Implants in prevention of esthetic and functional problems.

Strub, J.R. (Albert-Ludwigs-University, Department of Prosthodontics, Freiburg, Germany)


To be successful, implants must be biocompatible, correctly placed within the existing or augmented bone, osseointegrated, and restored to satisfy patient demands for esthetics, function and comfort. Biocompatibility of different implants, their size, and shape has been scientifically validated. Implant placement has been documented as a possible weak link in the chain of success because of the limitation of the bone. Bone quality and quantity and their relationship to osseointegration have also been identified as a possible problem. For the restorative phase to keep pace with the expected percentages of implant success, researchers and manufacturers have been forced to direct increasing efforts on prosthetic utility. This presentation will highlight key issues for successful team approach in terms of proper treatment planning; implant position and angulation; sequencing of tooth extraction; regeneration procedures and implant placement; soft tissue management during first and second stage surgery; and selection of appropriate prosthetic components.