International NB Congress 8-9 Feb 2019 – SOFIA (Bulgaria)

Dr. Giacomo Fabbri

Prosthetic challenges and solutions for implant based restorations in anterior and posterior zone: how to idealize the integration and the reliability of the prosthetic outcome?


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 healing and management around implants represents 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 and stable prosthetic results. Clinical situations require specific evaluations in terms of implant connection, prosthetic components 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. In this sense the use of not-removable prosthetic components allows to idealize the soft tissues healing and management around implant with significant advantage from a biological, biomechanical and clinical point of views. In the treatment of the esthetic areas clinicians should have a rational and effective surgical and prosthetic approach in order to achieve excellent and stable outcomes. During the lecture this aspects will be covered completely, describing all the prosthetic workflow including the hard and soft tissue management, the role of the temporary restoration, the transferring of the soft tissue morphology to the lab and the selection of the restorative approaches and materials.