Rules and Guidelines for Perfect Esthetics: The Implant Sets the Tone

Abstract:
When placing implants in the esthetic zone, care should be taken before planning the treatment sequences. A thorough examination must be performed to both soft and hard tissue with special emphasis on potential changes that could take place following implant placement. These changes such as bone resorption and/or soft tissue retraction can jeopardize the esthetic outcome of the future prosthesis and represent a challenge for the practitioner. To prevent resorption phenomenon, several techniques have been advanced such as ridge preservation, guided bone regeneration and immediate post-extraction implantation.
Implant placement must follow the rules of 3D placement to respect the aesthetic criteria while allowing primary stability. Pre-implant study with the help of planning software and the guided implant placement will allow an ideal position as well as preliminary preparation of the temporary crown. Implant geometry plays an essential role in allowing optimal stability thus allowing immediate temporization that will guide bone and gingival healing while maintaining aesthetics during the healing period
During this presentation guidelines that should be followed to predict a successful final esthetic outcome will be explained. Optimal implant positioning, immediate temporization and site built-up by means of soft and hard tissue grafting procedures will be described along with long-term clinical results.

learning objectives:

– Analyze esthetic risk factors related to implant placement.
– Understand the importance of ideal implant positioning in the esthetic zone.
– Comprehend the atraumatic extraction technique to preserve alveolar bone.
– Understand different soft and hard tissue reconstruction techniques related to esthetic implant placement.

BIOGRAPHY:

Dr. Christian Makary was born in Lebanon in 1969. He graduated as a doctor of dental surgery in 1993 from the Saint Joseph University of Beirut in Lebanon. He holds a Certificate of Oral Surgery from Paris VII University, a University Diploma in Oral Implantology from Bordeaux II University and a University Diploma in Oral pathology from Paris VI University in France.
He also holds a master’s in science and a PhD in oral biology from the Saint Joseph University of Beirut in Lebanon.
He was the former chairperson and is currently an Associate Professor and Director of Master program at the Oral surgery department of the Faculty of Dental Medicine of the St Joseph University of Beirut – Lebanon.
He is an Adjunct Clinical Associate Professor in the Department of Dentofacial Medicine, Faculty of Medicine, American University of Beirut – Lebanon.
He is a diplomate of the International Congress of Oral Implantology ICOI and an ICOI ambassador and the ICOI international Vice President for Lebanon.
He is an Active member of the International Piezosurgery Academy.
His professional practice is limited, since 1996, to Oral Surgery and Oral Implantology.
Dr. Makary has lectured on oral implantology in numerous local and international congresses mainly on the topics of sinus grafting, extraction site management and ultrasonic implant site preparation. He has several publications in the field of oral surgery and oral implantology