Registration
DSI® Expert Level Academy (French)
Transfer of Biological Principles into Successful Daily Clinical
Practice ?!
Creation, Management and Preservation of Periimplant Soft Tissues !
Speakers: | Dr. Hervé BUATOIS [F] / Prof. Dr. Joachim S. HERMANN [CH] |
Location: | Clinicimplant - Private Practice Dr. Hervé BUATOIS, F-Grenoble |
Date: | Thursday, September 27, 2012 - |
CE: | 24 points / hours of continuing education credit |
Course #: | ELA02/2012 |
Cost: | Dentist: € 1‘200.– / CHF 1‘500.– |
Service: | incl.: Course Fee, Hand-outs, Break Drinks & Snacks, Farewell Reception, VAT / excl.: Accommodation and Meals |
Availability
Course ELA02/2012
Level |
| Expert |
|
Target group
Dentist
Dental Specialist
Physician
Medical Specialist
Dental Hygienist
Prophylaxis Assistant
Dental Technician
Naturopath
Business Partner
Patient
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Fig. 1a Periapical radiograph of a tooth long fracture of the central nonvital left upper incisor (21) exhibiting a pea-shaped periapical radiolucency.
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Fig. 1b Periapical fistula formation with suppuration between the left and right upper central incisors (11/21) in combination with a bluish discoloration of the buccal marginal soft tissues on tooth # 21. Note, however, that a physiological soft tissue contour (scalloping design) is still available.
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Fig. 2a Mesio-distal section of a commercially available Soft Tissue Level Implant (Straumann®). The white line shows the level of the first Bone-to-Implant Contact (fBIC), whereas the black line identifies the soft tissue margin on this nondecalcified histologic section.
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Fig. 2b Schematic (true to scale) of both stable hard and soft tissue levels around commercially available Soft Tissue Level Implants (Straumann®) over time. Left schematic represents the 3 months unloaded group, the center schematic the 3 months loaded group, and the right schematic the 12 months loaded group, respectively (SD = Sulcus Depth / JE = Junctional Epithelium / CTC = Connective Tissue Contact).
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Fig. 3a Periapical radiograph of a commercially available Soft Tissue Level Implant (Straumann®) in the upper central left incisor position (21) about 2+ years after placement according to the guidelines of ‘Restoration-driven’ and ‘Tissue-directed Implant Placement’.
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Fig. 3b Clinical status of a commercially available Soft Tissue Level Implant (Straumann®) in the upper central left incisor position (21) about 2+ years after placement according to the guidelines of ‘Restoration-driven’ and ‘Tissue-directed Implant Placement’. Note the physiological soft tissue contours (scalloping design), the color match, as well as the absence of any signs of inflammation.
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Fig. 4a Loss of buccal soft tissue width of the Soft Tissue Level Implant (Straumann®) on the upper central left incisor position (21) about 4+ years after placement according to the guidelines of ‘Restoration-driven’ and ‘Tissue-directed Implant Placement’ and under the presence of normofunction as well as perfect oral hygiene and supportive periodontal / periimplant therapy.
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Fig. 4b Loss of buccal soft tissue height (4 mm recession) of the Soft Tissue Level Implant (Straumann®) on the upper central left incisor position (21) about 4+ years after placement according to the guidelines of ‘Restoration-driven’ and ‘Tissue-directed Implant Placement’ and under the presence of normofunction as well as perfect oral hygiene. Furthermore, the grayish implant metal margin has become visible on this ‘gummy smile’ patient.
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Fig. 5a Preoperative analysis of periodontal / periimplant microscopic plastic surgical procedure (connective tissue graft [CTG]) on the buccal aspect of the Soft Tissue Level Implant (Straumann®) at the upper central left incisor position (21; recipient site).
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Fig. 5b Preoperative analysis of periodontal / periimplant microscopic plastic surgical procedure (connective tissue graft [CTG]) on the buccal aspect of the Soft Tissue Level Implant (Straumann®) at the upper central left incisor position (21; donor site).
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Fig. 6a Long-term postoperative result at 2+ years after periodontal / periimplant microscopic plastic surgery on the buccal aspect of the Soft Tissue Level Implant (Straumann®) on the upper central left incisor position (21). Note the significant gain in buccal soft tissue width and contour.
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Fig. 6b Long-term postoperative result at 2+ years after periodontal / periimplant microscopic plastic surgery on the buccal aspect of the Soft Tissue Level Implant (Straumann®) on the upper central left incisor position (21) in combination with Pocket Probing Depths (PPD) of ≤ 2 mm (calibrated probing force) and negative Bleeding on Probing (BOP). Note the significant gain in buccal soft tissue height, width of attached gingiva as well as the perfect color match and soft tissue texture in combination with a physiologic scallop-design soft tissue contour on this ‘gummy smile’ patient.
(All figures: With courtesy of / Copyright©: Joachim S. HERMANN)
Ethical DSI® Disclaimer: None of the figures have been modified in the medically relevant areas-of-interest by means of computing software.