Gamborena Iñaki, Sasaki Yoshihiro, Blatz Markus B
Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA.
Private Practice, San Sebastian, Spain.
J Esthet Restor Dent. 2023 Jan;35(1):148-157. doi: 10.1111/jerd.13006. Epub 2023 Jan 11.
This article describes an updated step-by-step protocol for transmucosal abutment selection and treatment sequencing after immediate implant placement in the esthetic zone.
Current surgical and prosthetic concepts strive to preserve hard and soft-tissues to provide optimal esthetics at the implant-abutment interface. Consequently, restoring implants in the esthetic zone with transmucosal abutments presents a great challenge and must take into consideration implant depth, angulation, and bucco-lingual position as well as transmucosal height and space for an optimized emergence profile of the restoration and the dimensions of the anterior tooth to be restored. The proper selection of the type, shape, and dimensions of implant components and connections, determined by the product portfolio offered by the implant manufacturer, play a critical role in the ability to adequately address these challenges. This article provides an update on surgical and prosthetic workflows for single implant restorations in the esthetic zone.
Following esthetic, mechanical, and biologic principles, the long-term success of implant-supported restorations in the esthetic zone is directly correlated to proper execution and sequencing of surgical and prosthetic treatment steps, especially after immediate implant placement. These steps must be critically assessed based on the current scientific evidence to achieve the desired clinical outcomes on a predictable and consistent basis.
Selection of surgical and prosthetic treatment protocols to achieve ideal esthetic outcomes and emergence profiles in implant dentistry is often a great challenge, not only determined by technical and clinical skills of the provider but also by the type and dimensions of implant components and connections offered by the manufacturer. Following certain decision-making principles and workflows are key for clinical success with implant-supported restorations after immediate implant placement the esthetic zone.
本文介绍了美学区即刻种植后经黏膜基台选择及治疗顺序的最新分步方案。
当前的外科和修复理念致力于保留软硬组织，以在种植体-基台界面提供最佳美学效果。因此，使用经黏膜基台修复美学区的种植体是一项巨大挑战，必须考虑种植体的深度、角度、颊舌向位置以及经黏膜高度和空间，以优化修复体的龈缘轮廓和待修复前牙的尺寸。由种植体制造商提供的产品组合决定的种植体部件及连接的类型、形状和尺寸的正确选择，对于充分应对这些挑战的能力起着关键作用。本文提供了美学区单颗种植体修复的外科和修复工作流程的最新信息。
遵循美学、机械和生物学原则，美学区种植体支持修复的长期成功与外科和修复治疗步骤的正确执行及顺序直接相关，尤其是在即刻种植后。必须根据当前科学证据对这些步骤进行严格评估，以在可预测且一致的基础上实现预期的临床效果。
选择外科和修复治疗方案以在种植修复中实现理想的美学效果和龈缘轮廓通常是一项巨大挑战，这不仅取决于术者的技术和临床技能，还取决于制造商提供的种植体部件及连接的类型和尺寸。遵循特定的决策原则和工作流程是美学区即刻种植后种植体支持修复临床成功的关键。
