Implant Placement in

Aesthetic Zone
Dr. Abdullah Alkeraidis
BDS, Prostho (cert), Msc, Dental Implant
(Cert),Fellowship of Clinical Research (NYU) .
Consultant in Prosthodontics & Dental Implant.
Program Director of Implant Fellowship in RDC.
King Saud Medical Complex Riyadh.
Director of Dental Center.

Implant treatment procedure

General history

Evaluation of bone quantity

& quality, soft tissue

Extraoral exam.

Occlusion analysis

Intraoral exam.

Evaluation of prosthetic
space

Radiographic exam.
Diagnostic cast

Final evaluation of
treatment plans

Types of prosthetics
Numbers, location,
angulations of implant
Augmentation of soft & hard
tissue

General Examinations
1. Systemic conditions
2. Causes of missing
3. Intraoral & extraoral examination
4. Occlusal & functional evaluation
5. X-ray examination
6. Examination of periodontium
7. Diagnostic cast
8. Treatment time & cost
9. Informed consent

Smile analysis
Smile arc:
Sarver recently focused his treatment planning on
obtaining the ideal smile arc described by the
curvature of the maxillary incisal edges being
parallel to the curvature of the lower lip

Before Implant Placement:

We should know:
Anatomy
Type
Width
ofofPeriodontium
Natural
of
IHB. Tooth.
and
its
The
bone
height
and its
effect.
Effect in the Esthetic.

* In the literature:
The Effect of the distance from
the Contact Point to the Crest of
Bone on the Presence Or Absence
Of the Interproximal
Dental Papilla
Tarnow, Magner, Fletcher
J Periodontol 1992; 63:995-996

The measurement from the contact

point to the crest of bone 5mm, the

papilla was present almost 100% of the
time

Tarnow, Magner, Fletcher

J Periodontol 1992; 63:995-996

* In the literature:
The effect of inter-implant
distance on
The height of inter-implant
bone crest
Tarnow, Cho & Wallace
J Periodontol 2000; 71:546-549.

 The Crestal bone loss

greater than 3mm distance : 0.45mm
3mm or less distance : 1.04mm
Multiple implants are to be placed in the
esthetic zone so that a minimum of 3mm
of bone can be retained between them at
the implant-abutment level
Tarnow, Cho & Wallace
J Periodontol 2000; 71:546-549

Patient Information
Age : 22 yrs
Sex : f
Tx plan :Single implant to replace upper
central incisor.