Clinical Videos

Immediate Tooth Replacement with a Preplanned Final Custom Abutment - Preventing Gingival Recession and Biological width Invasion

Catalog Number:CV-061

Authors: Dr. Francesco Mintrone

CE Credits: N/A

Running Time: 5 min

Language:

Description:

Over the years, the need to combine esthetic results and rapid surgery-prosthetic completion of implant-retained restorations have led to the development of new techniques and materials able to reduce the amount of time needed to undertake the entire treatment and, at the same time, ensure the same predictability and end results as if using traditional techniques.

In this clinical video the treatment of an hopeless central incisor will be demonstrated using the immediate tooth replacement protocol with a connective tissue graft.

This type of technique can be used in a predictable and safe way if certain anatomical prerequisites exist, depending on the bio-type of the patient and on local conditions derived from the health of soft and hard tissues in the area to be treated.

Moreover, it is shown that the repeated disconnection of the transmucosal components can generate tissue recession due to the alteration of the delicate environment created between abutment and surrounding soft tissue.

For this reason, from a biological point of view, seems advisable to place the final abutment at the time of the surgery.

There are different types of preformed abutments available on the market and they can easily adapt to the different needs of the patient, even if, using these abutments, it may not always be possible to fully reproduce the many and varied anatomical needs of every single patient.

Moreover, the need to obtain a cementation slightly lower than the tissue level requires ever more versatility.

In this case we will consider a specific technique for the creation of individual abutments, starting from presurgery impressions that can ensure complete and perfect support of surrounding tissues.

Release: 6/18/2014 | Expires: 6/18/2017

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