Full Mouth Restoration (Dr.

Jean-Fabien)

Implant
+ Excellent integration : biological, esthetic, functional
3 major principles :
1. Prostethic project
2. Surgery
3. Management
Biomimetic
1. Shape of roots
2. Emergence profile  conventional technique  more tissue, less titanium
 SSA : Socket Shield Abutment  allows a very nice construction to the
tissues
3. Preservation of the volumes  Alveolar bone is born, lives, and dies with the
tooth. The function creates the organ
 Bone loss dalam 1 tahun pasca exo  50% lebar tulang alveolar, 1/3
tinggi akar (2-4 mm)
 75% bone loss terjadi dalam 3 bulan pertama setelah ekstraksi
4. Guided bone regeneration (GBR) + Connective tissue graft (CTG)
 Horizontal bone graft
 Manage the soft tissue!!  improvement by APF, CTG, Free Gingival
Graft, Rolled flap, Tunnel technique
5. Implant positioning

New Paradigms of The Disciplines

Subcrestal positioning  minimum 2 mm
 Extraction – immediate implantation
Crestal positioning  minimum 4 mm