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Soft tissue profile around dental implants placed in the aesthetic zone — a biological update
From Volume 45, Issue 3, March 2018 | Pages 247-252
Article
Rehabilitation of missing natural teeth by osseointegrated implants has signified a new advent in restorative dentistry. In the past decade, much of the focus was on achieving good bone to implant contact for the survival and success of implants. Recently, implant dentistry has seen a paradigm shift from focusing on functional restoration to aesthetic integration of tissues.
Regardless of high success rates attained with osseointegrated implants, the peri-implant mucosal response is still not stated clearly.1 For a clinician, restoration in the aesthetic zone has become a complex and challenging task, particularly in sites with deficiencies of soft tissue or bone and, at the same time, maintenance of it has become equally demanding. Simultaneous removal of multiple teeth may often result in flattening of the interproximal osseous scallop and subsequent collapse of interproximal papillae. Hence, management of soft tissues in cases of multiple implant placement becomes more critical. Therefore, for a clinician it is a prerequisite to have a clear vision and understanding of the three-dimensional envelope of soft tissue and bone surrounding the implant to aid in selection of a proper treatment approach.
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