Dr. Ricardo Kern
Firmly entrenched within the high aesthetic requirements of Brazilian dentistry, Dr. Kern had focused my work on the demanding soft tissue design and reconstruction disciplines.
Vast experience in immediate implant placement with temporization, from single tooth to full arch rehabilitation. Have been invited to lecture and to do training about the soft tissue (design, preservation, and reconstruction) on several postgraduation courses as well as congress 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 longterm
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 our treatment. Atraumatic extraction, the
proper 3D position of the implant, primary stability, gap grafting, and soft tissue phenotype
modification are on the protocol of immediacy in fresh sockets! But much more than the
basic, the knowledge about the biology of peri-implant remodeling after extraction,
abutment/provisional design, and minor surgical maneuvers can boost 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 up a solid
and healthy peri-implant tissue!
• Increasing thickness of peri-implant tissue with prostéticas design.
• Inter-proximal bone peaks between two implants, how to improve the width and vertical
position!
• How to use the Gingival Condition Cast and the Gingival Impression Index.