The Journal of Implant & Advanced Clinical Dentistry
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Integrating Implant Function and Esthetics

  • Journal:Integrating Implant Function and Esthetics Volume: Vol. 2, No. 4 Date: May 2010
    Authors:Sergio Rubinstein, DDS, Maurice A. Salama, DMD, David A Garber, DMD, Henry Salama, DMD, Carlo Maiorana MD, DDS, Stefano Speroni, DDS, PhD, Marco Cicciù, DDS, PhD, Eduardo José de Moraes, MSc , Nikitas Sykaras DDS, PhD

    19. The Reverse Pathway: Parameters for the Integration of Function and Aesthetics with Implants

    Implant Dentistry has evolved dramatically since it’s inception as an anchor for the fully edentulous patient population. Today, more than ever, implants are being utilized for the partially edentulous patient as segmental or single tooth replacements where long term function and esthetics are of prominent importance. The dental implant specialist must therefore attempt to work backwards from the restorative-esthetic final goal of therapy to the beginning of the case where the initial decisions are being made. Restorative driven implant based decision making by the surgeon will lead to the correct augmentation and implant selection for the specific needs of the patient. This “reverse pathway” approach is the protocol featured in this article to achieve excellent results and avoid complications.

    33. A New Approach for Post Extractive Site Preservation by using a Free Gingival Graft: A Case Report

    Background: The role of the keratinized mucosa is a controversial issue and is still being studied by clinicians. The alveolar bone resorption after teeth extraction is a condition that could influence the planning of future den- tal implant positioning. This case report documents a new procedure termed “the snake technique” for peri-implant soft tissue management in an aesthetic area after teeth extraction.

    43. Rehabilitation of Complex Cases Using Obturator Prostheses and Zygomatic Implants: A Report of 2 Cases

    Defects in the maxilla associated with oroantral and oronasal communications generally affect patient’s function and esthetics leading to emotional imbalance. Reconstructive surgery is an option, but sometimes presents unsatisfactory results. Rehabilitation using obturator prostheses in edentulous patients often contributes to inadequate stability. The literature demonstres that intra-oral endosseous implants help in retaining the obturator prosthesis with satisfactory results. The present article is a report of 2 clinical cases in which patients were rehabilitated with obturator prostheses over conventional and zygomatic implants, with a follow-up of 2 years.

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