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Dr.Marius Steigmann graduated in Dental Medicine in Neumarkt in 1987. In 2005 Dr. Steigmann received his Phd Summa cum laude from University of Neumarkt.

He is a Diplomate of the ICOI and a member of the board of the DGOI. He has also received the medal of “Semmelweiss” Budapest University dental school dept. of oral and maxillofacial surgery. He is the founder and Scientific chairman of “Update Implantologie Heidelberg” 2002-2011 and the founder and director of the “Steigmann Institute”.

  • Adjunct Clinical Associate Professor University of Michigan Dpt. of Periodontics.
  • Adjunct Assistant Professor of Oral and Maxillofacial Surgery, Boston University.
  • Adjunct Assistant Professor University of Pennsylvania Dpt. of Endodontics.
  • Honorary Professor of the “Carol Davila” Univerity Bucharist, Invited Senior Guest.
  • Visiting Professor University of Szeged.
  • Visiting Professor department of Implantology in Temeschburg.
  • ICOI Vice president of Germany 2005-2011.
  • Steigmann maintains a private practice in Neckargemund, Germany.

Soft Tissue Management Manipulation

Clinically it is a tremendous challenge to create natural gingival esthetics following immediate or delayed implant placement. Stability of the soft tissue during implant surgery is of major importance for the implant site and adjacent teeth. There are cases where only the tooth is compromised and not the soft tissue or osseous form; a flapless surgery can be performed. In cases of localized horizontal/vertical deficiency, dehiscence, or fenestration, another approach is necessary. From a prosthetic prospective the soft tissue architecture around implants has to be similar or close to that of the natural tooth. The dental lab can deliver the best functional and aesthetic work, it will be harmonious only if the soft tissue dimensions are maintained or developed surgically or with the help of the prosthetic reconstruction. Single implant placement has proven to be more predictable than multiple implant placements. In multiple

Implants and late loading, it is possible to develop a soft tissue outcome with Provisionals or proceeding directly to the final reconstruction. This is done with the help of a wax-up on the final metal frame controlling the pressure of the soft tissue intraorally.

Lecture 1: Flap design for Aesthetic and Function

Function and aesthetic with implants depend on case selection, planning surgery and prosthetic reconstruction. Each of this has evolved dramatically over the years. Latest implant designs helps the clinician more and more in achieving this up to date goals in the aesthetic zone .Wrong Flap design lead to dramatical failure in this sensitive soft tissue zone.

The lecture will comment the necessary requirements for modern flap design according to the amount of necessary bone and soft tissue regeneration.

Lecture 2: Flap design for Grafting – in thin Biotype

Changing surgery for the thin biotype the lecture will define predictable soft tissue manipulation for implants according to soft tissue biotype. Learning from our clinical experience in soft tissue manipulation we can change soft tissue surgery. We need to graft more, to manipulate the soft tissue, to solve every situation which needs patients demand.

There is little data in the literature in means of changing day to day surgery according to soft tissue thickness. Most describe the same kind of surgery for all cases. No difference regarding the biotype.

With this in mind we have to adjust surgery to the tissue conditions for better soft tissue closure in cases of grafting horizontally /vertically and better aesthetics. The benefits are individualized flap design for every tissue type. Next steps will be the development of instruments but more than that implant surfaces and biomaterials which are addressing not only the bone but also the soft tissue.

Adjusting therapy to biotype for soft tissue thickness is changing the way we are approaching implant dentistry in the future.

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