The prosthetic treatment plan must allow an ideal integration of esthetics, biologics and functional requirements on natural teeth and on implants. In case of implants the prosthetic treatment is usually more challenging due to the inevitable soft tissues changing after teeth extraction. In fact, the soft-tissue management around implants represent a crucial aspect and must be considered also from a prosthetic point of view in order to conclude the therapy with excellent outcomes. In this sense the prosthetic components assume an essential role in order to idealize the prosthetic integration and simultaneously achieve reliable prosthetic results. Clinical situations require specific evaluations in terms of implant connection, temporary abutments, definitive abutments and restorative materials and approaches. Nowadays, it is well known that the biological integration and stability around implants, can be significantly influenced by the correct use of modern prosthetic components. This lectures is step by step aiming to describe the decision making process in order to define the ideal prosthetic approach for all clinical situations, considering the single tooth replacement, the treatment of partial edentulous areas and the full-arch implant-supported rehabilitation. Special considerations and aspects will be introduced speaking about the treatment of the esthetic areas, focusing the attention on the diagnostic and prosthetic protocol, surgical techniques, soft tissues management working with the temporary restorations, soft-tissue based impression technique and the ideal selection of the restorative procedures. Also the selection of the restorative material will be evaluated considering both the monolithic and the layered approaches and pointing out the indications, the advantages and the drawback of each approach. All the topics covered during the course will be aiming to describe how to achieve an excellence integration of the restoration idealizing in the same time the reliability of the prosthetic outcome.
– The management of the interface area: the key point for an ideal complete integration of the final restoration.
– Selection and management of the implant-abutment-interface and its implication with the biological width and the bone remodeling around implants
– Prosthetic and Surgical Planning: Preserve, Recreate or Replace the soft tissues.
-The soft tissue management in the esthetic area in case of delayed approach: prosthetic aspects and techniques.
-The soft tissue management in the esthetic area in case of immediate function: prosthetic aspects and technique
-How to select temporary and definitive abutments in relation to the clinical situation
Zirconia and Titanium abutment use: When? How? Why?
-The influence of innovative the approaches and of the new materials on the esthetic integration and reliability of the prosthetic outcome.
– Guidelines on using the all-ceramic monolithic approach in case of single, partial and complete rehabilitations.
-Complete prosthetic and surgical workflow in full-edentulous patients in case of immediate loading.
-Change the vertical dimension of occlusion: When? Why? How?
-Innovative restorative solution on treatment of full-edentulous patients.
-Tips and Trick for the daily practice