Thursday 21 - 06 - 2018

“Invisible Single Tooth Replacement” in the Esthetic zone has been considered for decades one of the pinnacles of Implantology. This procedure embraces surgical aspects of both hard and soft tissue preservation, reconstruction versus the volume reducing remodeling processes triggered off by the extraction and/or previous dental pathology. Implant designs therefore have been optimized mechanically, biologically and volume wise. The reduced bone volume in an edentulous arch area still allows placement of lingually positioned implants which feature a  much smaller diameter than the lost roots. Bone Level implants with platform shift and stable conical connections help to preserve the crestal bone.

The prosthetic end results often look “unnatural” because of bucally inclined emergence profiles and undersized teeth “squeezed” in the smaller arch shape positioned on the atrophic ridge lacking the natural root profiles.

This problem exposed by the lecturer gave birth to the Rootmimetic approach in which the goal is to use the ridge of an intact natural dentition as a Reference creating the illusion of the presence of the roots (convexities).

Innovative emergence profiles going from the narrow conical connection to the anatomical perimeter of the coronal part of the replaced tooth in a 3-4mm trans mucosal “tunnel” play an important role in preservation of the bone, stability of the soft tissue, ease of maintenance (cleaning) and the creation of a natural looking restoration.

Soft Tissue management is of key importance in the clinical procedures helping the clinician to recapture and reshape the necessary volume.


            Dr Egon
1982: degree at the Univertsity of Utrecht (Holland)
            Since 1986 his main interests in the dental field have been periodontics 
            and oral implantology.
            He followed post-graduate courses at the UCLA. 
            Active member of European Association for Osseointegration (EAO)