In this engaging episode of EAO's "Just Ask," Sofia Aroca, a renowned periodontist, shares her expertise on the differences in techniques for covering implant threads and covering roots. Hosted by Garrett Heichob, this live session addresses the challenges and nuances of soft tissue management in implant dentistry.
Sofia begins by explaining the significance of understanding the differences between gingival recession and soft tissue dehiscence around implants. The former refers to the loss of gingiva, often caused by factors like a thin phenotype or mechanical trauma, whereas soft tissue dehiscence involves a gap in the tissue, typically due to issues like improper implant positioning or the absence of keratinized mucosa.
She emphasizes the importance of careful clinical evaluation and understanding the anatomical factors that influence treatment decisions. Aroca also introduces the concept of "risk factors" for soft tissue dehiscence, such as implant placement and the patient's phenotype. Identifying these early on can help prevent complications by addressing them with techniques like connective tissue grafts or collagen matrices.
The conversation moves towards various treatment techniques, with Sofia outlining her approach to soft tissue management, particularly the use of the modified coronal advanced flap technique and surgical-prosthetic approaches. She also highlights the importance of a comprehensive evaluation, including the patient’s aesthetic demands and the surrounding tissue’s health, before proceeding with treatment.
Sofia’s insights underscore the importance of taking a slower, methodical approach to implant treatments, prioritizing long-term stability over quick fixes. The session wraps up with a call to further study classifications like the one by Giovanni Tsukheli, which offers detailed guidance on managing soft tissue dehiscence.
For implantologists and dental professionals, this episode serves as a reminder of the critical need for thorough assessment and planning, ensuring the best outcomes for both function and aesthetics.