IM07
Dental Implant Breakout Session: Provisionalizing the Single Implant Site ( immediate and delayed): What to Incorporate into the Design in Order to Achieve Appropriate Papilla Form and Emergence Profile. Through the eyes of a Prosthodontist.
9:15 AM-10:15 AM
308A-B (Hawaii Convention Center)
Brahm A. Miller DDS, FCDS(BC), FRCD(C)
North Vancouver, BC, Canada
Achieving the highest implant esthetics requires precise steps beginning with diagnosis through to the restorative phase. This necessitates a clear understanding of what is possible along with the skills required to meet the desired end-point. Each small advancement, whether it is a new concept or a time-tested technique, will help with the initial and long term success and survival of the treatment outcome. Provisionalization is a pivotal point and a significant stage in a surgical and restorative blueprint for predictable implant esthetics. Although it is characteristically thought of as a potential first step in the restorative treatment phase, increasingly this has been incorporated into the surgical phase where possible. In fact, for immediate restoration at the time of surgery or shortly thereafter, whether it is a full provisional or a customized healing abutment, it should be viewed more accurately as the final surgical stage with the objective of co-engineering the hard and soft tissues i.e. osseointegration and the subgingival and gingival prosthetic profile. This in turn sets the groundwork for the definitive abutment design including the form of the abutment body and the position of the restoration margin. This is of particular importance when cementing the final crown.
- Describe why provisionalization in one form or another is important to the stability of tissue contours and post-restoration levels;
- Discuss the clinical scenarios where provisionalization can be considered for single as well as small edentulous spans that also involve pontic sites; and
- Review the various provisionalization approaches, materials and design concepts that can be considered in the surgical setting, or coordinated with the restoring dentist.