25 Steps of Success in Aesthetic Dentistry

Aesthetic dentistry is done using cosmetic materials. Whether or not it is necessary to address decay, disease, or function, the dentist is asking the patient to make a personal choice to invest in his or her own dental care and personal dental appearance.

Steps to perform successful Aesthetic Dentistry #

• Use of guide essential

• Cut h-shaped flap, minimally invasive, papilla preservation

• Use precision drill for initial access to approx half length of implant at 7-10,000 RPM with irrigation

• Use very narrow drills in sequence to full length of implant up to 2mm width

• Verify the direction

• Lower rpm to 100

• Turn off water to harvest bone on threads on drill piece

• Use counter sunk bars at each step

• Check directions at each step

• Use drill extension if contact on adjacent teeth

• Drill to final size

• Check all four walls are intact or not

• If yes, then its ready to place the implant

• Protect airway with guaze

• Use longer placement tools if extensionas required

• Insertion torque is 35 Nm

• Place the implant

• If torque is out, carefully reverse the implant out and redrill to low RPM to full length

• Complete the placement using manual torque wrench

• Place healing abutment if at requires stability

• Cover screw if not placed

• Use harvested graft if required around any exposed threads of the implant

• Interrupted sutures are placed using vicryl sutures

• Gentle pressure with damp guaze for 5min

• Post placement radiograph is taken to check the implant position

Protocols to be followed #

• Case selection

• Atraumatic extraction

• Osteotomy following 3/2 rule

• Implant placement 40 Nm

• Fabricate screw retained provisional crown

• Graft buccal lingual gap upto soft tissue margin

• Fit screw retained provisional crown

• Remove bone graft excess

• Remove occlusal contacts and excessive movements