Int Poster J Dent Oral Med 4 (2002), No. 3 15. Sep. 2002
Maintaining and reconstructing periimplantary soft tissue are two critical prerequisites for an esthetically successful implant-prosthetic rehabilitation. The goal was to find suitable incision techniques for immediate implant placement that would make it possible to reconstruct various defects in the area of the vestibular alveolar process by means of an appropriate flap design. The primary incision should be made so that it can be extended and so that the need for a later papilla reconstruction can be taken into consideration.
Based on our studies and experience, three incisions can be recommended for immediate implant placement.
The indicated incisions allow for a flap design that safely covers the necessary augmentative measures. We present a sample case and discuss the results for modifications to the incision and for the papilla reconstruction that may be needed later using micro-scalpels normally used in ophthalmology.
From our point of view, suitable incision techniques used in combination with a natural analog implant positioning of implants with expanded diameters will reliably achieve and permanently maintain a natural contour of the gingiva, even in the case of implant reconstruction.
Summary - clinical relevance: Depending on the incision during immediate implant placement, one or a few extensive procedures are required for the later shaping of the soft tissue.
1. Exposing the papillas facilitates transgingival healing. 2. Performing the incision with limited mobility makes it possible to create a crestal incision during the opening. 3. Incision with extended mobility often requires surgical papilla reconstruction.
Keywords: immediate implantation, implantation and incision line, papilla reconstruction, transgingiva healing, individual abutment, emergence profile, ceramic abutment, bone-collector, soft-tissue management, root analog implant
24-26. Mai 2001
52. Jahrestagung der Arbeitsgemeinschaft für Kieferchirurgie