ROBERT ORETTI
DDS
CREATING THE
OPTIMAL SOFT TISSUE ATTACHMENT AND VOLUME AROUND DENTAL IMPLANTS – THE KEY TO LONG TERM SUCCESS
The ultimate goal in implantology is to create a harmonious aesthetic outcome around dental implants that mimics the surrounding dentition and soft-tissue condition and which can be maintained for the long term.
A mucosal seal (“transmucosal attachment”) is required to prevent bacteria and bacterial products reaching the bone, thus safeguarding the osteointegration of the implant. This concept is at the base of modern implant dentistry
This presentation will discuss the critical factors and the step by step surgical protocols associated with developing an adequate transmucosal tunnel around dental implants for optimal volume and attachment.
Additionally, when the volume of soft tissue is inadequate, or there is no keratinized tissue remaining, this presentation will show procedures to correct these deficiencies with soft tissue manoeuvres and connective tissue grafts for enhanced outcomes on a predictable basis.
Educational Aims and Objectives :
To be familiar with the anatomical landmarks and compartments such as the mucogingival junction and attached and non-attached gingivae.
To appreciate the rationale of biological width and the formation of a transmucosal tunnel around dental implants and the strategies required to enhance the soft tissue tunnel.
To understand how to harvest soft tissue grafts and their application to improve the formation of keratinized and attached soft tissue.
CV
Robert qualified at Kings College, London in 1987. After working in an orthodontic practice in Colchester for four years he moved to Newbury, Berkshire.
Rob then spent the next 14 years working in a busy private practice where he built a reputation for treating complex cases involving cosmetic, implant and orthodontic treatments. At this time, Rob also became involved in teaching and mentoring and has taught many dentists on all aspects of cosmetic and dental implant therapies.
In 2006, Rob moved to Pentangle Dental Transformations – a purpose built centre for dentists to send their patients for implant and complex treatments. Rob now spends his time between treating these referred patients and teaching.
Rob is a post graduate tutor for the Thames valley deanery, a mentor and faculty educator for the ADI (Association of Dental Implantology), a fellow and international speaker for the ITI (International team of Implantologists), a Royal College of Surgeons examiner for the implant diploma (RCS Edin) and the Membership in Advanced General Dental Surgery (MAGDS RCS Edin) and was the president of BAAD (British Academy of Aesthetic Dentistry) 2018-2020
He presents regularly at scientific meetings and has published several articles on implant therapy.