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Implant dentistry has evolved considerably over the last 50 years. Today, it is well known that, to guarantee the short- and long-term success of an implant-supported prosthetic rehabilitation, mucointegration (integration of the implant neck into the soft tissue) is as important as osseointegration (direct contact between the implant and the surrounding bone).
Soft tissue is crucial from the outset of the first surgical procedure, since it represents an indispensable barrier to protect the underlying bone and, at the same time, recreate an esthetic appearance. Thanks to past research and recent publications, clinicians and scientists have gained a better understanding of the role and importance of biological width.
In this context, the possibility of using materials capable of recreating a more natural, high-performance seal around the implant prosthetic rehabilitation is increasingly a key issue.
The other issue that needs to be discussed concerns the position of the implant in relation to the alveolar bone profile. Many clinicians are more familiar with bone-level implants, particularly in the treatment of the premaxillary area, yet the use of tissue-level implants is becoming increasingly popular.
Learning objectives
- Discuss the meaning of recreating a natural seal around implants.
- Explain the management of the esthetic area using a tissue-level implant.
- Learn how zirconia can help preserve biological width.
- Understand the STRONG concept.
- Learn guidelines for implementing the "STRONG protocol" in clinical practice.
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