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Forum Category: Implantology

Moderated by:
Bernard Touati

Limiting Tissue Remodeling Around Implants

The functional and aesthetic success of implant treatment in the anterior zone depends not only on the quality of the prosthetic restoration, but also on the contour, position, and stability of the soft tissues. It is these tissues that conceal the implant neck and establish a gingival level that is harmonious with the adjacent tissues. Nevertheless, in the literature, marginal bone loss of 1.2mm to 1.5mm after implant placement and loading is often considered unavoidable.

In the anterior zone, this phenomenon is responsible for unaesthetic gingival recession that will undoubtedly occur in patients with difficult, thin periotypes, and often in moderate periotypes as well. In patients with favorable, thick gingival, limited marginal bone loss does not necessarily have a negative effect on the aesthetic result. In the posterior region, bone remodeling will increase the extrabony lever arm that can jeopardize the longevity of the implant.

 

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Limiting Tissue Remodeling Around Implants

09:52 AM | Apr 18,2012
I think Ted some are posted on The Next DDS already. I'll look and send links for you to review.

Limiting Tissue Remodeling Around Implants

04:19 PM | Feb 22,2011
Thank you Dr. Touati, this is really helpful! Could anyone direct me to some articles that deal with this process as well?

Limiting Tissue Remodeling Around Implants

04:17 PM | Feb 22,2011
Multiple parameters are involved in the remodeling of marginal bone, associated with inadequately conceived hardware (eg, implant design and surface texture, transmucosal components), with inappropriate clinical procedures, or with poor tissue conditions. There is literature which seeks to clarify the various causes of marginal bone loss in order to improve clinical results and to provide guiding principles for future implant and abutment developments.