The single implant in the aesthetic zone. Surgical and restorative aspects
Dr. Stavros Pelekanos
Successful implant restorations in the aesthetic zone often require demanding surgical and prosthetic therapeutic procedures in order to achieve long-term stable results. Anatomical factors such as a thin buccal bone plate, thin soft tissue and the high scalloping further complicate the decision-making and the treatment workflow. Clinical experience and scientific evidence show the clinical handling, treatment sequence and workflow are of outmost importance in determining the final outcome of the implant restoration. The soft and/or hard tissue enhancement in the majority, if not in all of the cases in the aesthetic zone is absolutely necessary in order to achieve a highly aesthetic and natural appearance of the implant crown. The timing, the material selection and the type of prosthetic restoration further complicate the decision-making and affect the final result. The aim of this lecture is to analyze and categorize different treatment modalities, focus on the methodology and treatment workflow in aesthetic implant cases and give some guidelines to achieve optimum aesthetic results. Finally, new approaches with the help of clinical case presentations will be discussed.
- Understand the rationale of different treatment modalities (immediate vs. delayed implant placement, immediate vs. delayed loading).
- Master different soft tissue surgical procedures, free gingival- subepithelial- connective tissue and/or combination of them as well as acellular collagen matrix grafts prior or during implant placement.
- Understand the rationale of different bone regeneration procedures (different membranes and bone substitutes).
- Recognize and select the proper prosthetic design (customized vs. prefabricated abutments, screw- vs. cement-retained restorations)
- Learn about new trends and treatment modalities in the aesthetic zone