Description:
Soft tissue complications present biologic problems that can lead to
bone and implant loss and this presentation will discuss the
factors that cause such problems occur and how they could
have been minimized or avoided.
Learning
Objectives:
Identify the types of soft tissue complications that
occur with dental implants and their incidence
- Know how to avoid or minimize these complications
- Understand contemporary cementation guidelines regarding technique and
materials
- Discuss the space required for appropriate implant placement
- Describe the bioesthetic guidelines for anterior teeth
- Predict interproximal soft tissue esthetics prior to implant placement
- Predict midfacial soft tissue esthetics prior to implant placement
- Know the factors that cause mucosal recessions and methods of minimizing
recession
- Describe the crown contours that promote favorable soft tissue positioning
- Understand facial growth changes that occur during adolescence and
continue throughout life
Abstract:
Soft tissue complications present biologic problems that can lead to bone and
implant loss. In the anterior esthetic zone of patients with high smile
lines, unesthetic soft tissue changes can occur that require special knowledge
to avoid the changes. This presentation will identify how biologic and
esthetic mucosal problems occur and how they could have been minimized or
avoided.
Outline:
- Incidence of implant fenestration/dehiscence
- Incidences and causes of gingival inflammation/proliferation
- Incidence and causes of fistulas
- Effect of residual cement on fistula development
- Cementation guidelines
- Space requirements for implant placement
- Space required between adjacent teeth
- Space required between implant and adjacent natural teeth
- Space needed between adjacent implants
- Bioesthetic guidelines for anterior single implants
- Mediolateral implant positioning guidelines
- Apical implant positioning guidelines
- Faciolingual implant positioning guidelines
- What bone grafting does and does not do
- Challenges associated with the peri-implant mucosa and interdental papilla
- Predicting interproximal soft tissue esthetics
- Effect of periodontal biotype
- Effect of distance from interproximal bone crest to proximal contact
- Effect of adjacent natural tooth or implant
- Effect of long epithelial attachments
- Predicting the midfacial soft tissue location after extraction and implant
placement
- Incisocervical location of midfacial bone crest
- Incisocervical implant location
- Facial implant position/angulation
- Proximity of implant to facial bone
- Faciolingual thickness of facial bone
- Factors causing mucosal recession around implants
- Methods of minimizing recession around implants
- Affect of crown contours on soft tissue health, position, and contours
- The S-shaped crown form
- Compromised mucosal outcomes and their management
- Facial growth changes during adolescence and during
aging
