The Keio Journal of Medicine

Abstract
Prosthetically driven Implant Placement. How to achieve the appropriate implant site development
Federico Brugnami and Cristiano Caleffi

Dental implants are established alternatives for replacing missing teeth. Tooth loss for different reasons may leads to alveolar resorption. Shortage of bone can prevent proper positioning of dental implants according to prosthetic needs and treatment planning, unless the volume of hard and soft tissues is increased before implantation. In the esthetic area it is essential not only to achieve wellanchored implants but also sufficient soft and hard tissue in order to obtain natural looking result. This article will present several treatment modalities to augment the soft and hard tissues in order to obtain proper insertion of implants according to prosthetic needs and patient satisfaction.