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Treatment planning in implantology Periodontal biotype

Existence of three periodontal biotypes ; flat, scalloped and pronounced scalloped pattern. Measurements were made from the height of the interdental bone to the alveolar crest, giving the following results:

1- flat; 2.1 mm

2-scalloped; 2.8 mm

3- pronounced;4.1 mm

Here, it is important to observe that the distance in the pronounced scalloped anatomic profile is two times the distabce seen in the flat type.

Advantages of attached gingival tissue around osseointegrated implants

1- facilitates impression procedures;

2- the soft tissue does not collapse over implant top;

3- the gingival height is maintained in a constant and predictable level;

4- generates an esthetic harmony for all implant modalities;

5- there is a compact, firm tissue around the implant;

6- helps the plaque control;

7- helps the dental hygienist;

8- soft tissue integrity is better achieved than in the presence of an alveolar mucosa;

9- a better prognosis of both soft and hard tissues before tooth extraction can be obtained through the judgment of five factors:

a- relative tooth position

b- periodontal contours

c- periodontal biotype

d- tooth shape

e- the height of the bone crest

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