Consensus Statements and Recommended Clinical Procedures Regarding Optimizing Esthetic Outcomes in Implant Dentistry

Abstract

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Timing of implant placement after traumatic dental injury

“…The timing of implant placement after tooth extraction may be categorized as immediate placement (type 1), within 24 hours after extraction; early (type 2), after 6-8 weeks; conventional (type 3), after 3 months; and late (type 4), after more than 6 months. 6 Severe trauma to the supporting hard and soft tissues may warrant prolonged healing, and in these cases a late implant placement protocol may be applied. However, an immediate approach can be considered if the patient reports to the clinic with an avulsed tooth that could not be localized or with a nonrestorable tooth remnant and if the following conditions apply: intact socket walls and a facial bone wall thickness of at least 1 mm, thick soft tissue phenotype, no acute infection at the implant site, and bone apical and palatal to the socket to provide ideal primary implant stability.…”

Computer-guided implant surgery and immediate loading with a modifiable radiographic template in a patient with partial edentulism: A clinical report

“…Other considerations are the surgical technique, grafting necessity, implant position, and loading protocol. [23][24][25]27 In the described clinical situation, an immediate 1-piece titanium-reinforced provisional structure was used, which provided a rigid splinting of the implants in the early stages of bone healing. [26][27][28] Several variables can affect the passive fit between the prefabricated titanium-reinforced prosthesis and the implant abutments.…”

“…The procedure is based on the use of a partial radiographic template with radiopaque markers for initial cone beam computer tomography (CBCT). [21][22][23] This template is then modified to add the complete prosthetic information, and a second CBCT is made only to the template. 24,25 This modification allows 3D virtual prosthetic information to be applied in regions where teeth will be extracted.…”

Current knowledge of prosthetic rehabilitation using implants: a literature review

“…Factors that included the distance between the implants or between the teeth and the implant, thickness of the buccal bone plate, and gum health were factors that positively contributed to prosthetic treatment for esthetic purposes [51,52]. Using 'switching' platform or Cone Morse abutments also helped preserving the height of the peri-implant bone crest and promoted thicker connective tissue around the implant [35,50,53].…”