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Pedrinaci I, Hamilton A, Lanis A, Sanz M, Gallucci GO. The Bio-Restorative Concept for Implant-Supported Restorations. Journal of Esthetic and Restorative Dentistry. 2024. doi:10.1111/jerd.13306
AutoresIgnacio Pedrinaci, Adam Hamilton, Alejandro Lanis, Mariano Sanz, German O. Gallucci
Este artículo presenta el concepto bio-restaurador en implantología, una nueva metodología que integra los enfoques biológico y restaurador mediante la planificación digital. El estudio detalla cómo esta aproximación considera variables periodontales, quirúrgicas y protésicas de forma simultánea en un entorno virtual. Al evaluar las características del sitio anatómico junto con las variables restauradoras del implante, como la disposición digital de los dientes, el estado de los tejidos blandos y duros, y los componentes supra-implante, se busca optimizar los resultados. La importancia para la práctica clínica reside en la mejora de la predictibilidad y la reducción de la morbilidad del paciente, facilitando restauraciones implantosoportadas predecibles y estéticamente satisfactorias a largo plazo, además de potenciar la satisfacción del paciente y del profesional.
Objective This 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. Overview Implant 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. Conclusions The 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 Considerations It 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.
Pedrinaci I, Hamilton A, Lanis A, Sanz M, Gallucci GO. The Bio-Restorative Concept for Implant-Supported Restorations. Journal of Esthetic and Restorative Dentistry. 2024. doi:10.1111/jerd.13306
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