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.
- 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.