The Implant Supracrestal Complex: a Guardian of Success or a Troublemaker?
Speaker: Dr. Nikos Mattheos
The Supracrestal Complex is a true cyborg organ: it includes all 3 key players: Human Tissue, Mechanical parts and Bacteria in a constant dynamic interplay. In this webinar we will discuss the selection criteria and design of implant and abutment, and review evidence based criteria for success.
Dental Implants are no longer perceived as passive metal constructions. A new paradigm is emerging, where implants are increasingly shown to be biologically active parts of a self-regulated system, interacting with human and microbial tissues in a delicate homeostatic balance of function and aesthetics. It is exactly this interrelation between living tissue, bacteria and precisely constructed titanium components which determines the pathway to long term success or complications. In no other part is this interrelation more crucial than within the Implant Supracrestal Complex, the tiny space defined by the cortical Marginal Bone (apically) and the first couple of mm of the implant prosthesis exposed in the oral environment (coronally).
The Supracrestal Complex is a true cyborg organ: it includes all 3 key players: Human Tissue, Mechanical parts and Bacteria in a constant dynamic interplay. As recent studies have pointed out, this tiny space is the source of the most common implant long-term complications of both the biological and the technical type.
In this presentation, we will explore the new emerging paradigm of the implant supracrestal complex and we will dissect all micro-features of both the soft tissue architecture, as well as the implant-abutment-prosthesis complex. We will then discuss how critical decisions on the selection of the implant and the design of the abutment-prosthesis can safeguard success or predispose to failure. Finally, we will review the current evidence to identify best practices and for achieving long lasting health, asthetics and function of the peri-implant tissues.
The participant should be able to
- Understand the main components of the supracrestal complex from the peri-implant tissues, the bacteria and the implant components and identify the interplay between all parts that can lead to long term sustainable health or disease.
- Identify the main design features of the implant-abutment-prosthesis which can have a direct impact in the clinical outcomes and the conditions of the Peri-implant soft tissues
- Determine the most suitable component selection and individualized surgical interventions in response to different anatomic conditions in order to achieve healthy, aesthetic and sustainable clinical outcomes.
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The Implant Supracrestal Complex: a Guardian of Success or a Troublemaker? is co-sponsored by Tribune Group GmbH. Tribune Group GmbH is a recognized ADA CERP and AGD PACE provider.