Mucosal tissue thickness was shown to be an important factor on the impact of crestal bone stability. Even platform switching of the implant-abutment connection does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorption. If bone height is not sufficient, vertical augmentation of the soft tissue is recommended with different materials – autograft, a xenograft or a dermis-derived allograft.
Further, it is important to preserve bone levels after prosthetic treatment. Recent research has proved that the deeper the position of the margin, the greater amount of residual cement is left undetected. The relation between position of cement excess in the peri-implant sulcus, periodontal status of the patient and severity of peri- implant disease is explained. To avoid cement excess, a finished implant restoration with an occlusal opening is cemented on a titanium base in laboratory and the restoration is attached to the implant by an abutment screw. Zirconium is considered the best material available for peri-implant soft tissues. However, it’s evident that it must be treated in a special manner and polished.
09.00 – 09.15 Registration, Tea/Coffee break
09.15 -11.00 Surgical. Development of crestal bone stability 11.00 – 11.15 Tea/Coffee break
11.15 -13.15 Surgical. Development of crestal bone stability
Influence of vertical soft tissues on crestal bone stability. Does platform switch save the bone? Influence of implant placement depth on crestal bone stability. What is the importance of implant-abutment connection stability? Bone remineralization and corticalisation processes in thick tissues. What is the role of bone in “Zero bone loss concepts”?
Four novel methods to increase vertical soft tissue thickness
- Subcrestal implant placement
- Flattening of the alveolar bone
- “Tent pole” technique
- Vertical soft tissue thickening
13.15 – 14.15 Lunch
14.15 – 17.15 Prosthetic. Maintenance of crestal bone stability
How to control cement remnants after cementation. Supragingival margins and individual abutments. Use of rubber-dam for cement prevention. Relation between cement and peri-implant disease. Screw-retained restorations. Use of Ti-base for fabrication of restorations.
Subgingival prosthetic materials. Zirconia, titanium, ceramics – which is better. Use of ultra-polished zirconia for implant restorations. Composition of peri-implant soft tissues. Supragingival materials. Ceramics, e.max, monolithic Zr – where to use and why?
- To know the influence of vertical soft tissue thickness on crestal bonestability and be able to diagnose this condition
- How to augment vertical soft tissues with soft tissue grafts
- Subcrestal implant placement
- To learn why polished zirconia is the best option for tissues
- Understand how titanium base height is important crestal bone stability
- How to avoid cement-related peri-implantitis
6.75 hours verifiable CPD GDC Learning Outcome: C
Course Fee: £699.99 (VAT incl.)
Early bird Fee: £499.00 (VAT incl.) available until 30th September.