Mucogingival approach for the surgery around implant

The lack of adequate thickness of the peri implant buccal soft tissues can lead to incorrect emergence profiles of the prosthetic crown, which are difficult to maintain from a hygienic point of view; in these cases, the main goal of the plastic surgery is to augment the thickness of the connective tissue at the level of the peri-implant transmucosal portion. This is achieved with a surgical technique that involves the use of a connective tissue graft covered by a coronally advanced flap along with a prosthetic phase. To prevent soft tissue dehiscence occurrence correct 3d implant positioning is of paramount importance.

Immediate implant installation is traditionally considered as a flapless procedure and it is indicated only in sites with ideal anatomical conditions such as an intact facial bone wall with a thick wall phenotype (> 1 mm) and a thick gingival biotype. The aim of the lecture will be to describe a mucogingival approach to immediate implant installation that allow performing this surgical treatment also in different clinical scenarios, such as:

• Unfavorable position of the soft tissue margin of the tooth to be extracted.
• Unfavorable condition of the soft tissue margin of the adjacent teeth (presence of gingival recession or altered passive eruption).
• Loss of papillae height and thickness of the tooth to be extracted.
• Unfavorable condition of the the buccal bone wall.

The course will be in English with a direct translation in French. Only 60 participants will be able to come because we want the course to be interactive. We will have a nice meal at the negresco between morning and afternoon.