Mucogingival esthetic surgery around implants

12 March 2021 17.00 CET

THEORY + LIVE SURGERY

Soft tissue plastic surgical procedures and bilaminar techniques in particular, can be successfully used in combination with a pre and postsurgical prostethic approaches to increase the volume of the interdental soft tissue, to treat buccal gingival recessions and soft tissue dehiscence around dental implants and to provide the new implant supported crown with an esthetic transmucosal emergency profile. A new mucogingival approach applied to delayed or immediate post-extraction implant placement and loading will be presented.

Most of the times soft tissue deficiencies at the buccal aspect of implant-supported crowns are a matter of thickness rather than height. The lack of adequate thickness of the buccal soft tissues can lead to incorrect emergence profiles of the prosthetic crown, which are difficult to maintain from a hygienic point of view; in these cases, the main goal of the plastic surgery is not to increase the height of the keratinized tissues but to augment the thickness of the connective tissue at the level of the peri-implant transmucosal portion. This is achieved with a surgical technique that involves the use of a connective tissue graft covered by a coronally advanced flap.

KEY POINTS

Boundle and alveolar bone
The role of keratinized tissue versus soft tissue thickness
Mucogingival surgery for soft tissue dehiscence coverage around implants
Mucogingival approach in combination with immediate post extraction implant placement and immediate loading.
Soft tissue augmentation and simultaneous guided implant placement in the aesthetic zone
The soft tissue approach for implant installation after tooth extaction for periodontal reason.
Soft tissue augmentation procedures in edentulous areas before implant rehabilitation
Video of all surgical procedures

Learning objectives

- Describe step by step the split-full-split elevation technique to obtain coronal advancement of the flap
- Describe step by step connective tissue graft harvesting technique
- Describe the “connective tissue platform technique” for soft tissue augmentation

Moderator: Phoebus Madianos

Multi Device Support

 

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