Affiliation:
1. Department of Restorative Dentistry and Biomaterials Science, Harvard School of Dental Medicine Harvard University Boston Massachusetts USA
2. Section of Graduate Periodontology, Faculty of Odontology University Complutense Madrid Spain
3. Division of Oral Restorative and Rehabilitative Sciences University of Western Australia Perth Australia
Abstract
ABSTRACTObjectiveThis study aims to present the bio‐restorative approach in implant dentistry, which combines biological and restorative concepts through digital planning. This concept combines periodontal, surgical, and prosthetic variables, aiming to reduce patient morbidity while achieving satisfactory esthetic and functional outcomes in implant‐supported restorations in the long term.OverviewImplant dentistry evolved from a primarily surgical to a recent prosthetically driven approach. This evolution was partly due to advancements in bone reconstructive techniques and an increased demand for esthetic outcomes. Recently, digital planning has introduced a new paradigm that allows for the full integration of both approaches. The bio‐restorative concept considers functional, esthetic, and biological variables in a virtual planning environment. This is achieved through the simultaneous digital assessment of (A) anatomical site characteristics and (B) implant restorative variables. These variables include digital tooth arrangement, soft–hard tissue conditions, implant variables, supra‐platform components, and a surgical plan that respects or modifies peri‐implant phenotype.ConclusionsThe bio‐restorative concept is intended to improve contemporary implant dentistry by integrating updated biological and prosthetic notions through digital planning. Adopting this paradigm has the potential to redefine the standards in implant dentistry, fostering a holistic and patient‐centered approach.Clinical ConsiderationsIt enhances patient and clinician satisfaction through more efficient and less invasive procedures. Significantly, it improves predictability, leading to successful implant‐supported restorations in the long term.
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