Aesthetic Implant Therapy: Patient Desire - Clinical Demands - Scientific Short Falls (Pt. 1) - Dental Online College
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Aesthetic Implant Therapy: Patient Desire - Clinical Demands - Scientific Short Falls (Pt. 1)

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Duration:

01:21:15

Instructors:

Prof. Dr. Hürzeler, Prof. Dr. Wachtel

Implantology in the aestethic zone is a continuous burner for every dental practitioner who tries to place implants to the patients fullest satisfaction. Professor Markus Hürzeler and Professor Hannes Wachtel, both well known implantologists from Munich/Germany, share their clinical experiences and scientific insights. In this part 1 of their lecture they talk about the best implant position, single-step- or staged approach, soft tissue management and socket preservation.

Prof. Hürzeler gives advices where the implants should be placed for an optimal and predictable aesthetic outcome. He presents facts and figures whether a single step procedure or a staged approach is indicated. Implantology in a single-step-procedure aims to preserve hard and soft tissue immediately after the extraction avoiding tissue collapse and bone resorptions. An immediate provisionalization with tooth shaped healing abutments enables the long-term stabilisation of the emergence profile. The goal of a staged implantology approach is the reconstruction of the tissue architecture and the reestablishment of the interproximal support. Several surgical treatments with Guided bone regeneration (GBR) and Guided tissue regeneration (GTR) have to be done step by step to recreate the bony and gingival architecture.

Prof. Wachtel gives a overview about the difference between soft tissue around natural teeth and implants. He describes the biology of the mucogingival complex and explains the involved factors that define the soft tissue profile. He presents the conducting biological structures of the papilla construction in which the height of the papilla and the gingival margin is determined. Prof. Wachtel has a close look to the different morphological biotypes of the gingiva in relationship to the supporting bony structures. The height of the bone crest around the implant determines the height of the papilla and the gingival margin. An adequate tissue thickness is important for the mucogingival stability around implants. Due to that surgical thickening with a connective tissue graft is avoiding esthetic failures with black triangles and a visualized implant surface.

Prof. Hürzeler explains the biology of the extraction socket and describes the resorption process in the horizontal and vertical dimension. The bundle bone into which the collagen fibres of the periodontal ligament are embedded will always be resorbed after the extraction. The stability of the important interimplant bone is discussed. In his experience immediate implant placement has no impact on the biology of the extraction socket. His advice for surgical treatments in the aesthetic zone is always to increase soft and hard tissue sufficiently for predictable and stable aesthetic results.

Content of the expert video

Professor Markus Hürzeler presents facts and figures whether a single step procedure or a staged approach is indicated.
Professor Markus Hürzeler presents facts and figures whether a single step procedure or a staged approach is indicated.
An upper incisor with a root fracture is ectracted.
An upper incisor with a root fracture is ectracted.
The implant is placed in a single step procedure to preserve hard and soft tissue.
The implant is placed in a single step procedure to preserve hard and soft tissue.
A customized impression copy of the emergence profile creates an integrated and stable gingival complex.
A customized impression copy of the emergence profile creates an integrated and stable gingival complex.
The predictable and stable esthetic result of the single step procedure.
The predictable and stable esthetic result of the single step procedure.

The experts

Prof. Dr. Markus Hürzeler

Private practice Hürzeler/Zuhr in Munich

  • Practising dentist in the joint practice Hürzeler/Zuhr in Munich
  • 2003 Conferment of degree; adjunct professor by the Albert-Ludwigs University in Freiburg
  • Specialist for periodontology (medical specialist equivalent) according to the Swiss (SSP) and German Association of Periodontology (DGP)
  • Specialist for prosthetics (medical specialist equivalent) according to the German Association for Dental Prosthetics and Materials Science (DGZPW)
  • Professorship at the Albert-Ludwigs University in Freiburg and at the University of Texas in Houston / Texas / USA
  • more »
Prof. Dr. Markus Hürzeler

Prof. Dr. Hannes Wachtel

Dental office in Munich

Hannes Wachtel received his dental degree in 1982 at the University of Tübingen, Germany. In 1982/83 he followed the Postgraduate Program in prosthodontics at the University of Southern California, Los Angeles, USA. Beginning of 1984, he served as Associate Professor in the Department of Periodontology at the Free University of Berlin for ten years and obtained his Ph.D. in 1992. Since 1994 he maintains a private clinic in Munich, together with Dr. Bolz, devoted to periodontology, implantology and restorative dentistry and established with his partner Dr. Bolz the Institute for Periodontolog ...more »
  • botiss dental Gmbh
  • Henry Schein
  • DZR
  • CAMLOG
  • CLINICAL HOUSE EUROPE
  • Komet/Gebr. Brasseler GmbH &Co KG
  • DSI DentaScience Institute®
  • Kuraray
  • BEGO Implant Systems GmbH & Co. KG
  • Zimmer Dental
  • IDI-PARO
  • IPI München
  • Sirona
  • Align Technology Inc.
  • Mectron
  • Health AG
  • Dentsply Sirona Implants
  • W&H Deutschland GmbH

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The Dental Online College is an online learning platform for dental surgeons and students. This service focuses on providing superior-quality professional training videos in the area of dental medicine that can be called up from an Internet platform. As a professional online training platform, the Dental Online College provides dental surgeons and students with instruction in surgical procedure, demonstrating challenging surgical techniques using easy to understand videos, and including interviews that provide further detail, video presentations, and documentation on performing the procedures in question.

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