Dental Tribune U.S.Edition No.3, 2016

Dental Tribune U.S. Edition | March 2016 A4 Ad By David L. Hoexter, DMD, FACD, FICD, Editor in Chief Platform switching is a means of achieving better esthetics and more pre- dictable function by using a healing abut- ment that is narrower than the width of the platform of a root-form endosseous implant. The technique promotes a more predictable regenerative healing at the neck of the inserted implant. Endosseous implants have been glob- ally appreciated and accepted since the 1980s, although used for several years previously. Better and more predictable implants and their continuing success led to more successful adaptation by dentists and greater acceptance by the public. With improved biological accep- tance of implants and improved func- tion being realized by patients, dentists are striving to improve esthetic results. In this presentation, “esthetics” means an implant appears, functions and is maintained just like one of the patient’s natural teeth. The implant requires bio- Root-form endosseous implants have always tried to emulate the natural tooth. Various shapes, textures, coatings and other variables have been used to achieve function and replicate natural appearance. Enhancing existing- and keratinized- gingiva regeneration supports healing Long-term implant success achieved in environment of chronic periodontal disease Fig. 1: Note buccal swelling at the apex area of #12. Photos/Provided by Dr. David L. Hoexter Fig. 1 Fig. 3 Esthetics with implants: Platform switching logical acceptance and sufficient osseous support. Keratinized attached gingiva protects the implant and natural teeth and enables the patient to maintain good oral hygiene; however, it also serves as an esthetic, symmetrical background for the prosthetic, helping it blend in natu- rally and be maintained naturally. Fig. 2: Occlusal view of #12 without crown. Note fracture on buccal root. Fig. 2 Fig. 3: Extracted remaining root with cyst. Fig. 4: Bone graft in voided socket, and GTR resorbable membrane (Transgraft) is used. Fig. 4 Fig. 5 Fig. 5: Note regenerated bone. Fig. 6 Fig. 6: Inserted implant. Fig. 7: Suturing the area. Fig. 7 and regeneration of the implant while also improving esthetics and the pa- tient’s ability to hygienically maintain results. This case demonstrates how platform switching aids in the healing and regen- ” ESTHETICS, page A6 CLINICAL

Dental Tribune U.S.Edition No.3, 2016

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