Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Simplified Anterior Implant Placement with Soft Tissue Grafting

Description:
In this extremely detailed instructional clinical video, Dr. Michael Sonick, director of the Fairfield County Dental Club, an advanced continuing education organization, walks us through the step-by-step implant placement and soft tissue grafting in a somewhat deficient lateral incisor area. In addition, suturing and post-operative care are also described in detail.

Date Added:
10/23/2009

Author(s):

Michael Sonick, DMD Michael Sonick, DMD
Dr. Michael Sonick is a full time practicing periodontist and implant surgeon in Fairfield, Connecticut. He is also an active teacher, clinical researcher and author. ...
[read more]






Online Videos / Surgery / Implant / Simplified Anterior Implant Placement with Soft Tissue Grafting




Questions & Comments
Faina Seagal - (3/26/2017 11:46 PM)

Hi, this video is not working anymore showing the system error

Alejandro James - (6/16/2011 6:36 AM)

REALLY NICE PROCEDURE! I WOULD LIKE TO KNOW PLEASE WHAT VIDEO SYSTEM DID YOU USED TO RECORD THE PROCEDURE! ALSO I WOULD LIKE TO KNOW WHT SUTURE DID YOU USED TO HOLD THE CONECTIVE TISSUE GRAFT THANK YOU

Mike Sonick - (11/21/2010 8:49 PM)

Hey Paolo and Henry

You both make good points. I augment over 80% of the implants that I place and this requires me to elevate a flap. I attempt to get at least 3-4 mm of bone labial to the impalnts placed in the esthetic zone.

Mike Sonick - (11/21/2010 8:46 PM)

Danny O'Keefe - (2/20/2010 5:26 AM)


Great technique keeping the outer layer of tissue for primary closure. What a wound we made in the past ! Releasing the base of graft looks a bit difficult. Would an angled blade make this easier ?



An angled blade makes it easier. I have one that has been made for me by Hu Friedy It is an angled scapel. 10-130-05MS #5

Paolo Giuliani - (4/7/2010 5:13 PM)

Thanks Henry. I think the proof is in the pudding. Esthetically long term any buccal cortical bone resorption has bad effects. I have read that 2 mm provides greater long term support as well. I have placed many implants in thin ridges no wider than 2-3 mm at the crest, never raising the buccal periosteum. I am sure that my first follow up with crestal buccal disharmony may change my attitude and begin raising full thickness flaps with added augmentation as well. So far there hasn't been a problem. (Boy, I hope I just didn't jinx myself). I'm sure the truth lies somewhere in between ... Keep up the good work.

henry salama - (4/7/2010 1:34 PM)

Hi Paolo! You make a good point about the vasculature and full thickness flaps. However, when treating a thin ridge, even with expansion, I find that usually I need to augment further to make sure I have approximately 2 mm thickness labial to the implant surface. This is needed, according to Grunder, Buser and others to create a more long-term stable environment. If that is the case, then a full thickness flap is the only way to access buccal augmentation appropriately. What do others think?

Paolo Giuliani - (4/7/2010 9:16 AM)

Great video. If the ridge was thin, and bone spreading was needed, raising the buccal periosteum is typically not advised so that you don't lose the 80% vasculature and about 0.5 mm of labial bone. Would you ever consider this procedure in a more fragile situation with thin ridge width?

Danny O'Keefe - (2/20/2010 5:26 AM)

Great technique keeping the outer layer of tissue for primary closure. What a wound we made in the past ! Releasing the base of graft looks a bit difficult. Would an angled blade make this easier ?

Danny O'Keefe - (2/20/2010 5:26 AM)

Great technique keeping the outer layer of tissue for primary closure. What a wound we made in the past ! Releasing the base of graft looks a bit difficult. Would an angled blade make this easier ?

Related Videos
CBCT Planning and Guided Implant Surgery - Surgical and Restorative State-of-the-Art Premium Member Content

CBCT Planning and Guided Implant Surgery - Surgical and Restorative State-of-the-Art
Implant treatment is one of the most exciting areas of dental therapy. Within the last 30 years, we have been able to develop and discover new techniques, instruments, software and equipment that have made this therapy more secure and predictable, such as the CBCT and the guided surgery, today with the guided systems we are able to have our implants “in the right” place considering the bone, the prosthesis, the biomechanics and the esthetic…this lecture will show you step by step how to reach awesome results in complex full arch cases in a secure and simple way even with immediate extraction and immediate implant placement.

Presented By:: Orlando Alvarez Del C., DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Connective Tissue Attachment to Dental Implants - Pt 2 Premium Member Content

Connective Tissue Attachment to Dental Implants - Pt 2
A description of the latest implant surface materials and their affect on implant integration.

Presented By:: Myron Nevins, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Implant Aesthetic in the Anterior Zone Premium Member Content

Implant Aesthetic in the Anterior Zone
Immediate loading implant placement after extraction.

Presented By:: Marius Steigmann, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Brilliant Implant Esthetics - Innovative Soft Tissue Shaping and Prosthetic Socket Preservation Premium Member Content

Brilliant Implant Esthetics - Innovative Soft Tissue Shaping and Prosthetic Socket Preservation
This presentation will demonstrate a workflow for oral surgeons, prosthodontists and dental technicians to achieve a predictable midfacial soft tissue level by an effective and atraumatic protocol.

Presented By:: Paul Weigl, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Ceramic Dental Implants in Everyday Practice Premium Member Content

Ceramic Dental Implants in Everyday Practice
One-piece Zirconia Oxide implants can overcome the problems we associate with two-piece and one-piece titanium root form implants. It will be shown how this treatment option is no longer “experimental” and that the Zirconia Oxide material used in the CeraRoot implants shows excellent ability to osseointegrate, is phenomenally strong, and provides a soft tissue profile and health around the implants that rivals natural teeth. This presentation will make you rethink your titanium armamentarium. You will see a way to provide your patients with an ideal tooth replacement option. An implant that looks like a tooth, restores like a tooth, and has the periodontal health that rivals that of a tooth without the fear of screw loosening, metal showing, and Peri-implantitis caused by subgingival connections.

Presented By:: Dan Hagi, DDS, FAGD, FICOI
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Prosthetic Strategies to Enhance Dental Implant Aesthetics Premium Member Content

Prosthetic Strategies to Enhance Dental Implant Aesthetics
The principle focus of implant dentistry has changed significantly from the era of ‘Anatomically driven implant placement’ to the current practice of ‘Restoration driven implant placement’. When we now look at the failing dentition in the aesthetic zone we now must immediately consider conversion to implants. We are continually seeking greater control of the peri-implant tissues and ultimately the aesthetics of the restoration. Implant/abutment designs allow us to consider immediate implant replacement, and immediate non-functional loading especially in the aesthetic zone, where preservation of hard and soft tissue is of paramount importance in order follow the principles of aesthetics by maintaining the elements which are already there

Presented By:: E. Dwayne Karateew, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept

Treating Two Adjacent Missing Teeth in the Esthetic Zone - Part 1: The Pink Hybrid Restoration & the Unilateral Versus Bilateral Defect Concept
This article, the first of a planned three-part series, outlines a new surgical & prosthetic approach for treating cases involving two missing adjacent teeth in the esthetic zone. These type of cases, particularly when combined with a three-dimensional ridge deficiency, represent one of esthetic dentistry's most challenging dilemmas. A Clear understanding of the unilateral and bilateral defect concept is necessary to properly evaluate each particular case, understand surgical limitations, perform a better risk assessment, establish an esthetic prognosis, develop the best clinical-laboratory strategy, and adjust patients' expectations. While not recommended for every case, represents a useful, economical, and predictable alternative that decreases the umber and complexity of interventions.

Author(s): Christian Coachman, DDS, CDT;Maurice Salama, DMD;Eric Van Dooren, DDS; Eduardo Mahn, DDS, DMD, PhD
View Article>>
Defining New Paradigms for Assessment of Implant Receptor Sites

Defining New Paradigms for Assessment of Implant Receptor Sites
This article will demonstrate how computed tomography combined with interactive virtual treatment-planning software applications can empower clinicians with enhanced diagnostic capabilities for implant receptor-site assessment.

Author(s): Scott D. Ganz, DMD
View Article>>
Immediate Loading of Bilaterally Splinted Titanium Root-Form Implants in Fixed Prosthodontics

Immediate Loading of Bilaterally Splinted Titanium Root-Form Implants in Fixed Prosthodontics
A load-free healing period has been advocated as a prerequisite to achieving osseointegration. This article reports two cases in which immediate loading of a specially designated additional or "expendable" set of titanium root-form implants was successfully utilized to support provisional fixed restorations in the maxilla and the mandible. This immediate-loading protocol is suggested as a reliable adjunctive therapeutic modality for offering implant patients access to fixed interim restorations…

Author(s): Maurice Salama, DMD;Henry Salama, DMD;Louis F. Rose, MD, Norman J. Betts, DDS, MS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login · Register