Enhancing the implant site and developing the transmucosal contour. New perspectives.

Stavros Pelekanos

It is a great challenge for the clinician to choose a methodology before even tooth extraction for the establishment of the new biologic width and transmucosal profile of the future implant.

It is of great importance the decision-making regarding immediate implant placement or not after extraction, immediate placement of the healing abutment, immediate loading or complete coverage of the site.

The soft and/or hard tissue enhancement in the majority if not 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 treatment modality, as well as the type of the prosthetic restoration further complicate the decision-making and affect the final result, especially in patients with thin biotype.

This presentation will focus on the methodology of the implant site development, especially in demanding aesthetic cases, on today’s knowledge of the biology of different materials, abutment selection (customized vs. prefabricated abutments, screw- vs. cement-retained), and give some guidelines to achieve optimum aesthetic results. Finally, new approaches with the help of clinical case presentations will be discussed.

Learning objectives:

Understand the rationale of different treatment modalities (immediate vs. delayed implant placement, immediate vs. delayed loading).
Understand the biological behavior and rationale of different treatment modalities (soft tissue enhancement and GBR).
Recognize and select the proper abutment-prosthetic design.
Prevent and limit complications regarding implant rehabilitation in the aesthetic zone.

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