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Video Details
The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 2 of 2

Description:
Emerging evidence points towards significant interrelations between the condition of the peri-implant tissue and the implant-abutment-prosthesis complex. A new paradigm is essential, where the peri-implant tissues will be analysed in close interrelation with the implant, abutment and prosthesis complex, under the presence of oral biofilm. The aim of this course is to make the participant familiar with the concept of the “Implant Supra-crestal Complex” (ISC) and describe the critical elements that define it as a unique anatomic, and functional system of human tissues, mechanical components and oral bacteria / biofilm. The lecture reveals recent evidence to identify the impact of design features on both short-term clinical outcomes, as well as on the long-term health of the peri-implant bone and soft tissues. Prosthetic-driven implant placement is the prerequisite for the proper design of the ISC, which in turn can indirectly influence the structure and dimensions of the peri-implant soft tissues. Design features of the implant-prosthesis abutment complex such as the Emergence Profile (EP), Emergence Angle (EA) and Cervical Margin (CM), as well as the design of the implant-abutment and abutment prosthesis junctions and their location in relation to the tissues of the ISC can have significant impact in the maintenance of stable and healthy peri-implant tissues in the long term.

Date Added:
4/7/2021

Author(s):

Ioannis Vergoullis, DDS, MS Ioannis Vergoullis, DDS, MS
Dr. Ioannis Vergoullis graduated from the Dental School of the Kapodestrian University of Athens, Greece in 1999. He received his Certificate in Periodontics ...
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Online Videos / Restorative / Other Restorative / The Implant Supra-Crestal Complex: Building the Foundation for Long-Term Stable Results in Implant Therapy - Part 2 of 2




Questions & Comments
yiannis vergoullis - (10/22/2021 5:34 AM)

Dr.chav thank you for your nice words. The most reliable clinical signs we have are 1. Bleeding upon diaconnection of prosthetic part and 2. Shallow probing depth (controlled force) with absence of bleeding and stable bone levels after final prosthesis delivery.

Bunhean Chav - (9/24/2021 2:13 AM)

Thank you for your detail presentation. I have a question please. You mentioned about periimplant soft tissue seal. All theories and researches introduced in this prevention but how could we know we have have a good peri implant seal. A bleeding when first disconnect of healing abutment or any clinical signs? Thanks

yiannis vergoullis - (8/27/2021 9:22 AM)

Byron here is one: Jung S, Moser MM, Kleinheinz J, Happe A. Biocompatibility of Lithium Disilicate and Zirconium Oxide Ceramics with Different Surface Topographies for Dental Implant Abutments. Int J Mol Sci. 2021 Jul 19;22(14):7700.

Byron Lew, DDS - (7/23/2021 12:25 PM)

Thank you for the presentation in Dulles VA. I am wondering if you have any literature that I could share with Ivoclar Vivadent about their emax material being used as a medical device as it relates to the ISC. Emax is a recommended material for restoration of implants in the CEREC world and no one really has questioned the ISC as it relates to Emax. Thanks

yiannis vergoullis - (4/21/2021 1:10 PM)

Thank you Enrique, you can find information here: www.vpicervico.com Mention you are Dxp member, I am sure they will offer promotion for all Dxp members.

ENRIQUE TREVINO - (4/20/2021 2:41 PM)

Great, Great presentation, thank You

ENRIQUE TREVINO - (4/19/2021 7:24 PM)

nice system, where can someone get the templates and system itself?

ENRIQUE TREVINO - (4/19/2021 7:24 PM)

nice system, where can someone get the templates and system itself?

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