scholarly journals Soft and Hard Tissue Management in Implant Therapy—Part II: Prosthetic Concepts

2012 ◽  
Vol 2012 ◽  
pp. 1-6
Author(s):  
Paolo Francesco Manicone ◽  
Luca Raffaelli ◽  
Marjan Ghassemian ◽  
Antonio D'Addona
Keyword(s):  
Soft Tissue ◽  
Treatment Planning ◽  
Early Treatment ◽  
Soft Tissues ◽  
Tissue Architecture ◽  
Hard Tissue ◽  
Tissue Modeling ◽  
Soft Tissue Profile ◽  
Implant Therapy ◽  
Soft Tissue Modeling

The ongoing pursuit of aesthetic excellence in the field of implant therapy has incorporated prosthetic concepts in the early treatment-planning phase, as well as the previously discussed surgical concepts. The literature has addressed these prosthetic and laboratory approaches required to enhance and perfect the soft and hard tissue management (SHTM). After surgically providing an acceptable hard tissue architecture and adequate timing of loading of the implant, the prosthetic phase is responsible for the soft tissue modeling, through correctly planned and executed procedures, which induce a satisfactory soft tissue profile by considering the microvasculature, the abutment connection and positioning, and the implementation of an adequate provisional phase. The objectives are the modeling of the soft tissues through the use of a conforming periorestorative interface which will produce desired and stable results.

scholarly journals Soft and Hard Tissue Management in Implant Therapy—Part I: Surgical Concepts

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Antonio D'Addona ◽  
Marjan Ghassemian ◽  
Luca Raffaelli ◽  
Paolo Francesco Manicone
Keyword(s):  
Soft Tissue ◽  
Surgical Techniques ◽  
Hard Tissue ◽  
Missing Teeth ◽  
Soft Tissue Profile ◽  
Biological Concepts ◽  
Implant Therapy ◽  
Tissue Grafts ◽  
Soft Tissue Grafts

Implant therapy has become a reliable and predictable treatment alternative for the replacement of missing teeth with conventional removable and fixed partial dentures. Recently though, in the pursuit for improved esthetics, the literature has dedicated a considerable amount of its research on the successful maintenance and regeneration of the surrounding gingiva and bone, which are lost following extraction of a tooth. Thoroughly analyzing the anatomic situation and well-planned treatment has become a requirement, because incorrectly planned and positioned implants may jeopardize long-term esthetic and functional prognosis. In addition, many types of biocompatible materials, autogenous hard and soft tissue grafts, and different surgical techniques have been developed, and their viability has been investigated. As a result, implant specialists have gained a greater understanding of the dynamics and anatomical and biological concepts of the periodontium and peri-implant tissues both at the surgical and prosthetic phases of treatment, which contributes to better soft and hard tissue management (SHTM). This may further contribute to achieving a superior final result which is obtained by having a harmonious soft tissue profile, a correctly placed and contoured final restoration, and the reestablishment of masticatory function and phonetics.

Enabling Technologies for Advanced Soft Tissue Modeling

2003 ◽  
Author(s):  
Steven L. Dawson ◽  
Robert Howe ◽  
Mark P. Ottensmeyer ◽  
Amy Kerdok ◽  
Anna M. Galea
Keyword(s):  
Soft Tissue ◽  
Tissue Modeling ◽  
Enabling Technologies ◽  
Soft Tissue Modeling

An improved method for soft tissue modeling

2021 ◽  
Vol 65 ◽  
pp. 102367
Author(s):  
Yushan Tang ◽  
Shan Liu ◽  
Yaru Deng ◽  
Yuhui Zhang ◽  
Lirong Yin ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Improved Method ◽  
Tissue Modeling ◽  
Soft Tissue Modeling

A Quantitative Three-Dimensional Assessment of Abnormal Variations in Facial Soft Tissues of Adult Patients with Cleft Lip and Palate

2003 ◽  
Vol 40 (5) ◽  
pp. 544-549 ◽  
Author(s):  
Virgilio F. Ferrario ◽  
Chiarella Sforza ◽  
Claudia Dellavia ◽  
Gianluca M. Tartaglia ◽  
Davide Sozzi ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Cleft Lip ◽  
Soft Tissues ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Z Score ◽  
Soft Tissue Profile ◽  
Variability Index ◽  
The Mean ◽  
Facial Soft Tissues

Objective To supply quantitative information about the facial soft tissues of adult operated patients with cleft lip and palate (CLP). Design, Setting, and Patients The three-dimensional coordinates of soft tissue facial landmarks were obtained using an electromagnetic digitizer in 18 Caucasian patients with CLP (11 males and 7 females aged 19 to 27 years) and 162 healthy controls (73 females and 89 males aged 18 to 30 years). From the landmarks, 15 facial dimensions and two angles were calculated. Data were compared with those collected in healthy individuals by computing z-scores. Two summary anthropometric measurements for quantifying craniofacial variations were assessed in both the patients and reference subjects: the mean z-score (an index of overall facial size), and its SD, called the craniofacial variability index (an index of facial harmony). Results In treated patients with CLP, facial size was somewhat smaller than in normal individuals, but in all occasions the mean z-score fell inside the normal interval (mean ± 2 SD). Almost all patients had a craniofacial variability index larger than the normal interval, indicating a global disharmonious appearance. Overall, in patients pronasale, subnasale, and pogonion were more posterior, the nose was shorter and larger, the face was narrower, and the soft tissue profile and upper lip were flatter than in the reference population. Conclusions The facial soft tissue structures of adult operated patients with CLP differed from those of normal controls of the same age, sex, and ethnic group. In this patient group, surgical corrections of CLP failed to provide a completely harmonious appearance, even if the deviations from the reference were limited. Further analyses of larger groups of patients are needed.

scholarly journals Three-dimensional evaluation of mid-facial soft tissue changes after expansion using micro-implant-supported maxillary skeletal expander

2020 ◽  
Author(s):  
Hieu Nguyen ◽  
Jeong Won Shin ◽  
Hai-Van Giap ◽  
Ki Beom Kim ◽  
Hwa Sung Chae ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Computerized Tomography ◽  
Soft Tissues ◽  
Cone Beam ◽  
Maxillary Expansion ◽  
Hard Tissue ◽  
Facial Soft Tissue ◽  
Tissue Changes ◽  
Cone Beam Computerized Tomography ◽  
Soft Tissue Changes

Abstract Background The aim of this study was to assess the mid-facial soft tissue changes induced by a micro-implant-supported maxillary skeletal expander in late adolescents and young adults by cone-beam computerized tomography and the correlations between hard and soft tissue changes after expansion with maxillary skeletal expander.Subjects and methods Twenty patients with maxillary transverse deficiency treated with maxillary skeletal expander were selected. Cone-beam computerized tomography images taken before and after expansion were superimposed to measure the changes in soft and hard tissue landmarks.Results Anterior nasal spine, posterior nasal spine, and alveolar bone width were significantly increased after expansion with maxillary skeletal expander (p < 0.05). The average lateral movement of the cheek points was 1.13 ± 0.33 mm (left) and 1.41 ± 0.39 mm (right), while that of the alar curvature points was 1.07 ± 0.72 mm (left) and 1.06 ± 0.68 (right) (p < 0.05). The average forward displacement of the cheek points was 0.42 ± 0.66 mm (left) and 0.60 ± 0.58 mm (right), whereas that of the alar curvature points was 0.80 ± 0.67 mm (left) and 0.68 ± 0.56 mm (right) side (p < 0.05). The average downward movement of the subnasale was 0.40 ± 0.37 mm (p < 0.05). The changes in cheek points and alar curvature points on both sides significantly correlated with hard-tissue changes (p < 0.05).Conclusions Maxillary expansion using maxillary skeletal expander resulted in significant lateral and forward movement of soft tissues of the cheek and alar curvature points on both sides and correlated with the maxillary suture opening at the anterior and posterior nasal spines.

scholarly journals Aesthetics in Implantology

2006 ◽  
Vol 49 (1) ◽  
pp. 19-22
Author(s):  
Rakesh V. Somanathan ◽  
Antonín Šimůnek
Keyword(s):  
Soft Tissue ◽  
Treatment Planning ◽  
Dental Materials ◽  
Hard Tissue ◽  
The World ◽  
Materials Used

Aesthetics in implantology is a topic currently attracting lot of attention from dental implantologists all over the world. It includes both white and red aesthetics with much greater importance been given to the red aesthetics. In this article, both hard tissue and soft tissue procedures and techniques, used in the development of implant recipient sites will be presented and discussed, briefly outlining the treatment planning and also various dental materials used in enhancing aesthetics in implant restorative procedures.

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