Unstable soft tissue seal at implants favors an inflammatory reaction that can lead to facial recession, pocket formation and loss of bone support. The more stable and tight the soft tissue seal, the more predictable the outcome of implant rehabilitation. A major criterion influenc

The goal of creating a harmonious aesthetic outcome around dental implants that mimics the surrounding dentition and soft-tissue condition as well as morphology is indeed difficult to create and maintain long term. The subepithelial connective tissue graft (CTG) is a favored option...

For a variety of reasons, there has been an increasing trend towards cement-retained restorations over the last decade, notwithstanding the concomitant increase in biological and mechanical complications. This trend is now rapidly reversing, as clinicians better appreciate the biol...

This presentation will review the contemporary surgical and prosthetic concepts in management of implants in the aesthetic zone with a view to achieving optimum long term esthetics and stability.
The outcomes depend on the clinical management and an understanding and application of...

Narrow spaces, especially in the aesthetic zone, have always been challenging for implant placement. Anatomic hard tissue reconstruction before implant placement is a pre-requisite in case of deficiency. At the time of implant placement, surgical guides in the past were not adapted...

For more than a decade zirconia has become a preferred restoration material. A layered zirconia restoration combines the highest esthetics with strength and biocompatibility in the mouth. However, the opacity of the zirconia material is such that it may present some esthetic...

This lecture will focus on the biologic criteria when it comes to restoring anterior implants using as an alternative a screw or cement retained restoration. The main problematic aspect for the cemented implant restoration will be discussed widely with different clinical examples...

Pink Esthetic Score assesses 7 soft tissue variables, it allows for reproducible assessments of peri-implant soft tissue around single tooth implants (Gehrke 2009). Different treatment modalities can be compared, flapless procedures show better outcomes than flapped procedures...

Dental implants have evolved dramatically over the last decade, and so have our expectations in terms of function and aesthetics. The augmentation of soft tissue around dental implants for enhancing inter-implant papilla architecture has emerged as an area of much concern and focus...

There is a need for a critical dimension of soft tissue seal protecting the osseointegration (biological width) and a minimum width and thickness of keratinised mucosa surrounding an osseointegrated implant. The standard surgical interventions to treat these conditions need a...

This presentation aims to examine how digital planning is extremely valuable for the replacement of single units in the esthetic zone aggregating precision and predictability. The threedimensional images of NobelClinician allow the surgeon to evaluate the site at every possible...

This lecture will reveal an amazing treatment journey extending the boundaries of minimally invasive guided surgery and prosthetics. NobelClinician integrated digital workflow provides a systematic comprehensive approach to the esthetic zone and to the transition of terminal dentit...

Digital implant planning and placement is here to stay as it delivers more efficient care with consistently better outcomes, especially in the partially edentulous patient. Placing an implant that is “restorable” is no longer the aspiration. With today’s technology one can do...

Is a failing implant a red flag scenario in the learning curve?

With the explosive penetration of implantology in the dental community, we are more often confronted with complications and failing implants. Corrections and re-treatment are difficult and time consuming. Inadequate...

Replacement of failed implants (functional or esthetic) can be a daunting task and often achieves unsatisfactory results. A decision on implant removal, according to set guidelines, should be made as soon as possible to avoid unnecessary tissue loss. Normal bone physiology should...