Esthetic aspects in implant-prosthetic rehabilitation

Abstract

The esthetic component is critical for the successful outcome and patients' satisfaction regarding the implant-prosthetic therapy. The esthetic outcome success depends mostly on the optimization of the algorithms specific to the pro-implant and implant stage as well as to the designing and technological execution of the future prosthetic restoration. A proper planning of optimal facial esthetics must involve a multidisciplinary approach with inclusion of periodontists, orthodontists, oral surgeons and implantology specialists. The dental practitioner must consider various factors that influence the esthetic outcome (tooth position, root position of the adjacent teeth, biotype of the periodontium, tooth shape, smile line, implant site anatomy, implant positioning). Also, some factors (anatomical limits of the implant site, periodontal status, occlusal parameters), which can alter the final esthetic result, must be assessed prior to planning the esthetic parameters of the future prosthetic restoration. The esthetic outcome can be improved by using new digital technologies based on software applications for assessment of clinical and biological indices of the prosthetic field, virtual planning of implants positioning and design projection of future prosthetic restoration.

Keywords: edentation; esthetics; implants.

Figure 1

Radiograph shows moderate bone loss in anterior maxillary area. The dental practitioner must consider the use of long contact area to compensate the predicted loss of tissue [2].

Figure 2

Graft procedures simultaneous with implant placement to ensure proper dimensional parameters of the implant sites.

Figure 3

Proper implant placement to ensure optimal esthetic results.

Figure 4

Postimplant radiographic aspects.

Figure 5

Provisional restoration.