前牙美学区种植.pptTreatmentplanningofimplantsintheaestheticzone●essdependsontissuelossattheinitiationoftreatment. ●es. ●Hardandsofttissuedeficienciesmustbeaddressedpriortoimplantplacement. ●,tocreationofanimplantbornerestorationwhichisinharmonywiththesurroundinghardandsofttissue.. Replacementofmultiplemissingteethin theaestheticzoneischallengingparticularly whenthethreedimensionalarchitectureofthe existingboneandsofttissueisdeficient..ponentavailablefromamanufacturerwhichwouldbetheidealreplacementforamaxillarycentralincisor..e ofanimplantrestorationisdependentonmany variablesincludingbutnotlimitedtothefollowing: 1)Patientselectionandsmileline 2)Toothposition 3)Rootpositionoftheadjacentteeth 4)Biotypeoftheperiodontiumandtoothshape 5)Thebonyanatomyoftheimplantsite 6) Notice: Theclinicianmustunderstandthepatient’sdesires. Theaestheticzoneiswherethepatientthinksitis. eptabletoothhealth,shadeor Inmanyinstancesteethwithapoorprognosisarethoughtlesslyextracted. Apico-coronal:moreapical,morecoronaloridealandmimictheleveloftheadjacentgingivalmargin. orthodonticextrusion Facio-lingual:positionedtoofarfacially,boneaugmentationprocedures; positionedmorelingually,morefavourable Mesio-distal:beequaltothatofthecontralateraltooth;orthodontics, decreasetheverticalboneheight,harmproximalgingivalarchitecture BiotypeⅠ: Athinbiotypewillrequiretheimplantbodyandshouldertobeplacedmorepalataltomaskanytitaniumshowthrough. Whenimplantsareplacedtowardthepalatea slightlydeeperplacementisrequiredtoallow forproperemergenceprofile BiotypeⅡ: Ideallythefacialcontourshouldbeslightlyflatterthanthecontralateralnaturaltoothtominimiseapicaldisplacement
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