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Case Reports
. 2015 Mar;6(Suppl 1):S122-5.
doi: 10.4103/0976-237X.152967.

Accurate registration of peri-implant soft tissues to create an optimal emergence profile

Ibraheem Fahad Alshiddi  1 , D Clin Dent  1
Affiliations
Case Reports

Accurate registration of peri-implant soft tissues to create an optimal emergence profile

Ibraheem Fahad Alshiddi et al. Contemp Clin Dent. 2015 Mar.

Abstract

One of the challenges in restoring anterior space with implant restoration is maintaining the natural looking of peri-implant area. This case report presents a clinical procedure to create the soft tissue emergence profile for anterior maxillary teeth. A 49-year-old male presented with missing right maxillary lateral incisor. A provisional restoration was inserted 1 week after implant placement. Area of the provisional restoration related to the gingival tissue (transmucosal area) was adjusted to create an optimum emergence profile. Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast. This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

Keywords: Emergence profile impression; provisional restoration; soft tissue.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Pre-treatment clinical view, missing of maxillary right lateral incisor
Figure 2
Figure 2
Periapiacl rediograph: (a) Two months after extraction, (b) immediately before impalnt placement
Figure 3
Figure 3
Cliniucal view, immediately after placement of the implant and healing abutment
Figure 4
Figure 4
Cliniucal view for the provisional restoration
Figure 5
Figure 5
Clinical view for the peri-implant soft tissue, two months after placement of the provisional restoration
Figure 6
Figure 6
Cliniucal steps for taking final impression: (a) Provisional restoration with implant replica immerssed in putty impression. (b) The provisional restoration removed from the immediate temporary abutment (c) Impression coping screwed to the implant replica.(d) Acrylic resin (duralay) added to the impression coping. (e) The impression coping screwed to the implant. (f) Final impression with the impression coping
Figure 7
Figure 7
Clinical view for the final restoration
See this image and copyright information in PMC

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