Peri-implant Soft Tissue Management – Mario Beretta, DDS, MSc, PhD

Recorded on February 18th, 2025

Description:

The goal of modern implant therapy in aesthetic areas is no longer represented just by the successful integration of the implant or tooth restoration. The final result must be a restoration surrounded by a soft and hard tissue environment in harmony with the existing teeth.

Gingival health is among the first fundamental esthetic objectives during treatment planning; it is also essential to consider gingival morphology and contour. The ideal gingival architecture has been described as one that consists of knife-edged gingival margins tightly adapted to the teeth, interdental grooves, and cone-shaped inter- dental papilla. Soft tissue grafting procedures are increasingly performed for a number of indications in conjunction with dental implant therapy.

The presentation will identify the role of gingival form in esthetic dentistry. A new volume stable collagen matrix will be presented analyzing research data and clinical indications. The surgical protocol in peri-implant soft tissues management and periodontal plastic surgery will be presented.

Upon completion of this presentation, participants should be able to:
1) Identify methods of treatment planning for soft tissues management.
2) Describe proper surgical technique in peri-implant soft tissues management.
3) Recognize the best surgical technique for soft tissues harvesting.

Mario Beretta, DDS, MSc, PhD

Mario Beretta graduated with a degree in Dentistry and Dental Prosthetics at the University of Milan in 1999, specializing in Oral Surgery and received his PhD in Oral Implantology and Complex Rehabilitation in 2003, also at the University of Milan.

He currently serves as Associate Professor in Oral Surgery at the School of Dentistry at the University of Milan and is Associate Professor in Oral Surgery in the Grad School at the University of Milan.

Dr. Beretta is the author of several scientific publications and co-author of books concerning implants and bone augmentation. He is a speaker at many national and international congresses.

Dr. Beretta has indicated he has no relevant financial relationships to disclose.

Relevant literature for further information:

Beretta M, Poli PP, Pieriboni S, Tansella S, Manfredini M, Cicciù M, Maiorana C. Peri-Implant Soft Tissue Conditioning by Means of Customized Healing Abutment: A Randomized Controlled Clinical Trial. Materials. 2019; 12(18):3041. https://doi.org/10.3390/ma1218304

avelli L, Barootchi S, Avila-Ortiz G, Urban IA, Giannobile WV, Wang HL. Peri-implant soft tissue phenotype modification and its impact on peri-implant health: A systematic review and network meta-analysis. J Periodontol. 2021;92:21–44. https://doi.org/10.1002/JPER.19-0716

tefanini M, Marzadori M, Sangiorgi M, Rendon A, Testori T, Zucchelli G. Complications and treatment errors in peri-implant soft tissue management. Periodontol 2000. 2023;92:263-277. doi: 10.1111/prd.12470