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A Novel Surgical-Prosthetic Approach to Optimize Peri-Implant Tissue Esthetics

The achievement of an aesthetic implant-supported restoration is a constant challenge to the restorative dentist. Due to the circular shape of the implant and its smaller diameter, when compared to the root of a natural tooth, a dilemma inevitably occurs of how to construct an artificial crown that will imitate the natural tooth crown form. The appearance of the surrounding soft tissue is of major importance, and various techniques have been developed to guide its topography. The Marginal Migration Concept is a technique that helps the clinician in order to achieve a long-term predictable outcome in the Aesthetic zone by enhancing the surrounding tissues. The lecture will show step-by-step clinical procedures from diagnostic models through surgery with immediate provisional restoration therapy to the definitive restorations.

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Konstantinos D Valavanis, DDS Konstantinos D Valavanis, DDS
Dr. Valavanis attended the National and Kapodistrian University of Athens Dental School, Greece, where he received his degree in dentistry in 2000. After graduating he ...
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Online Videos / Surgery / Periodontic Surgery / A Novel Surgical-Prosthetic Approach to Optimize Peri-Implant Tissue Esthetics

Questions & Comments
Osama Abdel Qader - (1/23/2018 9:27 AM)

thank you for the straight and simple technique

konstantinos valavanis - (8/16/2017 6:17 AM)

Dear dr. Pohl, thank u for your comment. As for the part you mentioned you don't like, xenografts still remain the golden standard for the aesthetic zone among many experts in such a scenario. Scientific evidence and many many beautiful results have shown this.

konstantinos valavanis - (8/16/2017 6:00 AM)

Dear dr. Emil , we don't gain papillae in such a scenario as they belong to the neighboring teeth with sharpey fibers. We just "squeeze" them properly in order to have an ideal tone. The distal papilla on a central incisor in a NON THICK soft tissue biotype will shrink a bit due to the fact that only the smaller surface of the neighboring lateral has been left to support it with sharpey fibers. The main issue though on the prosionalisation phase is to gain the marginal tissue. The more marginal migration of the tissue we have the smaller the papillae appear..... cheers

konstantinos valavanis - (8/16/2017 5:33 AM)

Thank you dr.Durrani.

snjezana pohl - (7/30/2017 12:32 PM)

Very nice concept and great results. The second law of physics says that two objects cannot occupy the same place at the same time. And you show very nice how to make a space for the soft tissue. What I don`t like is the fact that a buccal implant surface is surrounded with a xenograft only.

emil quispilaya - (7/29/2017 11:56 AM)

I like This technique, but i think you can gain More papilla during provisional phase

FARHAN DURRANI492 - (7/23/2017 8:54 AM)

Great Presentation

konstantinos valavanis - (7/22/2017 2:58 PM)

Hi Mo:) great question which means a long answer... type 2 socket is the one with the most controversial treatment scenarios as there is a defect in the hard but not in soft tissues. Of course clinically there are many different sub-categories of type 2 sockets. i like to see 5 sub-categories: a) small mid-facial defect of the buccal plate b) a bigger defect but the base of the buccal plate is present c)no buccal plate is present d)no buccal plate is present and also inteproximal defect(s) is/are present e) no buccal plate and palatal bone defect we can understand that the bigger the hard tissue defect present, the thicker the soft tissue biotype is in order to be in the type 2 socket category, meaning there is no way to have a missing buccal plate, thin soft tissues and no soft tissue recession. Keeping all this in mind i treat with my concept as described on the video the 2 first sub-categories of type 2 sockets with minor modifications as i show in the last case. I promise to share and discuss with you and the dental XP community my treatment approach for all subcategories in type 2 sockets on February in Florida. big hug

Maurice Salama - (7/16/2017 6:08 PM)

Kostas can you describe your approach to Type 2 Sockets using the "marginal migration" concept you describe here? Thanks Maurice

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