23AAP-FCE4: Biological Implications of Restorative Decision Making Around Teeth and Implants: How Can We Maximize Success?

Speakers: Graziano Giglio and Chandur PK Wadhwani

Delivering a restoration that respects periodontal health, is esthetic, and that maximizes longevity can be challenging. This presentation will offer diverse clinical scenarios to discuss the variables that we should consider as a part of our decision-making process in restorative design as well as material selection around teeth and implants to maximize success. This presentation will highlight the importance of component fit, discuss the concept of anodization as it applies to improving biological acceptance, and review how probing implants can be damaging to restorative components.

Educational Objectives
• Recognize what restorative materials are most appropriate for teeth and implants in providing biocompatibility, esthetics, and durability.
• Discuss what restorative design and contour principles are essential to supporting cleanability and periodontal health.
• Gain insight about component fit and how biological and mechanical interaction can lead to failure.
• Review the advantages and disadvantages of cement vs screw-retained designs including angulated screw channels and optimum screw-tightening techniques.
• Gain awareness about titanium anodization and how it may improve biologic acceptance.
• Learn why probing around implant and abutment surfaces can be damaging.