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即時インプラントプロビジョナル-軟組織ケアと審美のための重要事項
解説:
審美ゾーンでのHopeless歯または無歯顎部分のマネジメントは、軟組織の保存の必要性および治癒期間中の患者のマネジメントのため、臨床的に最も難しい術式の一つとされている。審美ゾーンでは、インプラント埋入と同じように、即時インプラントプロビジョナルも重要である。軟組織サポート、emergence profile、そして治療中のプロビジョナルで対応する期間は、即時・Delayed両方の埋入において、もっとも重要なステップとなる。歯肉縁下部分でのサポートとなる、適切なスクリュー式プロビジョナルをアクリリックシェルを用いて作成する方法をステップ毎に紹介する。
追加された日:
2012/02/05
著者:
Stephen J. Chu, DMD, MSD, CDT
Dr. Stephen Chu received his doctoral degree from the University of Pennsylvania School of Dental Medicine in 1984 and his master’s degree in restorative dentistry and ...
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オンラインビデオ / Surgery / Implant / 即時インプラントプロビジョナル-軟組織ケアと審美のための重要事項
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コンテントディスカッション
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FARHAN DURRANI492 - (2012/04/07 22:14)
dear sir several books say lot of things but you have changed my concept ,i will get into research on this topic
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jeffrey Babushkin - (2012/03/08 15:15)
Stehpen excellent information. I enjoyed the literature review and look forward to part 2.
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Nicolas Mallia - (2012/02/15 0:09)
According to the "overbuilding" procedure, don't you consider that in order to prevent the expectable collapse, especially in the aesthetic zone, a CTG would be the best option for all immediate, early and delayed implant placement? Thank you very much
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Nicolas Mallia - (2012/02/15 0:04)
Congratulations Dr S. Chu to you and all your team. You make it very easy and enjoyable. Amazing presentation. This is priceless... Looking forward for the part 2
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Maurice Salama - (2012/02/13 8:09)
Pablo; Yes, there will be a Part 2. Keep an eye out for it. Great information on exactly what you are asking for.
Dr. S
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Pablo Acosta - (2012/02/12 20:38)
Congratulations Dr. Chu!!
I'd really like to see how to fabricate the proper screw-retained provisional restoration from the fabrication of the acrylic shell to managing and capturing the proper supportive subgingival contour.
Will there be a 2nd part of this webinar?
Thank you in advance.
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Stephen Chu - (2012/02/08 11:14)
Hi Everyone,
Sorry for my delayed response. Just returned from Riyadh, KSA.
Thank you for all your positive comments...we are still trying to find the answers through continued clinical research.
The answer some of the Qs:
[1] The provisional restoration acts to protect, contain, and maintain the bone graft + blood clot during the healing phase - hence the term 'prosthetic socket seal'.
[2] All B-L changes...we did not look at vertical changes and I made mention in the lecture that we can manage vertical changes through crown/abutment contour...however, we can't manage B-L changes so easily especially if we have significant collapse with gingival tissue discoloration.
[3] Again, the provisional or contoured healing abutment [Group 3] which Maurice had much of that data set contains the graft material so membranes are not necessary.
[4] Always place a bone graft into the gap to prevent the B-L contour collapse. If you are treating a lateral incisor and there is no gap to place the graft then that's ok.
Warmest Regards to you all.
Steve
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ben aghabeigi - (2012/02/03 6:04)
Excellent presentation.
Is it necessary for the graft material to be protected by a membrane? If so, could you please describe the technique for stabilising the membrane?
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Mina Bell,DDS - (2012/02/01 22:18)
Thank you.Great presentation.
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即時インプラントプロビジョナル-軟組織ケアと審美のための重要事項
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