In the latest Just Ask [LIVE] session, David Nisand, a renowned periodontist and president of the French Society of Periodontology and Implantology, discussed soft tissue management in implant dentistry. David emphasized the critical role soft tissue plays in achieving aesthetic outcomes in implant procedures, especially in the aesthetic zone.
One key insight shared was the importance of managing soft tissues alongside bone for optimal results. David explained that despite advances in bone regeneration techniques, bone remodeling can lead to soft tissue shrinkage, potentially compromising the aesthetic result. He highlighted that nearly 50% of the final volume in the buccal area of an implant site can be influenced by soft tissue conditioning, even with perfect bone grafting.
David also delved into the timing of implant placements, stressing that the choice between immediate, early, or conventional implant placement depends on factors like bone volume, soft tissue condition, and patient expectations. He pointed out that immediate implant placement is often risky due to potential soft tissue recession, while early placement—6 to 8 weeks after extraction—allows for better soft tissue healing and more predictable outcomes.
The session also explored different surgical techniques, including the use of connective tissue grafts and guided bone regeneration to address soft tissue defects and ensure stability around the implant. David discussed various cases and shared practical tips for avoiding aesthetic complications, such as the importance of preserving the papilla and using a flap design that minimizes tissue tension.
Through live interaction, David answered questions from viewers worldwide, offering personalized advice on dealing with various soft tissue challenges. The discussion was comprehensive, focusing not only on techniques but also on the decision-making process that ensures long-term success in implant surgeries. This session reaffirmed that while soft tissue management is a nuanced and evolving field, with the right approach, dental professionals can achieve optimal, sustainable outcomes for their patients.