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Systematic regenerative approach to morphological and functional integration in implant supported prostheses

Scipioni A., Calesini G.

Scipioni A.

Dental technician, master degree in Medicine with specialization in Dentistry. Founder of the Italian Society of Periodontology (S.I.d.P.) and of the Italian Society of Endodontics (S.I.E.). Active member of the American Academy of Osseointegration. Lecturer in international congresses. Co-author of books on implant prosthodontics and implantology, he has taught in various Universities. Private practice in Roma dedicated to Oral Surgery, Implantology and Endodontic Surgery.

Calesini G.

Dr. Gaetano Calesini MD, DDS, CDT, is a multi-certified professional with deep expertise in prosthetic rehabilitation and esthetic dental-implant treatements. Dr. Calesini is a well renown speaker in numerous congresses held throughout Europe, U.S.A. and Asia and has published his work in national and international papers. Besides being member of the board of many scientific journals, he is the co-author of two leading textbooks on “Oral Implantology” and “Implant-prosthetics, reestablishing the oral homeostasis through single unit restaurations”. Dr. Calesini  has also lectured  at the Universities “Tor Vergata” in Rome and “Gabriele D’Annunzio” in Chieti. At present he cooperates with the University “Vita-Salute San Raffaele” in Milan. Dr. Calesini is Past-President of the Italian Academy of Dental Prosthetics, active member of the Italian Society of Osseointegration, of the American Academy of Osseointegration and of the  Pierre Fauchard Accademy. He successfully runs a private practice in the center of Rome, focusing on prosthetic rehabilitation and cooperates with his peers on solving highly demanding clinical cases.

Numeri Uno, 16: 6-9, 2013
The treatment of sectors of great aesthetic importance with implant prostheses is particularly critical even when post-extraction apicocoronal and buccolingual bone dimensions are substantially conserved. However, the “mere” loss of the root eminence and the papillae is sufficient to produce anatomical deficits that if not adequately compensated for can compromise the results of prosthetic rehabilitation. Over the last two decades numerous surgical regeneration techniques have been developed to allow anatomy to be corrected so that implants that are adequate in dimension, location and inclination can be inserted. Some of these techniques are complex and involve the use of membranes together with biomaterials, as well as multiple surgical phases to be able to correct alterations of the mucogingival tissues induced by the bone regeneration procedures. Furthermore, to treat a single case it is often necessary to put together different techniques devised to resolve single parts of the problem, such as bone deficit, malformations of the mucogingival tissues, the positioning of the implants or the pontics, etc. The systematic ESE approach addressed by this case report promotes the morphological restoration of the osseo-mucogingival peri-implant matrix (osseous and mucogingival tissues) in a single surgical phase. It uses implants, posts and the overlying prosthetic devices as essential features for peri-implant tissue morphogenesis.

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