Publications by authors named "Brahm A Miller"

Although the scientific evidence supporting complete digital workflows in implant dentistry is limited, practitioners continue to show increasing interest in implementing these types of protocols into clinical practice. The digital workflow enhances the ability of surgical clinicians, restoring dentists, other specialists, and technicians to collaborate in the treatment planning process to idealize treatment outcomes and achieve truly prosthetically driven restorative outcomes. This article describes the flow of this process and reviews software applications that can be utilized to strengthen the output of the digital workflow.

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High-end implant aesthetics requires precise steps from diagnosis through surgery to the restorative phase. These steps are not exclusive of each other. They are deliberate and require a clear understanding of what is possible and the skills that are required to carry out each procedure.

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As the biological width is established around neighboring implants, there is a flattening of the interimplant bone and a change in the position of the soft tissue. As a result, a normal progression of papilla from natural teeth through the adjacent implant area is lost. This presentation describes various techniques and strategies to improve the aesthetic outcome of anterior implant restorations, together with the use of a scalloped implant designed to sustain the interdental bony peaks, and in doing so, maintain the interimplant papillae.

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