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Why is Osseo-Integration Easy, and
Soft-Tissue Integration Difficult?

Sunday, 3rd March 2019

Hall A (Sapphire)


Successful modern therapy can no longer be judged by whether or not implants osseointegrate.One of the greatest challenges facing clinicians is to obtain an ideal soft tissue integration that mimics a perfect gingival contour. This is particularly difficult in compromised sites, due to trauma, atrophy, periodontal disease and/or infection. Even though several studies have shown optimal implant survival rates, the clinical results in terms of long-term soft tissues stability are often less than ideal.

Recent systematic reviews have confirmed that, from the aspect of long-term maintenance and management, as well as for the area requiring esthetics, the presence of an appropriate amount of KT is required. If a severe defect is present, after a thorough diagnosis, a careful selection among various grafting techniques can, in most cases, produce good results. A decision making process will be presented for the treatment in various areas of the mouth and different surgical approaches will be shown step by step, based on the results of a recent 10-year study.

Educational Objectives:

  • Evaluate peri-implant soft tissues conditions for long-term results.
  • Determine whether patient’s status is a risk factor for success.
  • Evaluate hard and soft tissues to achieve optimal esthetic.
  • Identify the situations where soft tissue grating is indicated.
  • Recognize when GBR and/or GTR is necessary.
  • Establish a long-term maintenance program for long-term success.