low shear strength with a…

Author(s): Ronald Goldstein, DDS;David Garber, DMD;Henry Salama, DMD;Pinhas Adar, MDT, CDT
View Article>>
Interdisciplinary management of anterior dental esthetics

Interdisciplinary management of anterior dental esthetics
This article describes an interdisciplinary approach to the diagnosis and management of anterior dental esthetics.

Author(s): Vincent G. Kokich, Sr., DDS, MSD;Frank M. Spear, DDS, MSD; David P. Mathews, DDS
View Article>>
Related Videos
Alternative Design for Resin Bonded Bridges: A Clinical Report Premium Member Content

Alternative Design for Resin Bonded Bridges: A Clinical Report
When replacing missing teeth, resin bonded fixed partial dentures (RBFPDs) are a routine, minimally invasive option for patients that cannot or will not move forward with surgical interventions. Debonding of RBFPDs, however, remains a significant clinical problem. In this clinical report, novel RBFPD designs are presented, to improve retention and esthetics.

Presented By:: Wendy AuClair-Clark, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Computer-Guided Occlusal Analyses in optimizing Occlusal Function - Part 3 of 3 Premium Member Content

Computer-Guided Occlusal Analyses in optimizing Occlusal Function - Part 3 of 3
Dr. Robert Kerstein introduces the principles of utilizing computer-guided occlusal analysis to direct occlusal evaluation and adjustment in the optimization of occlusal function including considerations in implant prosthodontics.

Presented By:: Robert Kerstein, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Balancing Occlusion & Esthetics in Restorative Dentistry Premium Member Content

Balancing Occlusion & Esthetics in Restorative Dentistry
Treatment Planning for optimal Dentofacial Esthetics by managing occlusal disharmony.

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Choosing Anterior Ceramics – The Concept of Restorative Volume - Part 2 of 2 Premium Member Content

Choosing Anterior Ceramics – The Concept of Restorative Volume - Part 2 of 2
The presented Concept of Restorative Volume is based on structural, optical and periodontal factors. Each of these factors will influence the short and long-term behavior of restorations in terms of esthetics, biology and function.

Presented By:: Jorge André Pinto Cardoso, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Achieving Stable Esthetic Results with Implant Supported Restorations Premium Member Content

Achieving Stable Esthetic Results with Implant Supported Restorations
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 Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Smile Design and Team Work Premium Member Content

Smile Design and Team Work
The protocol that is presented will improve the esthetic diagnosis, the communication and the predictability of anterior ceramic restorations.

Presented By:: Christian Coachman, DDS, CDT
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

Recognized Institutes






Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register