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Video Details
Marginal Bone Loss & Periimplantitis

Description:
The main objective of this lecture is to discuss in detail the rules to avoid periimplantitis and marginal bone loss in daily practice. Simply put, placing implants according to mucosa thickness including the one abutment one time protocol for predictable and consistently successful results to avoid SLA contamination on the implant.

Date Added:
8/18/2020

Author(s):

Jorge Campos Aliaga, DDS, PhD Jorge Campos Aliaga, DDS, PhD
Dr Jorge Campos Aliaga DDS, Ph D, Associate Professor ESI Barcelona, Master of Implantology School Director, Orthodontic postgraduate, Private practice in Esthetics and...
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Online Videos / Surgery / Periodontic Surgery / Marginal Bone Loss & Periimplantitis




Questions & Comments
Jorge Campos - (8/31/2020 6:43 AM)

Julien, we had on the past too many ghosts...one of them was excesive crestal forces...and the nice finite elements studies showed nice colours saying that...Because we didnt understand marginal bone loss. We also considered the internal or external hexagon as the mechanical responsive for bone loss due to movement and bacteria pumping inside the implant body...again just not true. Mucosa thickness a biologic width establishment is the responsable of marginal bone loss. Just simply try inserting 2 implants on the same patient, one with the 4 mm rule and the next at crestal level. Same implant, same abutment and same surgeon. And see the difference response on the long run... At 1 year the comparisson is favourable for the implant placed according the 4 mm rule. Regards.

Jorge Campos - (8/31/2020 6:22 AM)

Hi Laurent, you can do soft tissue augmentation at the time of surgery or at uncovery. The idea is to have the 4 mm rule working. So...if you have 2mm mucosa thickness, just place impant 2mm deeper related to crestal level...and so on. If at uncovery you see there is bone remodeling you can add mucosa thickness while you insert your Multiunit Abutment at the same time. Regards, Jorge

laurent oiknine - (8/23/2020 8:31 PM)

Very convincing presentation. If I understand well, implant is placed following the 4mm rule, then multi-unit, then healing cap over multi-unit. Therefore any muco-gingival enhancement has to be done prior to implant placement i.e. no roll technique is possible at uncovery to then enhance thickness of tissue and width of attached gingiva. Any indications as of when to leave the implant completely submerged under hard and soft tissue at time of placement. ( flapper over it, etc..) ?

Julien Morneault - (8/19/2020 9:57 PM)

Beautiful presentation!! My question is about excessive compressive bone at the implant shoulder which have always been a big concern to me. Is it still something to consider along with the total tissu thickness of 4mm over the implant? Thank you so much for your presentation, small details that bring so much to our practice!!

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