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Video Details
Zero Bone Loss Protocol - Part I: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability

Description:
Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Implant placement level is important for bone stability. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin.

Date Added:
12/20/2017

Author(s):

Tomas Linkevicius, DDS, Dip Pros, PhD Tomas Linkevicius, DDS, Dip Pros, PhD
Dr. Tomas Linkevicius has received DDS degree in 2000 in Kaunas University, Lithuania. In 2004 he finished post-graduate program in prosthodontics in Vilnius Universi...
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Online Videos / Surgery / Periodontic Surgery / Zero Bone Loss Protocol - Part I: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability




Questions & Comments
Tom Cassidy - (1/1/2018 12:36 PM)

Nice presentation. Can we take it that you do not consider biological width a cause for bone loss in thin bio type

Osama Abdel Qader - (12/30/2017 7:05 AM)

Nice presentation of showing the importance of this new parameter... what is the minimum thickness of vertical tissue to call it "Thick Vertical Tissue" ? thank you

ward clemmons530 - (12/26/2017 6:51 PM)

I would imagine that placing an abutment one time and leaving it alone throughout the treatment would also be a factor. Only problem is that you need to use cemented restorations or use some sort of transitional abutment. Very well done. Aciu Labai!

FARHAN DURRANI492 - (12/24/2017 9:53 PM)

great concept .logical

Alberto Miselli - (12/22/2017 7:33 PM)

Excellent presentation with a wide literature review. There are many study, as you said, that don’t take into account the height of the mucosa tissue in the area of implantation before surgery. Many literatures, talking about on the amount of connective tissue from a three-dimensional point of view needs to be revised. We agree that the vascularization and organization of the collagen fibers, especially the circumferential ones, that are supported by a reduced platform, but the key is the biological width that we are going to create after the crown delivery. In my point of view, if the crown-implant system has a more space from crestal bone and sub critical crown, 2 mm at least, where a platform switching at crestal bone level is. Otherwise, In buccal view, the biotype is mandatory to increase the amount of vessel and subsequently a better blood supply. Thank you very much, I enjoyed your lecture. Looking forward for your second part. Sincerely Alberto Miselli

Maurice Salama - (12/22/2017 3:36 PM)

Well done my friend and see you in Florida in February....we await Part 2. regards Maurice Salama

yiannis vergoullis - (12/21/2017 5:23 AM)

Amazing presentation in all aspects!!! BIG LIKE! Ioannis

snjezana pohl - (12/20/2017 4:45 AM)

This webinar fulfilled all my expectations: a great overview about factors influencing peri-implant bone loss and tremendous importance of soft tissue thickness. Puzzle pieces put logically together! Thank you, Tomas Linkevicius and Dental XP.

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Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Implant placement level is important for bone stability. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorbtion. The role of soft tissue thickness is well established in aesthetic treatment. It is known that thin soft tissues present an unfavorable situation for implant placement, crestal bone stability and subsequent prosthetic treatment.

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