Dr. Ricardo Kern
Dr. Ricardo Kern
Firmly entrenched within the high aesthetic requirements of Brazilian dentistry, Dr. Kern has focused his work on the demanding soft tissue design and reconstruction disciplines.
He has vast experience in immediate implant placement with temporization, from single tooth to full arch rehabilitation. Dr. Kern has been invited to lecture and provide training on soft tissue design, preservation, and reconstruction at several postgraduate courses, as well as congresses and seminars from Latin America to overseas.
Main Podium Lecture
Aesthetic and Biology Behind Immediacy
The quality and design of the tissues surrounding implants are not only important for long-term maintenance but fundamental for aesthetic purposes.
Delivering “pink-free” restorative solutions over implants requires the full presence of the gingival contour, natural emergence profile, and respect for the aesthetic proportion ratio of crowns and bridges. Achieving the perfect balance between pink and white contour is a key point.
Immediate extractions can present an outstanding initial situation of tissue contour. In these cases, preserving the gingival “frame” is the goal of treatment. Atraumatic extraction, proper 3D positioning of the implant, primary stability, gap grafting, and soft tissue phenotype modification are part of the protocol for immediacy in fresh sockets. However, more than just the basics, knowledge of the biology of peri-implant remodeling after extraction, abutment/provisional design, and minor surgical maneuvers can enhance aesthetic results, bone formation, and long-term tissue stability.
This lecture addresses the workflow for implant immediacy cases in the aesthetic zone and how to achieve superior results from tissue remodeling.
Learning Points:
- Critical points for long-term bone and soft tissue maintenance: how to build solid and healthy peri-implant tissue.
- Increasing thickness of peri-implant tissue with prosthetic design.
- Inter-proximal bone peaks between two implants: how to improve width and vertical position.
- How to use the Gingival Condition Cast and the Gingival Impression Index.
