Private practice, Samara, Russia.
Former Associate Professor, University of Southern California.
J Oral Implantol. 2022 Feb 1;48(1):S1-S8. doi: 10.1563/aaid-joi-D-21-00103.
The long-term functional success of implant treatment depends on the stability of the crestal bone around the implant platform. The esthetic result is achieved by adequate quality and quantity of soft tissue in the peri-implant area. The soft tissue creates the buffer area that ensures the mechanical and biological protection of the underlying bone. Therefore, it is necessary to maintain in the long term, not only implant osseointegration, but also the integrity of the soft tissue around the sub- and suprastructures of the implant restoration. To create the protective soft tissue area, it is necessary to ensure 3 criteria. This treatment approach will be defined as TWS-soft tissue management: T for thickness, W for width, and S for stability. There are many ways to achieve the first 2 criteria, which are described in the literature. Achieving the third criterion of stability has become possible only recently because of the development of digital treatment planning, surgically guided, and prosthetic-assisted technology that uses a 1-time abutment and its implementation into the dental practice. The purpose of this article is to present with clinical cases a detailed description of each criterion.
种植体治疗的长期功能成功取决于种植体平台周围牙槽骨的稳定性。种植体周围区域足够的质量和数量的软组织可实现美观效果。软组织形成缓冲区域，确保了底层骨的机械和生物保护。因此，有必要长期维持不仅种植体骨整合，还有种植体修复的亚结构和上结构周围软组织的完整性。为了创建保护性软组织区域，有必要确保 3 个标准。这种治疗方法将被定义为 TWS-软组织管理：T 代表厚度，W 代表宽度，S 代表稳定性。有许多方法可以实现前两个标准，这些方法在文献中有描述。由于数字化治疗计划、手术引导和使用一次性基台的修复辅助技术的发展，以及其在牙科实践中的应用，实现稳定性的第三个标准最近才成为可能。本文的目的是通过临床病例详细描述每个标准。
