Anterior Implant Esthetics

Achieving implant restorations with harmonious gingival contours that emulate nature requires a fusion of science and art. The clinician must understand the biologic and physiologic limitations of the soft and hard tissues to facilitate predictable outcomes in simple to complex esthetic situations. This book focuses on implant esthetic approaches encompassing orthodontics, periodontics, prosthodontics, and laboratory techniques. It presents current implant treatment philosophies and methodologies for replacing missing teeth and for managing patients who are facing the loss of a tooth or teeth in the esthetic zone. Equal emphasis is placed on diagnosis, treatment planning, and surgical and prosthetic management of soft and hard tissues for optimal anterior implant esthetics.

The goal of this book is to identify esthetic factors such as smile line, biotype and smile width as well as anatomic and functional factors and that can contribute to esthetics, function and overall success of dental implants in the anterior zone and evaluate ways of achieving successful outcomes. An additional objective of the book is also to look at potential complications that could occur in the anterior maxilla and ways of averting them by looking at results from a number of current studies on anterior dental implants. As a general dentist or specialist that is placing or restoring dental implants, this book would provide a valuable resource for treatment planning and replacing single anterior teeth with dental implants.

Esthetics is the prime concern in today's dental care both for the patient and the treatment provider. Esthetic dentistry is just not limited to color matching restorations but soft tissue considerations like position of the lips, color and contour of gingiva around teeth also play a very important role in overall esthetic appearance of face. Providing an esthetic restoration in the anterior region of the mouth has been the basis of peril-implant esthetics. Period esthetics or Periodontal plastic surgeries in its broad term covers various procedures either around natural teeth or dental implant fixtures in the esthetic zone. This may range from crown lengthening procedures, coverage of denuded root surfaces, ridge augmentation, periodontal prosthetic corrections and cosmetic surgical corrections around dental implants. Prosthetics also plays an equal important role in implant esthetics. Various prosthetic parameters like 3 D implant placement, implant abutment interface, provisionalisation during interim period, choice of abutment material, digital dentistry etc. are important factors at the pinnacle of successful outcome. This book is a comprehensive overview of clinical techniques related to Periodontal esthetics and Implant Esthetics.

Volume 10 of the ITI Treatment Guide series starts out with the most recent statements and recommendations of the 5th ITI Consensus Conference, followed by a detailed protocol for the evaluation and treatment planning of patients with esthetic demands requiring single-tooth replacement with a dental implant. Various surgical situations commonly encountered in the esthetic zone will be presented and recommendations on their treatment will be provided. In addition, the clinical management of the planned implant site before and after placement through the use of provisional prostheses, laboratory communication, abutment design, restorative material selection, and delivery will be examined. This volume of the ITI Treatment Guide series provides a comprehensive, evidence-based approach to single-tooth replacement in the esthetic zone, from consultation to follow-up, with a focus on current treatment modalities and on the materials that present-day implant dentistry has to offer. The ITI Treatment Guide series is a compendium of evidence-based implant-therapy techniques and procedures for daily practice. Written by renowned clinicians and supported by contributions from expert practitioners, the ITI Treatment Guides provide a comprehensive overview of various clinical options. The management of different clinical situations is discussed with an emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes with minimal risk to the patient.

With the desire for dental implant therapy ever escalating, clinicians are faced with the challenge of augmenting deficient natural physiology to provide effective sites for implantation. Implant Site Development helps the clinician decide if, when, and how to create a ridge site amenable to implantation. This practical book offers solutions to many implant site preservation scenarios, discussing different treatment options, timing, a variety of materials and techniques, and their application to the clinical practice. With a unique integrated clinical approach, Implant Site Development covers a range of site development techniques. Highly illustrated, Implant Site Development presents diagrams and clinical photographs to aid with clinical judgment and will prove useful for any dental professional involved in implant therapy, from general practitioners to prosthodontists, but especially surgeons. This literature-based, yet user-friendly, reference will be indispensable to the novice or veteran clinician.

Preface; Acknowledgments; Chapter 1: Beyond Osseointegration, Anatomy and Biology of Peri-implant Soft Tissues, Choosing Between a Submerged and Nonsubmerged Approach; Chapter 2: Systematic Evaluation of the Esthetic Implant Patient, A Simplified Approach to Patient Evaluation, Facial and Dental Symmetry, Periodontal Biotype, Anatomic Limitations, Marginal Tissue Recession, Classification of Alveolar Ridge Defects in Esthetic Implant Therapy; Chapter 3: Surgical Techniques for Management of Peri-implant Soft Tissues, Instrumentation for Soft Tissue Management in Implant Therapy, Criteria for Optimal Flap Design in Implant Therapy, Application of Plastic Surgery Principles in Implant Therapy, Flap Management Considerations, Surgical Maneuvers for Management of Peri-implant Soft Tissues, Flap Management Considerations for Mandibular Implant Surgery, Flap Management Considerations for Maxillary Implant Surgery, Flap Design and Management Considerations for Esthetic Implant Therapy; Chapter 4: The Bio-Col Technique, The Importance of Site Preservation, Bio-Col Technique for Delayed Implant Placement, Bio-Col Technique for Immediate Implant Placement, Long-Term Clinical Results Obtained with the Bio-Col Technique, Suggested Refinements, Summary; Chapter 5: Soft Tissue Grafting in Implant Therapy, Periodontal Plastic Surgery, Oral Soft Tissue Grafting with Dental Implants, Modified Palatal Roll Technique for Dental Implants, Epithelialized Palatal Graft Technique for Dental Implants, Subepithelial Connective Tissue Graft Technique for Dental Implants, Summary; Chapter 6: The Vascularized Interpositional Periosteal-Connective Tissue (VIP-CT) Flap, Rationale and Biologic Basis, General Considerations, Potential Complications, Surgical Procedure, Clinical Experience, Summary; Chapter 7: Esthetic Implant Therapy: A Comprehensive Approach, Philosophy of Care, Rationale for Site Preservation, Implant Site-Development Techniques, Prosthetic Considerations for Enhancing Outcomes in Implant Therapy, Surgical Considerations for Enhancing Outcomes in Implant Therapy, Use of Platelet-Rich Plasma to Enhance Outcomes in Implant Therapy, Conceptual Framework for Esthetic Implant Site Development, Appendix: Treatment Algorithms for Esthetic Implant Therapy, Index.