There is an increasing need for patients for aesthetic fixed dental restorations with, or without implant placement. The alveolar jaw is a tooth dependent structure – any tooth extraction results in alveolar ridge resorption. Surgical techniques used today to preserve or augment deficient ridges follow biologic principles to achieve the same goal: a maintained or enlarged alveolar ridge with harmonious soft tissue contours. While the extent and pattern of resorption vary among individuals, there is an obvious loss of ridge contour as a result of physiological bone remodeling. The tendency for advanced resorption is even more increased around deep periodontal defects, especially when the buccal alveolar plate has been destroyed. The reconstruction of sufficient peri-implant hard- and soft tissue is crucial to achieving long-term tissue stability and aesthetics. The efficacy of the applied surgical protocols to eliminate periodontal defects at adjacent teeth is also of high importance to achieve favorable soft- and hard tissue conditions and to level off peri-implant hard tissues to the proximal crest bone of adjacent teeth. The lecture will present surgical approaches to reconstruct lost alveolar hard– and soft tissues by applying patient customized allogenic bone block using 3D CAD/CAM technology, socket preservation-, guided bone regeneration- and vestibuloplasty techniques utilizing pericardium collagen membrane and non-resorbable membranes in combination with connective tissue grafts or xenograft acellular dermal matrices.
Hard- And Soft Tissue Corrections Around Teeth And Implants