Prosthetic Driven Soft Tissue Management Concept - For a Successful Aesthetic Results in Implantology

Nowadays patients became more demanding about aesthetic results when replacing missing tooth with implant. The current trend is shifting from merely restoring the loss of function to complete restoring with which we want to achieve a natural appearance of restorations on implants. To completely fulfil the high level of expectations it is very important that we approach implantology holistically and with vision. The placement of the implants should be driven in a way that creates a sufficient amount of space for prosthetic components - prosthetic driven implantology. However gingival architecture referred to as pink aesthetics is one of the important factor for complete success in a restorative dental treatment. Many different reconstructive surgical procedures have been developed to attain better aesthetics results of the pink components. Although, in restorative procedures it is very challenging to achieve optimal balance between white and pink components and stable results, especially if preforming procedures separately. However, to successfully overcome mentioned concerns it is desirable to perform the prosthetic and soft tissue procedures simultaneously, immediately right from the beginning. Prosthetic components should be properly designed and applied at the right time during the soft tissue manipulation procedures - prosthetic driven soft tissue management. In this manner the soft tissue is optimally shaped which is crucial to attained emergence profile of natural shape and size and successful final aesthetics results.

Dr. Matei Kulish

2007 - 2013; Study of dentistry at School of Dental Medicine University of Zagreb, Zagreb, Croatia

2013; Graduated as DMD (as one of best students in class) and gained title Dr. med. dent.

2014 - 2015; Practice at private practice clinic as Dr. med. dent., Zagreb, Croatia

2015 - 2018; Work at private practice clinic as Dr. med. dent., Ljubljana, Slovenia

2015 - 2018; Prosthodontic resident, Prosthodontics specialised training program for residents at University clinic Zagreb, Zagreb, Croatia

2017 - present; Master degree of science of Oral Implantology at School of Dental Medicine University of Zagreb, Zagreb, Croatia

2018 - graduated as Prosthodontist specialist at University clinic Zagreb, Zagreb, Croatia

2019 - present; Work at private practice clinics as Dr.med.dent. Prosthodontist specialist, Ljubljana, Slovenija

2016 - present; Appointed as Key opinion leader and leader of hands-on courses
for commercial brands :
- 3M ESPE, 2016-2021
- Bego implant systems, 2019-present
- Komet, 2020-present
- VPI cervico, 2021-present
- Ivoclar Vivadet 2022-present

2017 - present; Lecturer at national and international courses and congresses;

2019- first award for poster presentation at Quintessence international congress, Zagreb, Croatia, October 2019

2019 - lecturer for GlaxoSmithKline commercial brands (Sensodyne, Paradontax); aftercare products