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Video Details
"The Soft Block": Treating Severe Recessions Around Dental Implants

Description:
Implants have been one of the major breakthroughs in dentistry. Tissue collapse around dental implants is our number one enemy as it gives rise to serious problems that go from inflammation, through many times chronic infection, all the way down to severe recession, seriously compromising not only esthetics, but also function and our patients well being. Strategies have been developed to help clinicians to try to avoid collapse. Among the most important are procedures such as: grafting the gap; GBR with several biomaterials and barriers; flapless approaches; immediate implant placement after tooth removal with provisionalization using CAD-CAM & 3D technologies and ultimately PET strategies also combined or not with immediate load. Unfortunately severe recession around dental implants are still a problem clinicians have to face in their everyday practice. Recessions and peri-implantitis come together very often. To deal with it we have to develop strategies to meet our patients expectations. Being capable to improve the biological environment around a dental implant may have huge relevance in it´s long-term prognosis. Treatment algorithms proposed by some authors are often very complicated and so many times frustrating in what comes to results. A biological approach will be presented to try to solve this kind of clinical challenge, other than implant explantation that must be also, and so many times, considered as the first choice.

Date Added:
11/30/2017

Author(s):

Filipe Lopes, DDS, DMD Filipe Lopes, DDS, DMD
Filipe Lopes DDS, DMD

Dental degree in Oporto’s Dental University - Hospital de S. João - FMDUP.

Member of BTI´s International Scientific Committe...
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Online Videos / Surgery / Soft Tissue / "The Soft Block": Treating Severe Recessions Around Dental Implants




Questions & Comments
filipe lopes - (2/10/2018 9:18 AM)

Basil thank you for your input. Yes, you got it right: the harvesting includes the periosteum. I would say that this is probably the reason the results are so incredible! Filipe Lopes

yosef kowalsky - (1/4/2018 12:21 AM)

Thank you . PLEASE show us how to create implant sulcuses like you do !!

barry manson - (12/5/2017 8:09 AM)

very interesting! Thank you! barry

kevin potocsky - (12/4/2017 2:33 PM)

this is just a free gingival graft covering rough implant surface?? Did i miss anything?? Can we roughen the implant with bur??

yiannis vergoullis - (12/4/2017 6:13 AM)

This is a great presentation! If you would be please be so kind I have the following questions: 1. 0.2μRa has been shown to be the threshold value regarding composite roughness with regards to plaque adhesion,on the other hand a well polished surface has shown variable results with regards to CT adhesion (Chu S et al. dual zone article, where some cases showed bleeding and some no upon temporary prosthesis removal). Thus the tissue you show on your last case with the custom healing abutment, is this CT adhesion effect or an irritated/possibly inflamed tissue? My guess is that only histologic evaluation of cells present would give a definitive answer but I am interested in your opinion 2. With regards to Laser lock design, it is my understanding that the effect is due to the different micro geometry and not to the roughness of the surface. Surface treatment modalities have an effect on the roughness and is irrelevant to the presence of the groves, am I wrong? I believe that you have raised an important parameter which is the roughness threshold of biocompatible materials with regard to CT response. Very interesting! Thank you Ioannis

Maurice Salama - (12/3/2017 9:05 AM)

Absolutely LOVE this CONCEPT and presentation. It is a MUST for ALL especially those performing advanced implant procedures. The TISSUE is the ISSUE indeed!! thanks Mo

Basil Fletcher - (12/2/2017 5:22 PM)

Thank you for an excellent presentation. Does the soft tissue block include the palatal periosteum. Would you advise smoothing of the exposed threads for easier maintenance and to decontaminate the implant surface. Thank you, Basil Fletcher

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