Peri-implant esthetics assessment and management

Abstract

Providing an esthetic restoration in the anterior region of the mouth has been the basis of peri-implant esthetics. To achieve optimal esthetics, in implant supported restorations, various patient and tooth related factors have to be taken into consideration. Peri-implant plastic surgery has been adopted to improve the soft tissue and hard tissue profiles, during and after implant placement. The various factors and the procedures related to enhancement of peri-implant esthetics have been discussed in this review article.

Keywords: Dental esthetics; dental implant; gingiva/surgery.

Figure 1a

A full-thickness flap is elevated and reflected buccally[34]

Figure 1b

Semilunar bevel incisions are made, recreating a scalloped shape similar to that of tissues around natural teeth[34]

Figure 1c

The pedicles are rotated to fill the inter-abutment and abutment-tooth spaces[34]

Figure 2a

Loss of interproximal bone to the level of the implantabutment junction between two adjacent implants[37]

Figure 2b

Loss of papilla between two adjacent implants[37]

Figure 2c

Titanium papillary insert is positioned in the interproximal bone between the adjacent implants[37]

Figure 2d

Titanium papillary insert supporting inter-implant papilla around two adjacent implants[37]

Figure 3

Unaesthetic appearance due to loss of tooth in the anterior region

Figure 4

Placement of provisional restoration after implant placement in maxillary left central incisor