1 Introduction
D. Buser, U. C. Belser, D. Wismeijer
Over the past 15 years, implant dentistry has progressed faster than many other disciplines in dental medicine. Whereas osseointegration was the primary goal two decades ago, it is nowadays taken for granted and implants are expected to remain functional for decades.
The success of implant therapy is no longer judged mainly by the osseointegration of the implant. In recent years, esthetics has become an inseparable part of oral rehabilitation as patients not only expect implant-supported restorations to be functional long-term, but also to be esthetic, especially in regions of the oral cavity that are visible when the patient smiles.
Supported by new academic curricula as well as by statements from clinical dentistry, such as the Proceedings of the Third ITI Consensus Conference published in a special 2004 supplement of JOMI, we believe that we are coming closer to creating the “perfect illusion” and maintaining it over time.
This is on one hand due to our increased knowledge of biological principles such as biologic width. On the other hand, our increasing awareness of the implementation of biomimetic principles, derived from a growing understanding of the key anatomic and optical parameters of the natural dentition, supports this goal as well.
Nevertheless, predictable optimum results in the esthetic region can only be achieved through application of a comprehensive clinical concept based on experience, sound pre-operative examination and treatment planning, and a team approach that unites patients, surgeons, prosthodontists, and dental technicians.
It is logical to use the 2004 Consensus Proceedings for drawing up and publishing detailed clinical guidelines regarding diagnosis, treatment planning, and the management of patients requiring implant therapy in the esthetic zone.
Sound, evidence-based clinical concepts that produce successful treatment outcomes are needed.
The present first volume of the ITI treatment guide provides comprehensive details on all aspects of implant therapy in the esthetic zone.