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Achieving Aesthetic Predictability in Perio-Implantology
ACHIEVING AESTHETIC PREDICTABLITY IN PERIO-IMPLANTOLOGY The creation of an aesthetic smile with a gingival architecture in harmony with the adjacent dentition remains a formidable challenge in dentistry. The process of soft and hard tissue healing must be understood and incorporated into a carefully coordinated sequence of therapy. The essential prerequisites in order to establish an optimal harmonious aesthetic result should always remain a precise, comprehensive biological and prosthetic diagnosis as well as the choice of the most conservative, appropriate, and least traumatic treatment for the patient and achieve a successful aesthetic outcome. Even though aesthetics represent an essential part of the actual oral treatment, the value of the results, the predictability of the different therapeutic modalities and the long-term prognosis involve a scientific approach in all clinical procedures using one or several delicate osseous and/or muco-gingival plastic surgeries and precise tri-dimensional implant positioning. A major evolution in periodontology and implantology has taken place with less invasive surgery, more sophisticated approaches, the utilization of new bio-engineering materials, new implant procedures using model guided and computer-guided techniques and hardware such as: implant and abutment design, biomaterials for prosthetic components and new prosthetic options. The final aesthetic objective, the predictability of the different therapeutic modalities with a long-term prognosis, involve a scientific approach in all clinical procedures of this perio-implant procedures and achieve an optimal aesthetic dental/implant restoration implant surrounded by its natural gingival environment in harmony with the adjacent teeth. |