Osseointegration of implants is now well established, and the current focus is on achieving ideal esthetics and function. Long-term maintenance of soft tissue esthetics around implants is a challenge that we are only now coming to understand better. Factors such as type of bone defect, peri-implant bone remodeling, and timing of implant placement have a profound effect on facial bone maintenance and future soft tissue architecture. This presentation demonstrates and highlights important surgical considerations for predictably achieving and maintaining esthetic implant restorations, particularly in defects with fewer than three bone walls. Arguments for the advantages of tissue-level implants with simultaneous guided bone regeneration (GBR) in such defects are presented.
At the end of this Congress Lecture you should be able to…
- describe clinical situations where implants can be successfully placed with simultaneous GBR in defects with fewer than three bone walls
- discuss the advantages of tissue-level implants in severe defects
- understand how reduced diameter tissue-level implants can improve the predictability of the GBR procedure