Top-Down Treatment Planning
In its simplest form, top-down treatment planning
refers to a guideline whereby the desired restorative
result is considered first, leading to consideration of the
appropriate prosthetic platform and subsequent implant
selection based on bony anatomy and the size of the
missing tooth.
Implant and healing abutment selections are based upon
the relationship of several key measurements:
• The emerging dimension of the crown in relation to
the diameter of the prosthetic platform of the implant
• The height and diameter of the intended restoration
at the tissue exit point
A top-down treatment planning methodology will provide
maximum biomechanical stability and allow for soft-tissue
flaring by utilizing an implant with a prosthetic platform
slightly smaller in diameter than the emergence diameter
of the tooth being replaced. The wide selection of
Implants allows clinicians to match the size
of the prosthetic platform to the restoration it will
eventually support, while allowing for different bone
volumes and anatomical features at the implant site.
• The bone volume at the implant site in relation to the
diameter of the implant body
The Emergence Profile (EP®) Healing Abutment System
consists of healing abutments of various diameters and
heights for shaping the soft tissue to replicate the
geometry and gingival contours of natural dentition.
Implant Indications: Include both straight and pre-angled restorative components.
3.25mm(D) 3.75mm(D)
Anterior
Posterior
4
4
4mm(D)
5mm(D)
6mm(D)
4mm(D) X
3.4mm(P)
5mm(D) X
4.1mm(P)
6mm(D) X
5mm(P)
4
4
4
4
4
4
4
4
4
4
4
4
NOTE: It is recommended that implants less than 4mm diameter not be placed in the posterior regions.
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