What is the key to success when it comes to esthetic implant restorations? For Dr. Anne Benhamou, a distinguished French dentist and oral surgeon, success means long time preparing, short time in surgery.
“When I see a patient referred to the clinic for an ‘esthetic implant’, I know it will take more time and more energy than treating four posterior implants. One missing tooth is always a challenge, because the prosthetic solution has to imitate nature and match the neighboring teeth.
When working with implant restorations, I always try to imagine the best smile that I can provide for this patient. In esthetic cases, I always follow one rule: ‘I start where I want to end.’ I start the surgery only when I know which final prosthetics the patient will get at the end.
In my everyday life at the clinic, I meet many patients with tooth loss due to physical trauma. I have decided to treat the majority of them with Immediate Implant Placement (IIP), simultaneously with Guided Bone Regeneration (GBR), Connective Tissue Graft (CTG) and Immediate Temporization (IT).
Why? Because in all implant restorations I want to reduce the surgical stages (IIP), limit the bone resorption (GBR), thicken the soft tissues around the implant (CTG) and work on the papilla with the provisional solution (IT). There are indications, prerequisites and lots of factors involved in the success of this technique.
For the GBR, I use an algae derived material as bone substitute and a slow resorbable collagen membrane. The Symbios Biphasic Bone Graft Material (BGM) and the Symbios Collagen Membrane SR (slow resorbable) have optimized resorption kinetics to ensure a balanced ratio between resorption and volume stability during the healing phase according to clinical needs. These biomaterials allow a minimally invasive and more biologic approach of my surgeries in the anterior maxilla.
Experience tells us that most patients are in need of implants in the esthetic zone, and they need bone and soft tissue augmentation to enhance predictable success. Experience, together with documentation, leads us to minimally invasive surgeries for maximum outcome in function and esthetics. The key to success in esthetics: spend a long time preparing the case and short time in surgery.”