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   Offical Journal of The Academy of Osseointegration

 
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Volume 35 , Issue 3
May/June 2015

Pages 363371


Tissue Preservation Strategies for Fostering Long-Term Soft and Hard Tissue Stability

Georgios E. Romanos, DDS, PhD, Prof Dr Med Dent


PMID: 25909523
DOI: 10.11607/prd.2075

As placement of functionally stable dental implants has become routine, concerns have shifted to maintenance of crestal bone and soft tissue stability. This article proposes the development of a tissue preservation philosophy to avoid crestal bone loss and gingival recession and thus foster long-term esthetics around implants. Pillars of this philosophy must include avoidance or minimization of an implant-abutment microgap and micromovement, use of platform switching, appropriate implant positioning relative to the bone crest, and preservation of the papillae when placing both single and multiple implants.


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