Implant Uncovering Using A Roll-Flap Procedure In The Aesthetic Zone - Dental Online College
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Implant Uncovering Using A Roll-Flap Procedure In The Aesthetic Zone

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Prof. Dr. Hürzeler

In this surgery, Prof. Dr. Hürzeler performs a special roll-flap procedure while uncovering an implant in the aesthetic zone. First, a de-epithelialization of the coronal tissue at the implant site is conducted. Next, an intrasulcular incision around the adjacent teeth is made using a microsurgical elevator. At the implant site, a full thickness flap is elevated and rolled in in order to thicken the buccal tissue. The goal is to prevent later gingival recession, and also the unaesthetic appearance of metal shining through a thin gingiva. A releasing incision and tissue mobilization is conducted also in the palatal area in order to move tissue coronally. Now, the cover screw of the 3i implant is removed and a provisional cylinder placed. A temporary crown, which has been prepared in the dental laboratory, is fixated on the cylinder using light curing resin. Once an access hole to the implant cylinder is drilled, the temporary crown and cylinder are removed in order to be further customized and finalized in the laboratory. The finished crown is then repositioned and fixated. With a special suturing technique, the flaps are positioned and fixated in a coronal position. For this technique a temporary resin bridge between the temporary crown and its neighboring teeth is used. Once the access hole in the crown is closed with resin, in a final step the buccally placed tissue needs to be stabilized with horizontal sutures. Using this roll flap technique, the thickening of the buccal tissue and the coronal positioning of the gingiva can be reached at the same time.

The expert

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 »
  • Henry Schein
  • Align Technology Inc.
  • W&H Deutschland GmbH
  • Kuraray
  • Mectron
  • botiss dental Gmbh
  • Sirona
  • Zimmer Dental
  • DSI DentaScience Institute®
  • Health AG
  • Komet/Gebr. Brasseler GmbH &Co KG
  • Dentsply Sirona Implants
  • BEGO Implant Systems GmbH & Co. KG
  • IPI München
  • DZR

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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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