Dental CE Course: Esthetic and Gingival Considerations for the Anterior Implant Restoration

This course will address the unique features that impact the esthetic and gingival management of the anterior implant restoration. In many respects, the periodontal biotype is as much a factor in a successful outcome as the actual fixture position. This presentation will provide a review of sulcular form, ridge morphology, embrasure considerations as well as the mesiodistal, faciolingual, and apical positioning of the fixture. In this context, implant to implant, implant to natural tooth and implant to pontic will be analyzed.
The esthetic requirements of anterior restorations, including smile analysis, the unique esthetic demands of the mandibular anterior teeth, elevations, depressions, rotations, and patient vs. dentist perceptions and expectations will also be discussed in depth.
The controversy over whether to retain a tooth with endodontic therapy vs. extracting it and replacing it with an implant will be analyzed. Suggestions for each approach based upon bone quality and quantity, periodontal biotype, and prosthetic requirements will be proposed.