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Description: Tomas Linkevičius - Zero Bone Loss Concepts – The Development and Maintenance of Bone Stability Around Implants.

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Vertical soft tissue augmentation Vertical soft tissue augmentation Vertical mucosal tissue thickness was shown to be the factor having impact on bone stability. It was showed that platform switching does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorption. Special guidelines how to work in vertical thin mucosal tissues are necessary. This can be carried out simultaneousl

Implant depth It has been suggested in the literature that implant position to the bone crest might influence bone stability. Therefore, depending on implant design, implant placement can be supracrestal, crestal or subcrestal. Subcrestal placement is suggested to cause controlled bone remodelling, but not bone loss. It is interesting to note, that not all implants can be placed subcrestally. In addition, implant-abutment connection stability becomes very important, if located subcrestally. On the contrary,