Dr. Pierfrancesco Mondina graduated in dentistry in the University of Brescia, 2008/2009.
In 2013, he attended the Post graduate Master II level in Periodontology in the University of Siena. He is tutor of clinical activities in the University of Brescia where he works in collaboration of the Department of Microbiology, focusing on the microbiological relationship between soft tissues and restorative materials.
Periodontal mucogengival surgery around tooth and implants represents his main professional skill.
Now is attending the P3 Dentsply International Program where, in collaboration with Dr. Viktors Avkstols, he is focusing on the importance of thickness and height of soft tissue around dental implants and how the surgery and the prosthesis could help dental clinician, to obtain good aesthetical long-term results.
Dr.Viktors Avkštols & Dr. Pierfrancesco Mondina “Peri-Implant Soft Tissue: A Simple Seal or The Key of Success?”
Today, keratinized tissue (KT) around implants is considered as a major role to obtain esthetic and stable outcome. It is important to be aware of several parameters to achieve desired result.
Through five questions, we will analyze the minimum KT height and thickness, how to modify the amount of tissue, to obtain the correct esthetical shaping of the margin and how to transfer all information to the laboratory.
Starting from the cut off value of 2 mm, we will show the vestibuloplastic technique + Free Gingival Graft (FGG) or Collagen Matrix (CM) to obtain the vertical increase of the tissue and the technique of Connective Tissue Graft (CTG) to achieve the correct thickness.
The provisional phase will be described in details to understand, how to shape the tissue. The technique of the individual customized impression coping, will allow the clinician to transfer the result to the Lab.
A pre-surgical analysis of the height and thickness of soft tissue is essential to evaluate the potential risk, which can jeopardize the correct result of implant therapy. The prosthetic shaping of the soft tissue and the customized impression coping, allow the clinician to maintain all information about the soft tissue management and the technician to give an ideal shape to the cervical area of the crown.