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Stabilization and enhancement of soft and hard tissues around dental implants: a surgical perspective

From Volume 49, Issue 7, July 2022 | Pages 584-594

Authors

Shihab Romeed

Consultant in Restorative Dentistry, Queen Alexandra Hospital, Cosham, Portsmouth; Director of London Dental Academy

Articles by Shihab Romeed

Abstract

This article discusses the surgical considerations for stabilizing and enhancing soft and hard tissues around dental implants. Recession is one of the recognized complications around dental implants, especially in the aesthetic zone. The novelty of computed dental implantology has widened the practice of dental implants with increased predictability and better safety margins. However, case selection is paramount to fulfil patients' functional and aesthetic expectations in the short and long term. 3D surgical planning for dental implant placement is key to ensure maximum stability of the soft and hard tissues around dental implants and reduce the risks of biological and mechanical complications. Holistic treatment planning needs to be formulated to achieve the expected aesthetic and functional treatment outcomes and ensure that there is no soft tissue or bone loss.

CPD/Clinical Relevance: Knowledge of the surgical considerations in placing dental implants is essential for achieving a good aesthetic and functional outcome.

Article

The history of dental implants goes back to the 1960s when Brånemark and his team used pure titanium alloy as an alternative to other metal alloys owing to its biocompatibility and favourable mechanical properties.1 The initial success encouraged more research, which led to increased use of dental implants in replacing missing teeth.1

In the early 1980s, the term ‘osseo-integration’ was coined by a group of scientists and clinicians as ‘a direct structural and functional connection between ordered living bone and the surface of a load-carrying implant’.24 Later, in 1986, the criteria for successful dental implants were summarized by Albrektsson: no mobility, no peri-implant radiolucency, bone loss less than 0.2 mm/year, no infection, no pain or paraesthesia.5,6

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