Congress Lecture

Surgical Planning and Procedures

Tissue Level Implants in the Esthetic Zone – Prosthetic Solutions and Surgical Perspective: the Myth and Reality (Part II)

Shakeel Shahdad

This lecture illustrates several very well-documented cases of tissue-level (one-piece) implants placed in the esthetic zone with long-term follow-up. The advantages of tissue-level over bone-level (two-piece) implants are thoroughly explained.For stable long-term outcomes, the significance of placing the implants in the correct three-dimensional position and creating and maintaining a labial bone wall thickness greater than 2 mm by applying guided bone regeneration techniques is underlined. In this presentation, the author/speaker states that achieving absolute primary stability is less important with the use of implants that feature activated surfaces. The presenter advises against Type I (immediate) placement, even in cases with simultaneous grafting with a low-substitution material, to avoid increased osteoclastic activity generated by the extraction and the biologic necessity of bundle bone remodeling.

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At the end of this Congress Lecture you should be able to…

  • recognize the importance of correct 3D placement of implants in the esthetic zone
  • recognize the necessity of performing contour augmentation simultaneously with implant placement in the anterior maxilla
  • describe the surgical technique of contour augmentation using particulated autogenous bone, low-substitution grafting material, and collagen membrane
  • recognize the risks associated with Type I immediate placement
  • understand that soft tissue grafting is less important than bone grafting in achieving satisfactory long-term outcomes
Duration
53 minutes
Source
ITI Congress Russia 2015
CPD/CME
0.9 hours
Purchase price
27 Academy Coins
Publication date: Aug 30, 2016 Last review date: Feb 1, 2023 Next review date: Feb 1, 2026
  • 3 - Proficient to Expert
  • Anatomy & Biological Principles
  • Assessment & Diagnosis
  • Clinical Examination
  • Congress Lecture
  • English
  • Esthetic Outcome
  • Esthetics
  • Languages
  • Mucosa Conditioning
  • Outcomes
  • PES/WES
  • Peri-Implant Mucosa
  • Prosthodontically Driven Planning
  • Prosthodontics
  • Surgical Planning & Procedures
  • Treatment Planning
  • Treatment Prognosis

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