Preparation of the Periimplant Soft Tissue Envelope…what every dental implant surgeon should know

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At the Sclar Center for Empowered Dental Implant Learning, my students frequently ask:

How do I know when soft tissue augmentation is indicated around dental implants or at sites with deficient alveolar ridges requiring bone grafting?

How should the procedures be sequenced?

 

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One of My Chief Concerns: Dental Implant Complications

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The initial focus of my implant practice was esthetics. I applied the principles of plastic and reconstructive maxillofacial surgery toward developing a site preservation protocol and towards achieving predictability with hard and soft tissue site development. We assembled a team that allowed us to provide a comprehensive multidisciplinary approach to esthetic implant therapy, and I shared our cumulative experience in my textbook Soft Tissue and Esthetic Considerations in Implant Therapy (Quintessence 2003).

I also focused on learning how to avoid and manage implant complications. I made a point of analyzing our own experiences with complications, and I had opportunity to treat a large number of implant related complications referred to my practice. Over time, I gained considerable knowledge and experience concerning the factors that need to be recognized to avoid a wide variety of complications, as well as the treatment planning concepts and techniques required to manage patients who had experienced these complications.

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Do you need to increase your focus on surgical soft tissue management and grafting?

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Do you need to increase your focus on surgical soft tissue management and grafting?

Establishing an adequate band of attached tissues, to resist mechanical and biologic challenges, is so critical that a primary educational focus of dental implant surgeons has become learning surgical techniques for the management of peri-implant tissues for predictable, best results.

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