Prosthetic challenges and solutions for implant based restorations in anterior and posterior zone. 10 March Ekaterinburg Russia


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


Dr. Giacomo Fabbri



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. The On1 concept offers an undisturbed mucosal seal with many advantages for both surgeons and restorative clinicians. It provides surgical flexibility along with soft tissue biocompatibility, but also provides a simplified restorative workflow.




Key learning points:


  • Esthetic, Functional and Biological Integration of the prosthetic outcome: key points for the success;
  • Selection and management of the implant-abutment interface and its implication with the biological width and the bone remodeling around implants
  • The impact on concave vs. convex profile of the Conical Connection abutment to guide the tissue;
  • The clinical and biological implication of Platform Switching concept;
  • Importance of Implant abutment interface for long term stability and clinical success;
  • Practice how to optimally design a screw-retained temporary crown to support tissues when applying immediate or delayed protocols;
  • Complete soft tissue management around implant: from the conditioning to the soft tissue oriented impression technique
  • Recognize the impact of the implant position for the final outcome and when an ASC/FCZ screw-retained crown could support the final outcome;
  • Select the proper abutment based on the clinical situation;
  • Peri-implant soft tissue integration – a barrier,that should not be broken (On1 Concept).
  • Tips and Tricks in the daily practice for an ideal prosthetic and technical workflow
  • What to know about the occlusion on dental implant?
  • Zirconia and Titanium use: When? How? Why
  • Screw retained Vs Cement based approaches;
  • Monolithic and Bilayered: advantages and indications;
  • Innovative solution in case of screw-retained restorations: from the single to the complete restoration.
  • Guide lines for a correct maintenance of the prosthetic outcome and to manage complications.