The ability of the restorative dentist to understand and control the relation of the implant to its associated gingival tissues is extremely important in achieving the maximum esthetic result in the final restoration. The position of the gingival margin following stage-two surgery represents collapse of the gingival tissues until it finds support by the component against which it comes to rest. This component may be a healing abutment, final abutment, or provisional restoration, if placed at the same time of implant exposure.
View Article and Find Full Text PDFThe technique of immediately replacing a tooth with an implant often has advantages over implant placement where partial or complete healing of the extraction site has occurred. Applying the technique of intentional root submersion before immediate replacement can facilitate implant placement and improve the final results. The advantages and the method of combining these techniques are described.
View Article and Find Full Text PDFForced orthodontic eruption is based on an understanding of the normal dental unit. The relationships between tooth, attachment apparatus, gingival unit, and force and stress demand consideration when forced eruption is used to treat carious or traumatic destruction of clinical crowns, lateral root perforations, or isolated vertical periodontal defects. Factors that must be judged acceptable prior to the initiation of therapy are (1) esthetics, (2) clinical root length, (3) root proximity, (4) root morphology, (5) furcation location, (6) individual tooth position, (7) collective tooth position, and (8) the ability to restore teeth.
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