Avoiding and Managing Esthetic Implant Failures

Sunday, Oct 28
2:30 - 5 p.m.

Program Track: Interdisciplinary Therapy
Moderator: J. Kobi Stern
Speakers: Steven A. Brisman, Fereidoun Daftary, David H. Wong, and Homa H. Zadeh

For the past several years, dental esthetics has become an important component that is paramount to achieving success in implant therapy. Lack of planning, inappropriate treatment choice, or poor surgical execution may often lead to poor treatment outcomes and catastrophic clinical situations. In an attempt to correct some of those compromised outcomes, removal of the implant and/or extensive augmentation procedures are often pursued, possibly leading to further scar, further compromised outcome, and in some cases, irreversible deformities. In addition, it has been reported in certain adult patients, ongoing subtle craniofacial growth will have a profound impact on both functional and esthetic outcomes of implant restorations going beyond current definitions of success. Keeping this in mind, it is important to master clinical and surgical concepts that make the foundation for successful esthetic outcome. 

This lecture will outline various important factors that influence healing and outcome of implant therapy in the esthetic zone. Prosthetic and restorative management of implants, involving imperfect placements yet clinically acceptable, will be discussed. Important criteria and treatment options will also be presented to avoid and manage esthetic implant failure. 

Educational Objectives:
• Identify different key factors in avoiding and managing implant failures in the esthetic zone.
• Provide successful patient communication and management styles when addressing implant-related esthetic complications.
• Discuss the long-term effects of continued craniofacial growth of adults and its potential implications. 
• Discuss anterior esthetic stability of implant restorations relative to adjacent teeth and supporting periodontium.
• Examine postsurgical prosthetic options and management of patient’s treatments with various clinical outcomes.