Top-Down Treatment Planning

In its simplest form, top-down treatment planning refers to a protocol whereby the desired restorative result is considered first, leading to consideration of the ideal prosthetic platform and subsequent implant selection based on bony anatomy.

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. 3i’s 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. Implant and healing abutment selections are based upon the relationship of several key measurements:

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
• 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.