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Patients demands and expectations in Implant Dentistry are getting higher and higher nowadays. They chase even more aesthetic results with less morbidity possible and in a shorter time. Different approaches and prosthetic designs are possible when it comes to full mouth rehabilitations. In some cases, vertical bone reduction is required in order to hide the prosthetic transition in the smile line or to promote enough vertical prosthetic space. Very often patients find those FP3 prosthetic solutions unnatural, uncomfortable and difficult to clean. A perio-prostho approach with FP1 prosthetic design (no artificial gum) allows the clinician to restore the lost tissues architecture around implant-supported rehabilitations, providing the patient the desired aesthetics and comfort. It takes a more complex and precise reverse planning mastering implant 3D positioning and soft tissue grafting procedures. Provisionals are crucial as they will manage the emergence profiles all the way through the final restoration. Precision of digital workflow provides much better results in such sensitive procedures, it enhances the aesthetic outcome and avoids some further reconstruction procedures comparatively with conventional approaches. Not only in surgical stages but also on the prosthetic phase, the use of digital prosthetic tools will guide the clinician through a more predictable and comfortable path so that the final result is fitter and closer to what was planned from the beginning.
Dr. Carvalho is a Doctor of Dental Surgery in Oporto University, Portugal (FMDUP) -
He is Post-graduate in Implant Dentistry, Post-graduate in Advanced Oral Surgery and autologous bone grafts by Implant Brazil, Post-graduate in Mucogingival and Periodontal Surgery, Residence in Aesthetic Dental Rehabilitation at Foramen Dental Education.
Dr. Carvalho is a teacher in private courses of Implantology and Oral Rehabilitation and main coordinator of Implant Prosthetics Clinical Residency at Foramen Dental Education.
He is speaker at several national and international conferences.Former colaboration at Oporto University, Portugal