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Review
. 2021 Jan;33(1):212-223.
doi: 10.1111/jerd.12709. Epub 2021 Jan 18.

The peri-implant phenotype and implant esthetic complications. Contemporary overview

I-Ching Izzie Wang  1 , Shayan Barootchi  1 , Lorenzo Tavelli  1 , Hom-Lay Wang  1
Affiliations
Free article
Review

The peri-implant phenotype and implant esthetic complications. Contemporary overview

I-Ching Izzie Wang et al. J Esthet Restor Dent. 2021 Jan.
Free article

Abstract

Objective: To provide a contemporary and comprehensive overview of the hard and soft tissue biological structures surrounding an osseointegrated dental implant (peri-implant referred to as the peri-implant phenotype), in the context of peri-implant esthetic complications.

Overview: The individual components of the peri-implant phenotype (keratinized mucosa width, mucosal thickness, supracrestal tissue height, and the peri-implant buccal bone) have been linked to different aspects of implant esthetics, as well as health-related aspects. At the time of implant therapy, respecting the biology of the peri-implant hard and soft tissues, and anticipating their remodeling patterns can alleviate future esthetic complications.

Conclusions: While the current literature may not allow for a point-by-point evidence based-recommendation for the required amount of each peri-implant structure, bearing in mind the proposed values for the components of the peri-implant phenotype, at the time of and prior to implant therapy can lead to more predictable treatment outcomes, and the avoidance of esthetic complications.

Clinical significance: Knowledge of hard and soft tissue components surrounding and osseointegrated dental implant, and their underlying biological remodeling process is crucial for carrying out a successful therapy and alleviating possible future esthetic challenges.

Keywords: alveolar process; dental implants; esthetics; evidence-based dentistry; gingival recession; periodontics; phenotype.

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References

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