This lecture will start with the description of the differences between Gingiva and the periimplant mucosa. The biological with around teeth and implants will be explained. The question of the necessity of a fixed and keratinized mucosa around implants and teeth will be discussed. To that topic literature will be shown and explained to show its scientific background.
To transfer the theoretical explanations into a clinical use, the lecture will show a first clinical case. This case will demonstrate the development of a severe periimplantitis over 17 years at two lower molar implants with missing attached periimplant mucosa. The treatment of this periimplantitis will be shown supported by literature of concepts to treat periimplantitis.
As a stable mucosa around implants in the molar region is needed for a stable function of the implants, in the aesthetic zone the thickness, shape and color of the periimplant mucosa is crucial for a functional and aesthetic long-term success. The concept to receive aesthetic and stable periimplant soft-tissue in the aesthetic zone of our private practice will be shown. Therefore, clinical cases will demonstrate the procedure used in our practice in different situations. First of all, the concept of immediate implant placement in this sensible area with the different possibilities of immediate provisionalisation of the implants will be explained. An excursion into the preferred implantsystem will explain what kind of implants should be used for this kind of treatment protocol.
If an immediate implant placement is not possible – the reasons for not placing an immediate implant will be explained – the extraction technique and extraction socket treatment will be shown. The focus will be on the reconstruction of the soft-tissue.