Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Digital Patient Specific Implant Abutment Options for Optimum Periodontal and Esthetic Results

Description:
The evolution of Implant Therapy is at the point of uncompromised clinical results when available technologies are appropriately applied. The restorative clinician working in concert with their laboratory can successfully achieve extraordinary results on a routine basis. The various abutment materials and design parameters will be illustrated by review of clinical / laboratory case studies. Restorative material options will be discussed with a focus on optimum long term clinical performance. New long term provisional technology will also be explored. Cementable and screw retained indications and contra-indications will be reviewed as well as approaches to “problem case” solutions.

Date Added:
7/30/2013

Author(s):

David R. Avery, CDT, AAS David R. Avery, CDT, AAS
David Avery, CDT, Director of Professional Services at Drake Precision Dental Laboratory in Charlotte, N.C. received his AS degree in dental laboratory technology from Durham ...
[read more]


Featured Products




Online Videos / Surgery / Implant / Digital Patient Specific Implant Abutment Options for Optimum Periodontal and Esthetic Results




Questions & Comments
Joseph Ardizzone dds - (9/8/2013 10:26 PM)

Great stuff and a few clinical pearls as well, thanks so much for sharing.

David Avery - (8/12/2013 4:39 PM)

Mario Marcone,
Thanks,
1. No stock component compares to customization with a provisional. The real advantage of the Ankylos system when the appropriate sulcus former is utilized is the creation of an "ovate" receptor site for the abutment and restoration. It is indeed a very nice average for the development of the soft tissue.
2. The fabrication of those types of screw retained provisionals is not yet part of the Atlantis portfolio. At this stage we scan with 3 Shapeand mill them from PMMA resin.
Regards, David

David Avery - (8/12/2013 4:31 PM)

R. Terry Councill,
Hi Terry,
In either location the idea is to creat the optimum abutment / restoration interface relavent to the implant position. Ideally the clinician communicates the tissue depth allowing reproducable modification of the cast to idealize the emergence. The more aggresssive the adjustment, the more passive the abutment should be.

David Avery - (8/12/2013 4:10 PM)

Layla Al Hamati,

Thank you very much

David Avery - (8/12/2013 4:10 PM)

Athanasios Ntounis669,
Unfortunately not.

David Avery - (8/12/2013 4:07 PM)

Dr. Salama,
Intra-0ral is ideal but limited to a few capture systems partnering with limited implant manufacturers. As open architecture becomes more commonplace this arena should benefit efficiency and accuracy like nothing before seen.
3 Shape benchtop scanners offer open architecture for the laboratory to partner with numerous production options.

Mario Marcone - (8/1/2013 1:29 PM)

Hello David, thank you for this nice presentation. Doing soft tissue contouring with a provisional becomes very customized to the particular case and the clinician has total control. Do you think that the Dentsply Ankylos healing abutments can do better or "as good as", or are they merely a very good time-saving "average" solution, as compared to custom contouring with provisionals, especially for the esthetic zone. And one more question, does the Atlantis technology have the potential to fabricate custom screw-retained provisionals, for example for a multi-unit prosthesis, with Soft-Tissue Adapt options for the provisional. Warmest Regards, Mario

R. Terry Councill - (7/31/2013 9:54 PM)

I have most always ordered the full anatomical dimension design without necessarily contouring the tissue with a provisional. How would you alter this consideration in the posterior region and again in the anterior region? Thank you. Excellent Priceless Pearl!

Layla Al Hamati - (7/31/2013 8:52 PM)

Great presentation. Thank you

Related Videos
Consecutive Anterior Implants: Surgical and Restorative Management of Esthetic Failures - Part 3 Premium Member Content

Consecutive Anterior Implants: Surgical and Restorative Management of Esthetic Failures - Part 3
This webinar will focus on the diagnosis and treatment design options for the implant replacement of two or more adjacent teeth in the anterior region with emphasis on preventing mid-facial and interdental tissue loss.

Presented By:: David Garber, DMD;Maurice Salama, DMD;Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Why CBCT Guided Implant Surgery & Treatment Planning for Your Patients: A Restorative Roadmap to Success Premium Member Content

Why CBCT Guided Implant Surgery & Treatment Planning for Your Patients: A Restorative Roadmap to Success
To achieve an ideal prosthetic outcome with dental implants, it takes proper treatment planning.

Presented By:: Christopher Marchack, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction Premium Member Content

Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
The need for an adequate alveolar ridge width has been a long-standing principle in pre-prosthetic surgery. Since the introduction of root-form endosseous dental implants, the necessity of proper alveolar ridge width has become essential. Many surgical pre-implant bone augmentation techniques with the goal of reconstructing deficient alveolar width, height, or both have been proposed. A variety of alveolar ridge augmentation techniques for treatment of 2-D and 3-D bone deficiencies have been described and include guided bone regeneration (GBR) with a cancellous graft, onlay/veneer block graft, inlay grafting, ridge-split, vertical and horizontal distraction osteogenesis, and others.

Presented By:: Len Tolstunov, DDS, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Digital Patient Specific Implant Abutment Options for Optimum Periodontal and Esthetic Results Premium Member Content

Digital Patient Specific Implant Abutment Options for Optimum Periodontal and Esthetic Results
The evolution of Implant Therapy is at the point of uncompromised clinical results when available technologies are appropriately applied. The restorative clinician working in concert with their laboratory can successfully achieve extraordinary results on a routine basis. The various abutment materials and design parameters will be illustrated by review of clinical / laboratory case studies. Restorative material options will be discussed with a focus on optimum long term clinical performance. New long term provisional technology will also be explored. Cementable and screw retained indications and contra-indications will be reviewed as well as approaches to “problem case” solutions.

Presented By:: David R. Avery, CDT, AAS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability Premium Member Content

Zero Bone Loss Protocol: Influence of Vertical Soft Tissue Thickness on Crestal Bone Stability
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.

Presented By:: Tomas Linkevicius, DDS, Dip Pros, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Bone Reconstruction: A New Algorithm for the Implantologist Premium Member Content

Bone Reconstruction: A New Algorithm for the Implantologist
Bone augmentation is often required to place an adequate number of dental implants in ideal positions for prosthetic support. In addition to biomechanical demands bone augmentation can also provide proper ridge contour for improved esthetic outcomes. Disadvantages of bone augmentation techniques include increase morbidity, surgical time, costs and treatment length. As such a trend has develop towards treatment approaches that avoid bone grafting including shorter and narrower implants, angled implants and/or fewer implants for prosthetic support. This presentation will look at various bone augmentation techniques, methods to minimize the morbidity of bone grafting and guide clinicians on implant rehabilitation with grafting versus non-grafting approaches.

Presented By:: Craig M Misch, DDS, MDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Complete Dentures - A Dying Art? - Part 1 of 2 Premium Member Content

Complete Dentures - A Dying Art? - Part 1 of 2
This webinar is by the World’s leading authority on full denture prosthodontics as he shares his philosophy and step-by-step techniques for both complex and routine patient problems.

Presented By:: Walter "Jack" Turbyfill, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Healing of Osseotite Implants

Healing of Osseotite Implants

Author(s): Tiziano Testori, MD, DDS, FICD;Serge Szmukler-Moncler, DDS, PhD, Luca Francetti, MD, DDS
View Article>>
A Novel Strategy for Bone Integration and Regeneration: Case Studies

A Novel Strategy for Bone Integration and Regeneration: Case Studies
Ultraviolet light treatment of dental implants immediately prior to placement, or photofunctionalization, is a novel clinical tool with the potential to improve implant therapy. Photofunctionalization improves the surface properties of titanium surfaces by removing hydrocarbons, regenerating hydrophilicity, and optimizing electrostatic properties. We photofunctionalizated dental implants and titanium mesh (Ti mesh) in two complex clinical cases requiring simultaneous guided bone regeneration, sinus elevation, immediate implant placement into the extraction socket, and esthetic consideration

Author(s): Akiyoshi Funato, D.D.S.;Ryohei Tonotsuka, DDS; Hitochi Murabe, DDS; Makoto Hirota, DDS, PhD; Takahiro Ogawa, DDS, PhD
View Article>>
Sinus Floor Augmentation With Simultaneous Implant Placement Using Choukroun’s Platelet-Rich Fibrin as the Sole Grafting Material: A Radiologic and Histologic Study at 6 Months

Sinus Floor Augmentation With Simultaneous Implant Placement Using Choukroun’s Platelet-Rich Fibrin as the Sole Grafting Material: A Radiologic and Histologic Study at 6 Months
Sinus augmentation with simultaneous implant placement without bone graft material is a hotly debated technique. This technique could be improved and secured by the use of an autologous leukocyte-and platelet-rich fibrin (PRF) (Choukroun’s technique) concentrate. The objectives of this study were to assess the relevance of PRF clots and membranes as the sole filling material during a lateral sinus lift with immediate implantation using radiologic and histologic analyses in a case series.

Author(s): Ziv Mazor, DMD;Robert A. Horowitz, DDS;Marco Del Corso, Hari S. Prasad, Michael D. Rohrer and David M. Dohan Ehrenfest
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2023

Preferred Language: English Flag
Contact Us · Login · Register