In our first article 2 years ago we explored the difference between tissue level and bone level implants with regards to risk for peri-implantitis. In this article, we discuss deeper about the emergence profile in the light of new knowledge and we also extend to assess technical complications and potential implications of the implant connection. We will discusss the ocncept of Emergence profile and the "deep" emergence angle and we will investigate closer what were the reasons behind the early success of Tissue level implants, as well as their limitations.
My name is Nikos Mattheos and I am a periodontist, researcher and an academic teacher. I believe sharing and opening ourselves to discussion and debate is the only way to improve and progress!
The purpose of this site is simply to share some of my thoughts, ideas and work with peers and students.
Join me in a journey to teaching and learning of Implant Dentistry!
Videos
Implant Supracrestal Complex and Peri-implantitis
Could the implant selection and the prosthetic design predispose to peri-implantitis? (1/4)
Periodontal Regenerative Surgery with Emdogain
Learn the main incisions and suturing techniques for Regenerative Periodontal Surgery! Papilla Preservation incisions, horizontal and vertical mattress sutures and more.
Implant Supracrestal Complex and Peri-implantitis
Could the implant selection and the prosthetic design predispose to peri-implantitis? (1/4)
Straumann BLX and Nobel Active in the Aesthetic zone
Mixed Connective Tissue - Epithelial graft for the increase of keratinised mucosa around implant.
Periodontal Regenerative Surgery with Emdogain
Learn the main incisions and suturing techniques for Regenerative Periodontal Surgery! Papilla Preservation incisions, horizontal and vertical mattress sutures and more.
Lateral Window Sinus Augmentation Live Surgery
Step by step sinus surgery with piezoelectric tips
Anterior Implants with GBR
Step by step Straumann BLX replacing front teeth in proximity to the incisive canal with GBR.
Immediacy in the aesthetic zone
Duided Surgery and Immediate provisional in the aesthetic zone
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Learn & Share: My Blog
Static and Dynamic computer assisted implant surgery appear to deliver the same level of accuracy if we study the average deviation. But this is only half the truth. By analysing frequencies instead of the mean we could see some important differences and clinical implications, as it becomes obvious that both dynamic and static CAIS will deliver "plug and play" immediacy in 40% of the cases, as opposed to only 10% for freehand. If we extend to include the small modification group then we see CAIS serving successfully as much as 80% of the cases! Think of the time and resources saved, the logistics and the patient experience and you have already a major benefit of CAIS, certainly not described in the previously reported means. That is of course if you follow an immediacy procedure. With a conventional loading protocol, the benefit of CAIS is probably not that important in clinical terms.
Courses
Date: Open now!
Prepare to navigate uncharted waters and master decision making in the Aesthetic Zone!
Learn what, how and when to manipulate bone and soft tissue for sustainable aesthetic outcomes!
Date: Open Online!
When implant treatments go wrong, the cause of trouble is often hidden and the clinical findings can be misleading!
In this multidisciplinary online masterclass, you will learn how to find the real causes and how to design step-by-step the proper management strategies!
Date: 1-2 April 2023
A comprehensive 2-day hands-on Mastercourse, with a focus on decision making and a variety of techniques for the augmentation of the compromised bone and soft tissues, from immediate implants, ridge preservation to Guided Bone Regeneration and more!